Laws
Statute – West Virginia Health Care Decisions Act (W.V.C. § 16-30)
Definition – “Health care decision” means a decision to give, withhold or withdraw informed consent to any type of health care, including, but not limited to, medical and surgical treatments, including life-prolonging interventions, nursing care, hospitalization, treatment in a nursing home or other extended care facility, home health care and the gift or donation of a body organ or tissue (§ 16-30-3(i)).
Signing Requirements – Acknowledgment by a notary official and two (2) accepted witnesses as designated by the West Virginia Code § 16-30-4.
Revocation – § 16-30-18
Other Versions
West Virginia Medical Power of Attorney Form – Version 1
Download: Adobe PDF
Additional Resources
- West Virginia Center for End-of-Life Care – Frequently Asked Questions About the Medical Power of Attorney
- West Virginia Center for End-of-Life Care – POST Patient Brochure
- West Virginia Center for End-of-Life Care – What is a Medical Power of Attorney?
- West Virginia University Medicine – Living Will and Medical Power of Attorney
Related Forms (7)
- Advance Directive (Medical POA & Living Will)
- Advance Directive for Mental Health
- Advance Directive Wallet Card
- Checklist for Surrogate Selection
- DNR (Do-Not-Resuscitate) Order and Card
- Durable (Financial) Power of Attorney Form
- Release of Information from the e-Directive Registry
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Advance Directive for Mental Health
Download: Adobe PDF
Information Factsheet: Adobe PDF
Download: Adobe PDF
Checklist for Surrogate Selection
Download: Adobe PDF
Do Not Resuscitate (DNR) Order and Card
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Patient Authorization for Release of Information from the e-Directive Registry
Download: Adobe PDF
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