Power of Attorney for Health Care
(Statutory Short Form) (IL)


Summary

This template is a power of attorney for health care for use to authorize an agent to make health care and other personal care decisions on your client's behalf. By completing and executing this template, the client can specify their desires regarding life-sustaining treatment and limit the agent's authority. This template includes practical guidance, drafting notes, and optional clauses. This template is based on the statutory short form power of attorney for health care, which appears in Article IV to the Illinois Power of Attorney Act. 755 Ill. Comp. Stat. 45/4-10. Note that in Illinois the power of attorney for health care can also be referred to as medical power of attorney or health care proxy. This template grants your client's agent broad authority over their medical care such as to review your client's health care records without the need of a signed medical release form, to discuss your client's medical situation with their attending physician and other health care ...