Medical Power of Attorney Wisconsin Form – Adobe PDF

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Pursuant to Wisconsin medical power of attorney laws, Chapter 155, it allows for the designation of a health care surrogate in the chance that you should become incapacitated in the future. The person you choose, or “agent”, shall be responsible for any and all health care related decisions or facility options in the event you can not make them for yourself.

Per State law, the form must be signed by at least two witnesses, none of which can be family or related by marriage, or a notary public.

Declaration to Physicians (Living Will) – Use to give strict instructions about your end-of-life treatment options to medical staff without the use of an Agent or Attorney-in-Fact.