Maine Medical Power of Attorney Form [PDF]

Discover the importance of the medical power of attorney in the Maine healthcare system and use our medical power of attorney template.

Last update: 27 Mar 2024

Maine Medical Power of Attorney Form [PDF]

The Maine medical power of attorney, or healthcare power of attorney, is a legal document that delegates the authority to make healthcare decisions from one person, called the principal, to another person, called the agent, or the attorney-in-fact. 

In other words, the principal uses the power of attorney to authorize the agent to make healthcare decisions on their behalf.

The principal can use the medical power of attorney if they are of old age or have unstable physical or mental health, and they want to authorize someone to be able to make healthcare decisions on their behalf in case they become unable to do so. The principal will indicate what medication or medical treatment they want or don’t want to be subjected to.

Laws and Legal Requirements for a Medical Power of Attorney in Maine

Laws and Legal Requirements

Title 18-C, Article 5, Part 8 of the Maine Revised Statutes, also called the Uniform Health Care Decisions Act, regulates the status of medical power of attorney in Maine. 

According to 5-805, a medical power of attorney must have at least two witnesses sign it in order for it to be legitimate and effective. You should also inform your agent and healthcare provider about issuing a medical power of attorney.

§5-804 provides that the principal can revoke part or the entire medical power of attorney as long as they have the legal capacity. They can revoke the document in writing or verbally.

How to Write a Medical Power of Attorney in Maine

To draft a valid medical power of attorney in Maine, follow the step-by-step process outlined below.

How to Write a Medical Power of Attorney

#1. Access the Medical Power of Attorney Form

Here, you can find the medical power of attorney form, which will include all the information that should be provided for the medical power of attorney to be valid in Maine.

Our document builder will guide you through the whole document-drafting process. 

First, you should enter the date of issuing the medical power of attorney and the principal’s full name, mailing address, contact details, and other relevant information.

#2. Appoint a Healthcare Representative

In this section, you should provide the basic details about your healthcare representative or attorney-in-fact. This includes their full name, mailing address, and contact details.

The healthcare representative should be an adult with the legal capacity to act. In addition, you should look for someone you trust, considering the importance of their authority over your healthcare. This can be your spouse, a blood relative, a friend, or a trusted advisor.

Here, you can also set medical power of attorney rights and limitations and determine your agent’s scope of authority.

#3. Identify an Alternative Healthcare Representative

The alternative healthcare representative is also called the secondary agent or secondary attorney-in-fact. They will act only if the primary agent cannot represent you.

The secondary agent should meet the same requirements as the primary agent. You can name one, two, or more people to act as your secondary agents.

#4. Identify the Witnesses and Have Them Sign the Form

Right after completing your medical power of attorney form, you should print out the document and sign it. State law requires you to sign the document before at least two witnesses.

#5. Notarize the Form

The state law doesn’t require notarization of the medical power of attorney. However, if you are able to do so, you should have the notary public acknowledge the document. This will confirm the authenticity of the document and prevent potential fraud.

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