Fillable Medical Power of Attorney Document for Colorado State

A Colorado Medical Power of Attorney form is a legal document which allows you to appoint someone to make healthcare decisions on your behalf should you become unable to do so yourself. This pivotal document ensures that your medical treatment preferences are respected, even when you can't voice them. For anyone looking to safeguard their health care decisions, filling out this form is a critical step forward.

Ensure your medical wishes are honored by filling out the Colorado Medical Power of Attorney form. Click the button below to get started.

Get Form Here

Thinking about future healthcare decisions is crucial for everyone, regardless of their current health status. The Colorado Medical Power of Attorney form plays a vital role in planning for unforeseen medical situations. This document allows individuals to appoint someone they trust to make healthcare decisions on their behalf, should they become unable to communicate their wishes themselves. It's a powerful tool that ensures personal healthcare preferences are respected, even when direct communication is no longer possible. Understanding how to complete this form correctly, choosing the right person for this significant responsibility, and knowing how this legal document fits into broader healthcare planning are key aspects that everyone should consider. Taking the time to establish a Medical Power of Attorney can provide peace of mind, knowing that healthcare choices will be in trusted hands if the need arises.

Contents

Colorado Medical Power of Attorney Example

This Colorado Medical Power of Attorney is a legal document that allows an individual (the "Principal") to designate another person (the "Agent") to make health care decisions on their behalf should they become unable to do so. This document is specifically crafted according to the laws of the State of Colorado, including but not limited to the Colorado Medical Treatment Decision Act.

Principal Information

Full Name: ___________________________
Address: _____________________________
City, State, Zip: ______________________
Date of Birth: ________________________
Social Security Number: ________________

Agent Information

Full Name: ___________________________
Relationship to Principal: _____________
Primary Phone: ________________________
Alternative Phone: ____________________
Email Address: ________________________

This document grants the Agent the authority to make health care decisions for the Principal under the following conditions:

When a physician determines that the Principal is unable to make or communicate health care decisions.
In circumstances where the Principal is unconscious or otherwise incapable of consenting.

The Agent's authority includes, but is not limited to, the following powers:

Consenting to or refusing any medical treatment on behalf of the Principal.
Accessing the Principal's medical records.
Discussing the Principal's condition with healthcare professionals.

The Agent is required to make decisions based on what they believe the Principal would have wanted, even if specific wishes were not communicated.

In the event that the Agent is unavailable or unwilling to serve, the Principal may designate an alternate Agent:

Alternate Agent Full Name: _________________
Relationship to Principal: _________________
Primary Phone: ____________________________
Alternative Phone: ________________________
Email Address: ____________________________

This Medical Power of Attorney becomes effective immediately and remains in effect until the Principal revokes it in writing or passes away. By signing this document, the Principal affirms that they understand its contents and the authority it grants to the Agent.

Signature of Principal: ____________________________ Date: _____________

Signature of Agent: _______________________________ Date: _____________

A witness or notary public must sign below, acknowledging that the Principal has signed this document in their presence.

Signature of Witness/Notary: ________________________ Date: _____________

⇓ PDF File

Form Overview

Fact Number	Fact Detail
1	The Colorado Medical Power of Attorney allows an individual to appoint someone else to make health care decisions on their behalf.
2	This form comes into effect when the individual is unable to make their own healthcare decisions, as stated by a medical professional.
3	It is governed by the Colorado Uniform Power of Attorney Act, found in sections 15-14-601 to 15-14-740 of the Colorado Revised Statutes.
4	The appointed agent is granted the authority to make decisions about the individual's health care, including treatment options and end-of-life care.
5	An individual can specify their health care preferences in the document, guiding the agent in making decisions that reflect the individual's wishes.
6	To be valid, the Colorado Medical Power of Attorney must be signed in the presence of a notary or two adult witnesses who are not the appointed agent or related to the individual by blood or marriage.
7	The form can be revoked by the individual at any time when they are competent, through a written statement, destruction of the document, or by expressing the intent to revoke verbally to a witness.

Documents used along the form

When individuals take the step to complete a Colorado Medical Power of Attorney, it allows them to appoint someone to make healthcare decisions on their behalf should they become unable to do so. While this document is critical, several other forms and documents often accompany it to ensure comprehensive healthcare planning. These supporting documents collectively ensure one's healthcare wishes are fully understood and legally documented.

Living Will: This document specifies an individual's preferences regarding treatments like life support and resuscitation, should they become incapacitated and unable to communicate their wishes. It complements the Medical Power of Attorney by providing specific instructions for healthcare providers.
HIPAA Release Form: This form gives healthcare providers permission to share an individual's medical information with designated persons, including the agent named in the Medical Power of Attorney, ensuring they have all necessary information to make informed decisions.
Durable Power of Attorney for Finances: Unlike the Medical Power of Attorney, which covers healthcare decisions, this document allows an appointed person to manage financial affairs, including paying bills and managing assets, if the principal becomes incapacitated.
Advance Directive: Often encompassing both a Living Will and a Medical Power of Attorney, this broader document outlines a person's healthcare preferences in detail, from end-of-life care to other critical medical decisions, should they not be able to make those decisions themselves.
Do Not Resuscitate (DNR) Order: Signed by both the individual and a physician, this directive states that no attempts should be made to revive the individual if their heart stops or if they stop breathing. It is specifically meant for emergency medical personnel and healthcare providers.
Organ and Tissue Donation Form: This document indicates an individual's wish to donate their organs and tissues upon death. It can be part of an advance directive or a standalone document and is important for ensuring these wishes are known and respected.
Polst Form (Physician Orders for Life-Sustaining Treatment): Unlike the aforementioned documents, which are prepared by the individual, the POLST form is filled out by the patient and their doctor. It outlines a plan for end-of-life care, focusing on treatments the patient wishes to receive or avoid. It is particularly useful for those with advanced illness or frailty.
Declaration for Mental Health Treatment: This legal form allows individuals to state their preferences regarding mental health treatment, including medications, hospitalization, and therapies, in case they are deemed incapable of making these decisions in the future.

Together with a Colorado Medical Power of Attorney, these documents form a complete legal framework to ensure an individual’s healthcare decisions are honored, reflecting their values and wishes. It's essential for individuals to consider these documents in their estate planning to provide clear instructions and delegate decision-making authority effectively. This comprehensive approach not only facilitates medical decision-making but also provides peace of mind to the individual and their loved ones.

Consider Some Other Medical Power of Attorney Templates for Specific States

Medical Power of Attorney Mn - It acts as your voice when you're unable to speak for yourself, guiding your healthcare team in accordance with your wishes.

Advance Directive Form Arkansas - This legal tool helps maintain your autonomy over medical decisions, serving as your voice when you cannot speak for yourself.

Power of Attorney Utah - This legal tool is indispensable for those facing major surgery, chronic illness, or the uncertainties of aging.

Delaware Power of Attorney - This form can be particularly important for unmarried partners, granting them the ability to make medical decisions for each other in critical times.