The Arkansas Medical Power of Attorney authorizes an agent to call the shots regarding health care procedures for an individual who has become incapacitated. For this to be achieved, the document must be executed while the principal is still sound of mind. It works as a backup plan if the primary party ever loses their ability to communicate properly. To secure a valid contract, the principal must stipulate who will be receiving the powers and then supply the form with their signature to confirm the transference.

Other Versions (5)

• Arkansas Bar Assoc.
• Arkansas Law Help
• Baptist Health
• JRMC Version
• UA for Medical Sciences Version

Arkansas Bar Association Version

Download: Adobe PDF

 

 

 

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Arkansas Law Help Version

Download: Adobe PDF

 

 

 

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Baptist Health Version

Download: Adobe PDF

 

 

 

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Jefferson Regional Medical Center Version

Download: Adobe PDF

 

 

 

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University of Arkansas for Medical Sciences Version

Download: Adobe PDF

 

 

 

Additional Resources

• Arkansas Dept. of Health – POLST Information
• Arkansas Hospice – Advanced Care Plans
• Baptist Health – Living Will and Advanced Directive
• Christus Health – Advance Care Planning
• University of Arkansas for Medical Sciences – Advance Medical Directives

Related Forms (7)

• Acceptance of Surrogate
• Advance Directive
• Advance Directive Wallet Card
• Durable (Financial) Power of Attorney Form
• EMS DNR Form
• Living Will
• POLST Form

Acceptance of Surrogate

Download: Adobe PDF

 

 

 

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Advance Directive

Download: Adobe PDF

 

 

 

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Advance Directive Wallet Card

Download: Adobe PDF

 

 

 

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Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 

 

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Emergency Medical Services Do-Not-Resuscitate Order

Download: Adobe PDF

 

 

 

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Living Will

Download: Adobe PDF

 

 

 

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Physician Orders for Life-Sustaining Treatment (POLST)

Download: Adobe PDF