Nevada Medical Power of Attorney Form [PDF]

Authorize another person to make decisions about your healthcare by drafting the Nevada medical power of attorney using our template.

Last update: 27 Mar 2024

Nevada Medical Power of Attorney Form [PDF]

The Nevada medical power of attorney, or healthcare power of attorney, is a legal document that allows the person called the agent or the attorney-in-fact to act on behalf of the person issuing the power of attorney and make decisions about their healthcare. 

The person issuing power of attorney is called the principal. They usually draft this document if they are in unstable health and there is a possibility that they won’t be able to make their own decisions in the future. 

This can also happen if they are facing life-threatening surgery or if they are diagnosed with a terminal illness.

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

Laws and Legal Requirements

Sections 162A.700 to 162A.860 of the Nevada Revised Statutes regulate the status of medical power of attorney in Nevada.

Section 162A.790 provides that the medical power of attorney must be signed by at least two witnesses or a notary public.

Section 162A.820 provides that the medical power of attorney terminates when: 

  • The principal dies or revokes the power of attorney

  • The power of attorney termination date comes

  • Agent dies, becomes incapacitated, or resigns, and there is no successor agent

How to Write a Medical Power of Attorney in Nevada

Here, you can see the step-by-step process of drafting the Nevada medical power of attorney using our specially designed template.

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 template that you can fill out by following the instructions provided by our advanced legal document builder.

First, you should fill out the basic information about the principal and the document:

  • Full name, mailing address, and contact details of the principal

  • Date of issuing the medical power of attorney

#2. Appoint a Healthcare Representative

This person is also called an agent or an attorney-in-fact. The agent should be of legal age to represent you and have the legal capacity to act

Moreover, the agent should be someone you can trust, considering the importance of their authority over your healthcare. You can appoint your spouse, a blood relative, a friend, or another trusted advisor.

Here, you should also include the medical power of attorney rights and limitations that your agent can have.

#3. Identify an Alternative Healthcare Representative

The alternative healthcare representative, or secondary agent, is a person who acts only in case your primary agent is unable to do so. This can happen if the primary agent loses legal capacity, passes away, or, in some other way, becomes unable to act as an agent.

The secondary agent should fulfill the same requirements as the primary agent. You can name one or more people as your secondary agents.

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

After finalizing your medical power of attorney form, you should print and sign it. The state law requires you to sign the document before at least two witnesses.

State law also provides that the witness cannot be a healthcare provider, operator of the healthcare facility, employee of the healthcare facility, or person appointed as an agent. Moreover, the witness must be an adult with the legal capacity to act.

#5. Notarize the Form

Alternatively, you can sign the medical power of attorney before a notary public. The notary will determine the principal’s identity and confirm that they have personally signed the document. This will additionally confirm the authenticity of the document and prevent potential disputes and fraudulent activities.

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