Protective Durable Power Of Attorney For Health Care

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PROTECTIVE DURABLE POWER OF ATTORNEY FOR HEALTH CARE
Note: This document has been adapted from the Wisconsin Protective Power of Attorney for
Health Care (PPAHC), which is prepared by and available from Pro-Life Wisconsin. (For
Wisconsin residents only, the Wisconsin-specific PPAHC is available for FREE download in
PDF format at )
Pro-Life Wisconsin (PLW) has granted permission for the Pro-life Healthcare Alliance (PHA),
a program of Human Life Alliance (HLA), to model the Protective Durable Power of Attorney
for Health Care after the Wisconsin PPAHC.
The Protective Durable Power of Attorney for Health Care (PDPAHC) is designed for use
in an emergency situation. Due to numerous calls from people seeking immediate help to
obtain and complete a pro-life durable power of attorney for health care in emergency
situations, the PHA/HLA recognized a need for a document that could be quickly downloaded.
The PDPAHC is readily available when a person, who has not previously completed a durable
power of attorney for health care, is about to undergo emergency surgery, has been seriously
injured, etc.
The PDPAHC is a valid advance directive in states that do not have specific state requirements
for advance directives.
The PDPAHC is for use in an emergency only in those states which have unique state
requirements for a valid durable power of attorney for health care. When you use the PDPAHC
in an emergency, replace it as soon as possible with a state-specific form if you reside in any of
the following states: Alabama, Alaska, California, Connecticut, Delaware, Florida, Hawaii,
Indiana, Kentucky, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New
Hampshire, New York, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, Texas,
Vermont, West Virginia, or Wisconsin.
The document the PHA/HLA recommends for residents of these states (with the exception of
Wisconsin) is the state-specific Protective Medical Decisions Document (PMDD) distributed
by the Patients Rights Council. To order, call 1-800-958-5678. This document is not available
online for download. The PHA/HLA strongly advises everyone who is 18 years old or older or
an emancipated minor to order your PMDD immediately and complete it before you need
it.
THESE MATERIALS ARE NOT LEGAL ADVICE. IT IS NOT REQUIRED, BUT YOU
MAY WISH TO SEEK THE ASSISTANCE OR ADVICE OF AN ATTORNEY.
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