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
|
|
|
|
|
|
|
|
|
|
|
|
|
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.
|
|
|
* * *
|
|
|
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.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
Thanks for the quick service! I am very impressed with the speed and
quality of your products and service. My husband is stationed in San
Antonio, TX and I am trying to move us from NC to TX by myself- this
power of attorney helped tremendously with so little complication!
Thanks again!
Kimberly S., TX
|
|
|
|
|
|
|
|
| |
Thank you so much. I appreciate your service and will continue to do business.
Didi S, NC
|
|
|
|
|
|
|
|
| |
In a minite I got the power of attorney I need. Incredible website. Will use again.
Nicolas G., PA
|
|
|
|
|
|
|
|
| |
Thanks for your prompt responce. Did not even expect you to be that quick and attentive. Your customer service is superb.
George A., NY
|
|
|
|
|
|
|
|
| |
Thank you for your service, you just earned a customer for life.
Ms. Dove, OR
|
|
|
|
|
|
|
|
|
|
|
|
|