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If you will be represented by a third party, whether in person or by correspondence, you must file a power of attorney specifically authorizing the individual to represent you or your organization. Kentucky Form 20A100 "Declaration of Representative" is used for this purpose.

How to Fill in a Medical Power of Attorney in Kentucky Step 1: Choose an agent. Your agent, or health care surrogate, is responsible for making decisions about your health care if you can't communicate your wishes. ... Step 2: Specify what healthcare decisions your agent can make. ... Step 3: Sign the form.

A Kentucky medical power of attorney form is a document by which residents can appoint an agent to represent them in making medical decisions if they become mentally incapacitated. The principal will be able to specify the types of medical treatments that they wish to prohibit or allow and under which circumstances.

A health care durable power of attorney can be created, like a living will, by: An adult capable of making decisions, the surrogate can't make decisions when the doctor has determined in good faith that the creator lacked decisional capability. Document in writing, dated, and signed by creator.

The health care power of attorney allows someone to name a person (or persons, including successors) to make medical decisions for the appointing person if they cannot make decisions on their own because of mental incapacity like unconsciousness or inability to communicate or understand medical decisions for themselves ...

Kentucky law requires your living will directive to be witnessed by two adults or notarized. Neither the witnesses nor the notary public may be your blood relative, your physician or anyone directly responsible for financing your health care.