MAKE YOUR FREE Alaska Medical Power of Attorney
What is an Alaska Medical Power of Attorney?
The individual giving permission is known as the "principal," while the person or entity receiving powers is called the "agent." Suitable for residents of Alaska, our Power of Attorney for health care is made for use in Anchorage County, Matanuska-Susitna County, Fairbanks North Star County, and in every other part of the state. All Alaska Medical PoA forms from Rocket Lawyer can be completely customized for your specific circumstances. As a result of this essential document, your agent(s) can offer proof to healthcare facilities and other parties that they can legally act in your interest when you are not able.
When to use an Alaska Medical Power of Attorney:
- You just want to make sure the right person can make healthcare decisions for you.
- You've been diagnosed with a terminal illness or are facing a life-threatening medical procedure.
Sample Alaska Medical Power of Attorney
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HEALTH CARE POWER OF ATTORNEY
THE POWERS GRANTED FROM THE PRINCIPAL TO THE AGENT OR AGENTS TO MAKE YOUR HEALTH CARE DECISIONS IN THE FOLLOWING DOCUMENT ARE VERY BROAD. ACCORDINGLY, THE FOLLOWING DOCUMENT SHOULD ONLY BE USED AFTER CAREFUL CONSIDERATION. IF YOU HAVE ANY QUESTIONS ABOUT THIS DOCUMENT, YOU SHOULD SEEK COMPETENT ADVICE. YOU MAY REVOKE THIS POWER OF ATTORNEY AT ANY TIME.
Pursuant to Alaska Statute 13.26.338 -- 13.26.353,
I, , of , , do hereby appoint:
| Agent Name: |
| Address: |
| , |
| Phone: | Home: Work: |
| Relation, if any: |
my Attorney-in-Fact ("Agent") to act as I have indicated below in my name, place, and stead in any way which I myself could do, if I were personally present, with respect to the following matters, as each of them is defined in Alaska Statute 13.26.344, to the full extent that I am permitted by law to act through an Agent.
This document shall become effective upon the date of my disability and shall not otherwise be affected by my disability.
THE AGENT OR AGENTS YOU HAVE APPOINTED WILL HAVE ALL THE POWERS TO MAKE YOUR HEALTH CARE DECISIONS AND ARRANGE FOR HEALTH CARE SERVICES.
Health care services shall be construed to mean that I authorize my Agent to make health care decisions on my behalf, to the fullest extent authorized by law, if I am unable to do so for myself, whether to be provided in the state or elsewhere.
SPECIFIC PROVISIONS
. LIVING WILL.
. MENTAL HEALTH TREATMENT. I have jointly with consent of each other as to my mental health treatment.separately without each other's consent as to my mental health treatment.
Second Alternate or Successor Agent:
| Agent Name: |
| Address: |
| , |
| Phone: | Home: Work: |
. GENERAL PROVISIONS
. NOTICE OF REVOCATION OF THE POWERS GRANTED IN THIS DOCUMENT. You may revoke one or more of the powers granted in this document. Unless otherwise provided in this document, you may revoke all the powers granted in this power of attorney by completing a subsequent power of attorney.
. NOTICE TO THIRD PARTIES. A third party who relies on the reasonable representations of an Agent as to a matter relating to a power granted by a properly executed statutory power of attorney does not incur any liability to the Principal or to the Principal's heirs, assigns, or estate as a result of permitting the Agent to exercise the authority granted by the power of attorney. A third party who fails to honor a properly executed statutory form power of attorney may be liable to the Principal, the Agent, the Principal's heirs, assigns, or estate for a civil penalty, plus damages, costs, and fees associated with the failure to comply with the statutory form power of attorney. If the power of attorney is one which becomes effective upon the disability of the Principal, the disability of the Principal is established by an affidavit, as required by law.
. SEVERABILITY. If any provision of this document is held to be invalid, such invalidity shall not affect the other provisions which can be given effect without the invalid provision, and to this end the directions in this document are severable.
. STATEMENT OF INTENTIONS. It is my intent that this document be legally binding and effective. If the law does not recognize this document as legally binding and effective, it is my intent that this document be taken as a formal statement of my desire concerning the method by which any health care decisions should be made on my behalf during any period in which I am unable to make such decisions.
(YOU MUST DATE AND SIGN THIS POWER OF ATTORNEY)
I have read and understand the contents of this document and the effect of this grant of powers to my Agent. I am emotionally and mentally competent to make this declaration.
Signed on _____ day of _______________, _____.
| Signature: | ________________________________________ |
| Name: |
| Address: |
| County |
| Name: |
| Address: |
| , |
| Name: | ________________________________ |
| Address: | ________________________________ |
| ________________________________ |
| ________________________________ |
| Name: |
| Address: |
| , |
| Name: | ________________________________ |
| Address: | ________________________________ |
| ________________________________ |
| ________________________________ |
Alaska Medical Power of Attorney FAQs
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Where can I get Medical Power of Attorney in Alaska?
It's fast and easy to give or receive the support you need with a free Alaska Medical Power of Attorney template from Rocket Lawyer:
- Make your PoA - Answer a few general questions and we will do the rest
- Send and share it - Discuss it with your agent or ask a lawyer
- Sign it and make it legal - Mandatory or not, witnesses/notarization are recommended
This route will often be much more affordable and convenient than finding and hiring the average law firm. If necessary, you can fill out a Medical PoA on behalf of an elderly parent, a spouse, or another family member, and then help them sign after you've drafted it. Please keep in mind that for a Power of Attorney to be considered valid, the principal must be mentally competent at the time of signing. In the event that the principal has already been declared incompetent, a conservatorship generally will be necessary. When dealing with this situation, it would be a good idea to speak with a lawyer .
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Why should I have a Power of Attorney for healthcare in Alaska?
Every person over 18 years old should have a Medical Power of Attorney. While it is unpleasant to acknowledge, there could come a day when you aren't able to make your own medical decisions. Common occasions where a PoA can be useful include:
- You have been diagnosed with a terminal illness
- You are facing the possibility of a medical procedure or period of hospitalization
- You live in or have plans to move into an adult care facility
- You are aging or have declining health
Regardless of whether your Alaska Medical Power of Attorney is being drafted as part of a long-term plan or produced as a result of an unexpected emergency, notarization and/or witnesses are highly recommended as a best practice for protecting your agent if their privileges are disputed.
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Are an Alaska Healthcare Proxy and an Alaska Medical Power of Attorney different things?
Sometimes, when discussing the subjects of estate planning or elder care with medical professionals, you or a loved one may find that "healthcare power of attorney", "medical power of attorney" and "healthcare proxy" are used together or interchangeably. In short, they're one and the same. That said, it is absolutely possible to have power of attorney over affairs that aren't related to health care, in which case, "proxy" is not generally used.
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Do I need an attorney for my Alaska Medical PoA?
Alaska Medical PoA forms are typically simple to make; however, you or your agent(s) may still have questions. Getting a legal professional to review your Alaska Medical Power of Attorney can be time-consuming and relatively costly. A more cost-effective option is via attorney services at Rocket Lawyer. When you sign up for a Premium membership, you can get your document reviewed or ask specific legal questions. As always, you can rest assured that Rocket Lawyer is here to help.
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How much does it normally cost to get a Power of Attorney form for health care in Alaska?
The cost of hiring an attorney to make a Medical Power of Attorney could add up to anywhere between two hundred and five hundred dollars, based on your location. Rocket Lawyer offers much more than many other Power of Attorney template websites that you might discover elsewhere. As a Rocket Lawyer member, you can get up to 40% in savings when hiring an attorney.
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What should I do after writing an Alaska Medical Power of Attorney?
After making your Healthcare PoA document with Rocket Lawyer, you will be able to see it anytime, anywhere. With a Premium membership, you may make edits, download it as a PDF document or Word file, print it, or sign it. Attached to each Power of Attorney form, there is a checklist of suggested steps to take once your document is finished. Your agent(s) and care providers should receive copies of your final document.
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Does a Medical Power of Attorney need to be notarized, witnessed, and/or recorded in Alaska?
The specifications and restrictions for PoA forms vary in each state; however, in Alaska, your Power of Attorney will require notarization or the signatures of two witnesses. Your witnesses should not be your healthcare provider or any employee of the institution or facility where you are receiving care. Only one witness can be someone who is an heir/beneficiary or who is otherwise legally related to you (such as a spouse or family member). Finally, as a basic standard, your witness(es) must not be under 18 years old, and none of them should simultaneously be acting as your agent.
See Alaska Medical/Healthcare Power of Attorney law: AS 13.52.010
