Power of Attorney - Medical

Power of Attorney - Medical

Facts about the Health Care Power of Attorney Form in Nebraska (DC 6:13)

Important Information

This power of attorney authorizes another person (your agent) to make decisions concerning your health care (you are the “principal”). Your agent will be able to make decisions and act with respect to your health care if it is determined you are incapable of making health care decisions for yourself.

This power of attorney does not authorize the agent to make decisions about your property (including your money) for you (please see Power of Attorney - Financial.) 

You should select someone you trust to serve as your agent. 

This power of attorney becomes effective immediately unless you state otherwise in the Special Instructions. 

If you have questions about the power of attorney or the authority you are giving your agent, you should seek legal advice before signing this form.

Forms and Filing

Power of Attorney for Health Care

Power of Attorney - Financial


What to do with the Completed General Power of Attorney Form:  

Power of Attorney forms are not filed with a court; however, it is very important to keep the form in a secure place where it will not be damaged. Additionally, it is very important that all people involved with the power of attorney form are aware of the location of the form for future reference.

Paying Your Agent(s)
Your agent is entitled to be reasonably paid for his or her services unless you state otherwise in the Special Instructions.

Selecting More Than One Agent 
This form provides for naming one agent. If you wish to name more than one agent you may name a coagent in the Special Instructions. Coagents are not required to act together unless you include that requirement in the Special Instructions. If your agent is unable to act for you, your power of attorney will end unless you have named a successor agent (a replacement). You may also name a second successor (replacement) agent. 

Revoking a Power of Attorney
Unless you say otherwise, the agent's authority will continue until you die or revoke the power of attorney, or the agent resigns or is unable to act for you. This form will not revoke or cancel a power of attorney previously signed by you unless you add that the previous power of attorney is revoked by this power of attorney.  Additional information regarding revoking (canceling) a power of attorney.

Important information to share with the person you are giving power of attorney.