North Carolina Medical Power of Attorney Form

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The North Carolina Medical Power of Attorney issues authorization for a named designee to make health care decisions on behalf of another in instances where the declaring patient may be unable to communicate their needs. This particular contract aims to prepare for unforeseen events by legally establishing a trusted individual with the responsibility of selecting a course of treatment if the principal becomes incapacitated. The document further allows customization for the granting party to restrict the applied controls as needed to conform to their specified needs.

Other Versions (3)

Holistic Health and Wellness Version

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Instructions: Adobe PDF

 

 


Novant Health Version

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Instructions: Adobe PDF

 

 


OpenDocs Version

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Additional Resources

Related Forms (4)

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Durable (Financial) Power of Attorney

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

Download: Adobe PDF