The Connecticut Medical Power of Attorney, otherwise known as the “Appointment of Health Care Representative”, is conducive to those who would like to grant a third (3rd) party the authority to make healthcare decisions on their behalf in the event of their incapacitation. The form is relatively simple, only requiring that the party bestowing the powers supply it with the name of their appointee (and of an alternative agent if desired), the date of the document’s execution, and their signature (signing requirements listed below).

Laws

Statutes – Chapter 368w: Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment (§ 19a-570 – § 19a-580i)

Definitions – “Health care representative” means the individual appointed by a declarant pursuant to an appointment of health care representative for the purpose of making health care decisions on behalf of the declarant (§ 19a-570(6)).

Signing Requirements – Signatures to certify the event must be recorded by two (2) suitable witnesses (§ 19a-576). Although not obligated by law, notarization of the document is highly recommended (§ 19a-578).

Revocation – § 19a-575a(b-e)