Idaho Durable Power Of Attorney For Health Care

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Idaho Durable Power of Attorney for Health Care
In order to implement the general desires of a person as expressed in the "living will," a
competent person may appoint any adult person to exercise a durable power of attorney
for health care. The power shall be effective only when the competent person is unable to
communicate rationally. The person granted the durable power of attorney for health care
may make health decisions for the person to the same extent that the principal could
make such decisions given the capacity to do so.
The durable power of attorney for health care may list alternative holders of the power
in the event that the first person named is unable or unwilling to exercise the power.
A durable power of attorney for health care may be in the following form, or in any
other form which contains the elements set forth in the following form.
A DURABLE POWER OF ATTORNEY FOR HEALTH CARE
1. DESIGNATION OF HEALTH CARE AGENT.
I, ________________________________________________________
(Insert your name and address) do hereby designate and appoint
________________________________________________________
(Insert name, address, and telephone number of one individual only as your agent to
make health care decisions for you. None of the following may be designated as your
agent: (1) your treating health care provider, (2) a nonrelative employee of your treating
health care provider, (3) an operator of a community care facility, or (4) a nonrelative
employee of an operator of a community care facility.)
as my attorney in fact (agent) to make health care decisions for me as
authorized in this document. For the purposes of this document, "health care decision"
means consent, refusal of consent, or withdrawal of consent to any care, treatment,
service, or procedure to maintain, diagnose, or treat an individual's physical condition.
2. CREATION OF DURABLE POWER OF ATTORNEY FOR HEALTH CARE.
By this document I intend to create a durable power of attorney for health care. This
power of attorney shall not be affected by my subsequent incapacity.
3. GENERAL STATEMENT OF AUTHORITY GRANTED.
Subject to any limitations in this document, I hereby grant to my agent full power and
authority to make health care decisions for me to the same extent that I could make such
decisions for myself if I had the capacity to do so. In exercising this authority, my agent
shall make health care decisions that are consistent with my desires as stated in this

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