Free Power of Attorney for Elderly Parents Template
Power of Attorney for Elderly Parents
In the complex journey of aging, ensuring that our loved ones receive the care they desire is paramount. A Power of Attorney for Healthcare Decisions empowers a trusted individual to make crucial medical choices on behalf of elderly parents, safeguarding their wishes when they may not be able to voice them. This document not only provides peace of mind but also clarity in times of need.
I. Principal Information
Principal Name: Emie Howell
Principal Address: Albuquerque, NM 87101
Principal Date of Birth: January 15, 1945
II. Agent Information
Agent Name: Tracey Gleason
Agent Address: Fresno, CA 93701
Agent Date of Birth: March 22, 1970
III. Purpose of the Power of Attorney
This Power of Attorney grants the agent the authority to make healthcare decisions for the principal in accordance with their wishes, beliefs, and values.
IV. Limitations of Authority
The agent's authority is limited to healthcare decisions and does not extend to financial matters or legal issues unrelated to health.
V. Effective Date
This Power of Attorney will become effective on:
Effective Date: June 1, 2050
Revocation Date (if applicable): N/A
VI. Signatures
By signing below, the principal acknowledges that they are of sound mind and understand the contents of this document.
Principal
Date: June 1, 2050
Agent
Date: June 1, 2050
VII. Witness Information
The following witnesses affirm that the principal signed this document in their presence.
Witness Name: Kitty Johns
Witness Address: Sacramento, CA 94203
Relationship to Principal: Friend
Witness Name: Adelia Harber
Witness Address: Mesa, AZ 85201
Relationship to Principal: Neighbor
VIII. Notarization
On this 1st day of June, 2050, before me, a notary public, personally appeared the principal and agent, known to me to be the persons whose names are subscribed to this document.
Notary Public
My Commission Expires: January 1, 2055
IX. Prepared By
This document was prepared by:
[YOUR NAME]
