According to Connecticut Statutes, any competent adult may prepare a written Directive to control the health care treatment decisions that can be made on that person behalf

Connecticut Health Care Directive, advance medical directive

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Connecticut power of attorney for health care (medical power of attorney) gives the person you name as your agent the authority to make any and all health care decisions for you in accordance with your wishes

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Connecticut Durable Power of Attorney for Health Care  

Connecticut
Power of Attorney for
Health Care Decisions

 
You have the right to make decisions about your health care. No health care may be given to you over your objection, and necessary health care may not be stopped or withheld if you object.
 
Connecticut law allows you to execute a Health Care Power of Attorney that is also called an Advance Health Care Directive.
 
A Durable Power of Attorney for Health Care is an important legal document. It gives your Agent broad powers to make health care decisions for you, including withdrawal of a feeding tube and artificial hydration. Your Agent (health care attorney in fact) must make decisions for you in accordance with your wishes known to the Agent.
 
By signing this Power of Attorney you understand that you allow your Agent to consent or to refuse medical care, including:
  • diagnostic, surgical, or therapeutic procedures;
  • to authorize the physicians, nurses, therapists and other health care providers to provide health care services for you;
  • to approve or deny your admittance to the hospital and other health care institutions and programs.
Also you allow your Agent to make decisions about you mental health care, except that he/she can not put you on an intensive mental health treatment program called a “level one” behavioral health facility, using just this form.
 
Your Health Care Agent may not consent to experimental mental health research or psychosurgery, electroconvulsive treatment or drastic mental health treatment procedures for you.
 
Please note that neither your Health Care Agent nor your alternate Health Care Agent can be your health care provider or employee of a health care facility where you are a patient, or a spouse of any of those persons, unless she or he is also your relative.
 
Your Agent shall have the same access to your medical records that you have, including the right to disclose the contents to others, to request, receive and review verbal and written information regarding your personal affairs or physical or mental health including medical and hospital records.
 
In this Power of Attorney form you may appoint an alternate Health Care Agent in case your primary Health Care Agent is not willing to or unable to act.
 
You may authorize your Agent to make anatomical gifts, authorize an autopsy, and direct disposition of your remains.
 
You can also use your Health Care Power of attorney to nominate the person you would want to appoint as a Conservator of your person.
 
You may freely revoke the Connecticut Health Care Power of Attorney at any time; just make sure your primary physician knows of the revocation. The appointment of the principal's spouse as health care representative shall be revoked upon the divorce or legal separation of the principal and spouse or upon the annulment or dissolution of their marriage, unless the principal specifies otherwise.

 
Do not sign this Connecticut Power of Attorney for Health Care unless you clearly understand it. It is suggested that you keep the original of this document on file with your physician.
* * *

Connecticut Advance Health Care Directive To better understand the health care and pecuniary related issues our legal articles, frequently asked questions, facts and other law related information may be of interest to you.

 
Your shopping cart SHOPPING CART SUMMARY
 
Letter of Default on Promissory Note and Demand for Payment $ 16.98
Demand Promissory Note $ 17.98
Unsecured Promissory Note with Installment Payments $ 17.98
Unsecured Promissory Note with Installment Payments $ 9.99
Arkansas Living Will Declaration $ 20.98
Arkansas Durable Power of Attorney for Health Care $ 20.98
Arkansas Springing Durable Power of Attorney for Property and Finance $ 20.98
Basic Package - Arkansas Advance Health Care Directive $ 19.99
Premium Package - Arkansas Advance Health Care Directive $ 29.99
Alabama Designation of Health Care Proxy $ 12.99
Basic Package - Alabama Advance Health Care Directive $ 19.99
Premium Package - Alabama Advance Health Care Directive $ 29.99
Alabama Living Will $ 20.98
Utah Declaration for Mental Health Treatment $ 12.99
Premium Package - Utah Advance Health Care Directive $ 29.99
Basic Package - Utah Advance Health Care Directive $ 19.99
Utah Springing Durable Power of Attorney for Property and Finance $ 12.99
Utah Statutory Special Health Care Power of Attorney $ 18.98
Utah Directive to Physicians and Providers of Medical Services $ 20.98
Montana Advance Health Care Directive $ 25.98
Montana Springing Durable Power of Attorney for Property and Finance $ 20.98
Premium Package - Montana Advance Health Care Directive $ 32.98
Premium Package - Indiana Advance Health Care Directive $ 37.98
Indiana Springing Durable Power of Attorney for Property and Finance $ 20.98
Indiana Durable Power of Attorney for Health Care $ 20.98
Indiana Statutory Life Prolonging Procedures Declaration $ 17.98
Indiana Living Will Declaration with Organ Donation Provision $ 20.98
Basic Package - Indiana Advance Health Care Directive $ 27.98
Nevada Springing Durable Power of Attorney for Property and Finance $ 12.99
Premium Package - Ohio Advance Health Care Directive $ 29.99
Basic Package - Ohio Advance Health Care Directive $ 19.99
Nevada Durable Power of Attorney for Health Care Decisions $ 12.99
Nevada Declaration Allowing Primary Physician to Withdraw or Withold Sife-Sustaining Treatment $ 15.98
Texas Springing Durable Power of Attorney for Property and Finance $ 20.98
Texas Power of Attorney for Health Care $ 19.98
Texas Directive to Physicians and Family or Surrogates (with appointment of an Agent provision) $ 20.98
Basic Package - Texas Advance Health Care Directive $ 27.98
Premium Package - Texas Advance Health Care Directive $ 37.98
Premium Package - Tennessee Advance Health Care Directive $ 29.99
Tennessee Springing Durable Power of Attorney for Property and Finance $ 20.98
Tennessee Durable Power of Attorney for Health Care $ 20.98
Tennessee Statutory Living Will $ 18.98
Basic Package - Tennessee Advance Health Care Directive $ 27.98
Georgia Springing Durable Power of Attorney for Property and Finance $ 12.99
Georgia Advance Health Care Directive $ 25.98
Premium Package - Georgia Advance Health Care Directive $ 32.98
Florida Springing Power of Attorney for Property and Finance $ 12.99
Florida Anatomical Gift Donation $ 7.99
Florida Designation of Health Care Surrogate $ 10.99
Florida Living Will + Anatomical Gift Donation $ 12.99
Basic Package - Florida Advance Health Care Directive $ 19.99
Premium Package - Florida Advance Health Care Directive $ 29.99
Premium Package - Delaware Advance Health Care Directive $ 24.99
Delaware Advance Health Care Directive $ 17.99
Delaware Springing Durable Power of Attorney for Property and Finance $ 20.98
Kentucky Springing Durable Power of Attorney for Property and Finance $ 20.98
Kentucky Durable Power of Attorney for Health Care $ 20.98
Kentucky Living Will Declaration $ 20.98
Basic Package - Kentucky Advance Health Care Directive $ 19.99
Premium Package - Kentucky Advance Health Care Directive $ 37.98
Premium Package - Arizona Advance Health Care Directive $ 37.98
Arizona Living Will (Advance Directive) $ 20.98
Basic Package - Arizona Advance Health Care Directive $ 27.98
Arizona Springing Durable Power of Attorney for Property and Finance $ 20.98
Arizona Statutory Health Care Power of Attorney $ 18.98
Premium Package - Wyoming Advance Health Care Directive $ 32.98
Wyoming Power of Attorney for Health Care $ 12.99
Wyoming Springing Durable Power of Attorney for Property and Finance $ 12.99
Massachusetts Health Care Proxy $ 20.98
Massachusetts Living Will $ 18.98
Premium Package - Massachusetts Advance Health Care Directive $ 37.98
Massachusetts Springing Durable Power of Attorney for Property and Finance $ 12.99
North Carolina Springing Durable Power of Attorney for Property and Finance $ 12.99
Basic Package - North Carolina Advance Health Care Directive $ 19.99
Premium Package - North Carolina Advance Health Care Directive $ 29.99
North Carolina Health Care Power of Attorney with Guardianship Provision $ 12.99
North Carolina Declaration of a Desire for a Natural Death $ 10.99
Michigan Power of Attorney for Health Care $ 12.99
Premium Package - Michigan Advance Health Care Directive $ 29.99
Basic Package - Michigan Advance Health Care Directive $ 19.99
Michigan Health Care Directive to Physician $ 10.99
Michigan Springing Durable Power of Attorney for Property and Finance $ 20.98
Ohio Donor Registry Enrollment Form $ 15.98
Premium Package - Ohio Advance Health Care Directive $ 37.98
Ohio Durable Power of Attorney for Health Care $ 20.98
Ohio Springing Durable Power of Attorney for Property and Finance $ 20.98
Ohio Living Will Declaration with Organ Donation Provision $ 10.99
Hawaii Advance Health Care Directive $ 17.99
Premium Package - Hawaii Advance Health Care Directive $ 24.99
Hawaii Springing Durable Power of Attorney for Property and Finance $ 12.99
Illinois Mental Health Treatment Preference Declaration $ 12.99
Illinois Springing Durable Power of Attorney for Property and Finance $ 12.99
Basic Package - Illinois Advance Health Care Directive $ 19.99
Illinois Durable Power of Attorney for Health Care $ 12.99
Premium Package - Illinois Advance Health Care Directive $ 29.99
Illinois Advance Health Care Directive (Living Will) $ 18.98
New York Springing Durable Power of Attorney for Property and Finance $ 20.98
New York Health Care Proxy $ 18.98
New York Uniform Donor Form $ 17.98
Premium Package - New York Advance Health Care Directive $ 37.98
Basic Package - New York Advance Health Care Directive $ 27.98
New York Living Will $ 18.98
Pennsylvania Advance Directive for Health Care with Organ Donation Provision $ 12.99
Basic Package - Pennsylvania Advance Health Care Directive $ 19.99
Premium Package - Pennsylvania Advance Health Care Directive $ 29.99
Pennsylvania Springing Durable Power of Attorney for Property and Finance $ 12.99
Pennsylvania Durable Power of Attorney for Health Care $ 11.99
Basic Package - Washington Advance Health Care Directive $ 27.98
Washington Springing Durable Power of Attorney for Property and Finance $ 20.98
Washington Health Care Directive $ 18.98
Washington Power of Attorney for Health Care $ 20.98
Premium Package - Washington Advance Health Care Directive $ 29.99
Premium Package - Missouri Advance Health Care Directive $ 37.98
Missouri Durable Power of Attorney for Health Care $ 20.98
Missouri Living Will Declaration $ 12.99
Missouri Springing Durable Power of Attorney for Property and Finance $ 12.99
Connecticut Springing Durable Power of Attorney for Property and Finance $ 12.99
 
Total: $2470.21
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