Protective Durable Power Of Attorney For Health Care (Page 7 of 8) in pdf

Protective Durable Power Of Attorney For Health Care Page 7

11. It is my express wish that no one petition the court to remove or replace my agent

unless it can clearly be shown that my agent has failed or refused to act in accord with

these directions, special provisions, and limitations.

These instructions are always a part of my Protective Durable Power of Attorney for

Health Care document and are binding on my agent and health care providers.

This document is intended to be valid in any jurisdiction in which it is presented. Any

invalid provision of this document shall not affect any other provision of this document or

the appointment of my agent.

IMMUNITIES

My agent may not be held criminally or civilly liable for making decisions in accord with this

document. No health care facility or provider may be held criminally or civilly liable for

following the directions of my agent acting in accord with this document.

REVOCATION OF PREVIOUSLY SIGNED HEALTH CARE DIRECTIVES

By signing this durable power of attorney for health care, I revoke any prior health care

directives I have made. This power of attorney shall remain in force until revoked by me in the

presence of two witnesses. Additionally, if I, or anyone else on my behalf, execute a health care

directive at a later date and I have not revoked this power of attorney, I direct that this power of

attorney take precedence.

GUARDIAN OR CONSERVATOR

If it becomes necessary to appoint a guardian or conservator of the person for me, I nominate,

in the same order of preference, my agent and alternate agent.

SIGNATURE OF PRINCIPAL

I, being of sound mind, intend this document to create a durable power of attorney for health

care. I am executing this document voluntarily.

Signature_________________________________________Date_________________

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Protective Durable Power Of Attorney For Health Care Page 7