Healthcare POA, Living Will, and HIPAA Authorization: 3 Different Jobs
Estate-planning documents often use similar healthcare terminology, but a Healthcare Power of Attorney, Living Will, and HIPAA Authorization do not...
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Harner Legal Forms provides self-help legal forms and general information, not legal advice.
Harner Legal Forms
The Harner Legal Forms Healthcare Power of Attorney Resignation is an attorney-prepared, downloadable legal form for a healthcare agent who wants to formally resign from an appointment under an existing Healthcare Power of Attorney.
This form creates a written record that the healthcare agent is stepping down from the authority granted under the Power of Attorney. It provides space to identify the agent, the principal, the underlying Healthcare Power of Attorney, the capacity in which the person is serving, and the effective date of the resignation. It is designed to help document the transition of healthcare decision-making authority and communicate that the agent is no longer serving.
A written resignation may be useful when a successor agent will begin serving, when the current agent is no longer willing or able to act, or when the agent wants a formal record that his or her authority has ended. The completed form can be provided to the principal, successor agent, physicians, hospitals, healthcare facilities, and other appropriate recipients as circumstances require.
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Key features
Requirements for resignation, notice, delivery, and effectiveness may depend on the Healthcare Power of Attorney and applicable state law. Review the included instructions and the underlying document before completing and using the form.