A Health Care Proxy Form, also known as a medical power of attorney, is a legal document that allows an individual to appoint someone they trust to make health care decisions on their behalf if they cannot do so themselves due to incapacity or illness.

Health Care Proxy Form
Help your patients create a legally binding document with our free Health Care Proxy Form. Download a free PDF template and example here.
Use Template
Health Care Proxy Form Template
Commonly asked questions
Yes, Carepatron offers customizable templates for Health Care Proxy Forms. You can tailor the form according to your state's laws and regulations and add any necessary details or specifications.
When properly executed and signed, a Health Care Proxy Form is legally binding in most states. It is important to follow your state's requirements for creating and signing the form to ensure its validity.
EHR and practice management software
Get started for free
*No credit card required
Free
$0/usd
Unlimited clients
Telehealth
1GB of storage
Client portal text
Automated billing and online payments










