The Michigan Medical Power of Attorney, or “Designation of Patient Advocate”, is a form that conveys one’s authority to make health care decisions to another. An individual would go through with this to safeguard themselves in case they become incapacitated so that a person of trust could make judgment calls on their behalf regarding medical procedures. It is important that the principal of this document communicate their wishes to their advocate so that they know how to handle certain situations should they arise. To activate the instrument, appointing parties must record the name & address of their agent (and successor agent if desired), add or remove any powers as necessary, and sign the document along with two (2) witnessing parties.
Laws
Statutes – § 700.5506 – § 700.5520
Definition – “Patient advocate” means an individual presently authorized to make medical treatment decisions on behalf of a patient under sections 5506 to 5515 of the estates and protected individuals code (§ 333.5674(3)).
Signing Requirements – Acknowledgment of Two (2) Witnesses (§ 700.5506(4))
Revocation – § 700.5510, § 700.5515
Other Versions (5)
- Honoring Healthcare Choices Michigan
- Hospice of Michigan
- Kimble Center for Legal Drafting
- Michigan Catholic Conference
- Singletrack Health
Honoring Healthcare Choices Michigan Version
Download: Adobe PDF
Guide: Adobe PDF
Download: Adobe PDF
Kimble Center for Legal Drafting Version
Download: Adobe PDF
Michigan Catholic Conference Version
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- HAP – Know Your Medical Rights, Consider an Advance Directive
- Honoring Healthcare Choices Michigan – Designation of Patient Advocate Guide
- Michigan Department of Public Health – Notice to Patients About Advance Directives
- Michigan Health Information Network – Advance Care Planning Overview (Spanish)
- Michigan Health Information Network – Advance Directive Handout
- Michigan Health Information Network – Patient Advocate Guide
- Michigan State Medical Society – Durable POA for Health Care Brochure
- Mid-State Health Network – Medical and Psychiatric Advance Directives
- Northern Lakes Community Mental Health Authority – Advance Directives Guide
Related Forms (8)
- Advance Directive (Medical POA & Living Will)
- Advance Directive for Mental Health Care
- Do-Not-Resuscitate (DNR) Order
- Durable (Financial) Power of Attorney
- Funeral Representative Designation
- Organ Donation Form
- Patient Advocate Acceptance Form
- Physician Orders for Scope of Treatment (MI-POST) Form
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF, MS Word (.docx)
Advance Directive for Mental Health Care
Download: Adobe PDF
Information: Adobe PDF
In Spanish: Adobe PDF
Do-Not-Resuscitate (DNR) Order
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Funeral Representative Designation
Download: Adobe PDF
Download: Adobe PDF
FAQ: Adobe PDF
Patient Advocate Acceptance Form
Download: Adobe PDF
Physician Orders for Scope of Treatment (MI-POST) Form
Download: Adobe PDF, MS Word (.docx)
Information Sheet: Adobe PDF