Appoint a healthcare agent in Arkansas: Arkansas Medical Power of Attorney
What is an Arkansas Medical Power of Attorney?
The individual granting control is called the "principal," while the individual or entity receiving authority is known as the "agent." Suitable for Arkansas residents, our Power of Attorney for health care can be used in Pulaski County, Benton County, Washington County, and in all other regions across the state. All Arkansas Healthcare PoA forms from Rocket Lawyer can be edited for your unique situation. With this official legal document on hand, your agent(s) can offer verification to healthcare providers and other parties that they can make choices for you.
When to use an Arkansas Medical Power of Attorney:
- Your health is declining and you want to assign someone to make healthcare decisions if, and when, you can't.
- You're healthy but you want to have a say in who takes care of your medical decisions, if you're unable to.
Sample Arkansas Medical Power of Attorney
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HEALTH CARE PROXY
. DESIGNATION OF HEALTH CARE PROXY. If I should become permanently unconscious, incompetent, or otherwise mentally or physically incapable of communication, I direct my attending physician, pursuant to the Arkansas Rights of the Terminally Ill or Permanently Unconscious Act, to follow the instructions of my Agent whom I appoint as my Health Care Proxy ("Agent") to decide whether life-sustaining treatment
| Agent Name: |
| Address: |
| , |
| Phone: | Home: Work: |
| Relation, if any: |
In exercising this authority, my Agent shall make health care decisions that are consistent with my desires as stated in this document or otherwise made known to my Agent.
SECOND ALTERNATE AGENT
| Agent Name: |
| Address: |
| , |
| Phone: | Home: Work: |
. NOMINATION OF GUARDIAN. If a Guardian of my person is to be appointed for me, I nominate my Agent (or Alternate Agent) to serve as my Guardian.
. NOMINATION OF GUARDIAN. If a Guardian of my person is to be appointed for me, I nominate
| Name: |
| Address: |
| , |
to serve as my Guardian.
. GENERAL PROVISIONS.
1. HOLD HARMLESS. All persons or entities who in good faith endeavor to carry out the terms and provisions of this document shall not be liable to me, my estate, my heirs or assigns for any damages or claims arising because of their action or inaction based on this document, and my estate shall defend and indemnify them.
2. 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.
3. 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 DOCUMENT)
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 |
voluntarily signed this writing in my presence.
We, the undersigned, state that we are both at least 18 years of age.
| Witness Signature: | ________________________________________ |
Date: _________________________
| Witness Signature: | ________________________________________ |
Date: _________________________
Arkansas Medical Power of Attorney FAQs
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How can I get an Arkansas Medical Power of Attorney form online for free?
It's very easy to grant or receive the support you might need using a free Arkansas Medical Power of Attorney template from Rocket Lawyer:
- Make your PoA - Provide a few simple details and we will do the rest
- Send or share it - Go over the PoA with your agent(s) or get legal advice
- Sign it and make it legal - Optional or not, witnesses/notarization are ideal
This solution is often much more affordable and convenient than meeting and hiring the average provider. If necessary, you can fill out this 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 PoA form to be valid, the principal must be mentally competent when they sign. If the principal is already unable to make their own decisions, a court-appointed conservatorship might be required. When managing such a scenario, it is important to speak with an Legal Pro.
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Who should have a Power of Attorney for healthcare in Arkansas?
Anyone who is over 18 ought to have a Medical Power of Attorney. Though it can be tough to acknowledge, a day will likely come when you are not able to make your own healthcare decisions. Here are a few typical circumstances in which a PoA may be helpful:
- You will be hospitalized for a surgical procedure
- You are aging or dealing with ongoing health issues
- You are currently managing a terminal condition
- You have plans to live in an adult care facility
Regardless of whether your Arkansas Medical Power of Attorney is being generated as part of a long-term plan or produced as a result of an unexpected emergency, notarization and/or witnesses will often help to protect your document if a third party disputes its authenticity.
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Is there a difference between an Arkansas Healthcare Proxy and an Arkansas Medical Power of Attorney?
At times, in the process of researching the topics of elder care and/or estate planning, you or a loved one may see the terms "healthcare power of attorney", "medical power of attorney" and "healthcare proxy" used together. In actuality, they're the same. That said, you should keep in mind that it's entirely possible to grant agency over matters that aren't related to medical care. In that case, "proxy" is not commonly used.
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Should I hire a lawyer to review my Arkansas Medical PoA?
It’s a good idea to have important documents like your Arkansas Medical Power of Attorney reviewed before signing, so you fully understand your choices and help avoid unintended outcomes. The problem is that some attorneys may not review documents they didn’t prepare, while others may require a retainer or high hourly fees. This can make getting a legal review of your Arkansas Medical Power of Attorneydifficult and time-consuming.
Rocket Lawyer makes the process easier. With Rocket Lawyer, you can request a review from a Legal Pro or ask questions about your document. You can also use Rocket Copilot to review your document, identify potential issues, and check that everything is complete before signing.
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How much might it typically cost for an attorney to help me get a Power of Attorney form for health care in Arkansas?
Attorney fees for drafting or reviewing an Arkansas Medical Power of Attorney can vary widely. Many lawyers charge hourly rates that may range from around $100 for less experienced attorneys to $350 or more per hour for highly experienced attorneys in major metropolitan areas. For more routine documents, some attorneys may offer flat-fee pricing.
The total cost will depend on several factors, including your location, the attorney’s experience, and the complexity of your agreement. More documents or situations involving negotiation will typically require more time and increase the overall cost.
With Rocket Lawyer, you can create a personalized Arkansas Medical Power of Attorney tailored to your specific needs—without the high cost typically associated with hiring a lawyer. If you have questions or want additional peace of mind, you can also get your document reviewed or ask a Legal Pro for guidance.
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Does a Medical Power of Attorney need to be notarized, witnessed, or recorded in Arkansas?
The specific rules and restrictions vary by state; however, in Arkansas, your Power of Attorney must be acknowledged by a notary public or signed by two witnesses. At least one witness to this PoA must be someone who is not a relative, spouse, adoptee, heir, or any other beneficiary. Finally, as a general standard, your witness(es) will need to not be under the age of 18, and no witness should also be your PoA agent.
See Arkansas Medical/Healthcare Power of Attorney law: Title 20, Subtitle 2, Ch. 6, Subchapter 1
