Laws
Statutes – § 58-625 – § 58-632
Definition – “A durable power of attorney for health care decisions is a power of attorney by which a principal designates another as the principal’s agent in writing and the writing contains the words ‘this power of attorney for health care decisions shall not be affected by subsequent disability or incapacity of the principal’ or ‘this power of attorney for health care decisions shall become effective upon the disability or incapacity of the principal,’ or similar words showing the intent of the principal that the authority conferred shall be exercisable notwithstanding the principal’s subsequent disability or incapacity.” (§ 58-625)
Statutory Form – § 58-632
Signing Requirements – Must be dated and signed in the presence of at least two (2) qualified witnesses (§ 58-629(e)(1)) or a notary public (§ 58-629(e)(2)).
Revocation – § 58-628
Other Versions (6)
- Kansas Bar Association
- Kansas Legal Services
- Kansas State University
- Spanish/Español
- Stormont Vail Health
- Wichita Medical Research & Education Foundation (WMREF)
Kansas Bar Association Version
Download: Adobe PDF
Download: Adobe PDF
Kansas State University Version
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Wichita Medical Research & Education Foundation (WMREF) Version
Download: Adobe PDF
Additional Resources
- Kansas Bar Association – Durable Power of Attorney Information
- Kansas Legal Services – Advance Directives Handout
- Kansas State University – Durable POA for Health Care Information
- Kansas State University – Advance Health Care Planning
- LMH Health – Advance Directives Guide
- United Healthcare – Advance Directives Handout
- WMREF – Choosing an Agent
- WMREF – Kansas Advance Directives FAQ
- WMREF – Kansas Advance Directives Pamphlet
- WMREF – Make the Decision Yours
Related Forms (7)
- Advance Directive (Medical POA & Living Will)
- Advance Directive Wallet Cards
- Do-Not-Resuscitate (DNR) Directive
- Durable (Financial) Power of Attorney
- HIPAA Privacy Authorization Form
- Organ Donation Form
- Transportable Physician Orders for Patient Preferences (TPOPP) Form
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Advance Directive Wallet Cards
Download: Adobe PDF
Do-Not-Resuscitate (DNR) Directive
Download: Adobe PDF (also available in Spanish/en Español)
Laws: § 65-4941 – § 65-4948
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
HIPAA Privacy Authorization Form
Download: Adobe PDF
Download: Adobe PDF
Transportable Physician Orders for Patient Preferences (TPOPP) Form
Download: Adobe PDF
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