Free North Carolina Medical Power of Attorney Form | PDF

North Carolina Medical Power of Attorney Form

A North Carolina Medical Power of Attorney authorizes a named designee to make health care decisions on behalf of another when the patient is unable to communicate their needs. This particular contract aims to prepare by legally establishing a trusted individual responsible for selecting a course of treatment if the principal becomes incapacitated.

Last updated October 23rd, 2024

A North Carolina Medical Power of Attorney authorizes a named designee to make health care decisions on behalf of another when the patient is unable to communicate their needs. This particular contract aims to prepare by legally establishing a trusted individual responsible for selecting a course of treatment if the principal becomes incapacitated.

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Other Versions (3)

Holistic Health and Wellness Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 


Novant Health Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 


OpenDocs Version

Download: Adobe PDF, MS Word (.docx)

 

 

 

Additional Resources

Related Forms (4)

Advance Directive (Medical POA & Living Will)

Download: Adobe PDF

 

 

 


Advance Directive Wallet Card

Download: Adobe PDF

 

 

 


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 

 


Medical Orders for Scope of Treatment (MOST) (also available in Spanish/en Español)

Download: Adobe PDF

 

 

 

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