Free Queensland Power of Attorney Template
Queensland Power of Attorney
I. Purpose
This Power of Attorney is established to grant authority to the appointed attorney to make medical decisions on behalf of the principal in situations where the principal is incapable of doing so due to illness or injury. The appointed attorney shall act under the principal's wishes and best interests.
II. Appointment of Attorney
I,[Your Name], residing at [Your Company Address], hereby appoint [Attorney's Name], residing at [Attorney's Address], as my attorney-in-fact (hereinafter referred to as the "Attorney") to act on my behalf and make medical decisions as described in this Power of Attorney.
III.Roles and Responsibilities of the Attorney
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Medical Decision Making: The appointed attorney shall have the authority to make medical decisions on behalf of the principal, including but not limited to, consenting to medical treatments, surgeries, procedures, and medications.
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Consultation with Healthcare Professionals: The appointed attorney shall have the authority to consult with healthcare professionals regarding the principal's medical condition and treatment options.
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Access to Medical Records: The appointed attorney shall have the authority to access the principal's medical records and information relevant to making informed medical decisions.
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End-of-Life Decisions: If the principal is in a terminal condition or a persistent vegetative state with no reasonable expectation of recovery, the appointed attorney shall have the authority to make decisions regarding end-of-life care, including the withholding or withdrawal of life-sustaining treatment, under the principal's known wishes or best interests.
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Communication with Family Members: The appointed attorney shall have the authority to communicate with the principal's family members, caregivers, and other relevant parties regarding the principal's medical condition and treatment.
IV. Effectivity and Termination
This Power of Attorney shall become effective immediately upon execution and shall remain in effect until terminated by the principal or by operation of law. The principal reserves the right to revoke this Power of Attorney at any time by providing written notice to the Attorney.
V. Governing Law
This Power of Attorney shall be governed by and construed under the laws of the State of Queensland, Australia.
VI. Signature Section
In Witness Whereof, the undersigned principal hereby executes this Power of Attorney on [Date].
Agreed and signed by [Your Name], the Principal.
[DATE]
[AGENT'S NAME]
[DATE]
Witness Acknowledgement
We, the undersigned witnesses, acknowledge that the principal signed this Power of Attorney in our presence and that to the best of our knowledge, the principal appears to be of sound mind and under no duress to execute this document.
Witness 1:
[WITNESS 1 FULL NAME]
[DATE]
Witness 2:
[WITNESS 2 FULL NAME]
[DATE]
Notary Acknowledgement
State of Queensland
County of [County Name]
On this day of , 20, before me, a notary public, personally appeared the principal and the attorney, known to me (or proved to me based on satisfactory evidence) to be the persons whose names are subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.
[NOTARY PUBLIC'S NAME]
My Commission Expires:
