PART 1: Information about You (Grantor)

PART 2: Appointing Your Attorney (POA For Personal Care)

Appointing someone as your power of attorney for personal care means that you are granting that person legal authority to make decisions about your personal care and well-being in the event that you become unable to make those decisions yourself. This could include decisions about your medical treatment, living arrangements, and other matters related to your personal care. It is important to choose someone you trust and who understands your wishes and beliefs regarding your care.

PART 3: Medical Plan Preference