Wisconsin Medical Power of Attorney: Usage Guidelines
The Wisconsin Medical Power of Attorney is a vital document that allows individuals to appoint someone they trust to make healthcare decisions on their behalf should they become unable to do so. Completing this form correctly is crucial to ensure that your healthcare wishes are respected and carried out accurately. The following steps outline the necessary process to fill out the Wisconsin Medical Power of Attorney form properly, ensuring clarity and compliance with state guidelines.
- Begin by entering the full legal name of the principal—the person granting the authority—in the designated space at the top of the form.
- Next, appoint the primary agent by writing their full name, address, and contact information. This person will have the authority to make healthcare decisions on behalf of the principal when they are not able to do so themselves.
- Designate an alternate agent in the section provided, including their full name, address, and contact information. The alternate agent will step in if the primary agent is unable, unwilling, or unavailable to act.
- Read through the powers granted section carefully. This part outlines the specific healthcare decisions the agent is authorized to make. If there are any powers the principal does not wish to grant the agent, they should be clearly struck out and initialed.
- Review the limitations section to specify any restrictions on the agent's power. Here, the principal can detail any specific treatments or healthcare decisions they do not want their agent to make.
- In the section regarding organ donation, specify the principal's wishes concerning organ and tissue donation after death, if applicable.
- The principal must then indicate their preferences for funeral arrangements and the final disposition of their body.
- Check the effectiveness section to decide when the document takes effect. It can become effective immediately or only upon the principal's incapacity, as determined by a physician.
- Finally, the principal and two witnesses must sign and date the form. It is important to ensure that the witnesses meet the state’s requirements—generally, they should not be the agent, a healthcare provider, or have any other disqualifying interest.
After correctly filling out the Wisconsin Medical Power of Attorney form, it is recommended to keep the original document in a secure yet accessible place. Provide copies to the appointed agent(s), primary physician, and any healthcare facilities where treatment is received. This proactive step ensures that the agent’s authority is recognized and can be activated promptly when necessary.