Maine.gov
7 sept. 2004 (Durable Power of Attorney for Health Care) ... purposes under the Health Insurance Portability and Accountability Act of 1996 and its ...
An Act To Enact the Maine Uniform Power of Attorney Act Be it
A power to make health care decisions;. (c). A proxy or other delegation to exercise voting rights or management rights with respect to an entity; and.
HEALTH CARE POWER OF ATTORNEY
HEALTH CARE POWER OF ATTORNEY. Under the Uniform Health Care Decisions Act Maine whose birth date is.
MRS Title 22 Chapter 260. CONSENT OF MINORS FOR HEALTH
18 nov. 2021 "Health care practitioner" has the same meaning as set forth in Title ... to the minor's medical treatment through a power of attorney.
Potential legal
Maine law makes it a criminal act to endanger the welfare of a Often financial abuse occurs via the misuse of a durable financial power of attorney.
REPORT ON THE USE OF ADVANCE DIRECTIVES FOR
1 janv. 2017 2016 version of the Jennifer Act described its intent as follows: ... Mental health care power of attorney; scope; definition. 36-3282.
An Act To Enact the Maine Uniform Power of Attorney Act Be it
A power to make health care decisions;. (c). A proxy or other delegation to exercise voting rights or management rights with respect to an entity; and.
HEALTH CARE POWER OF ATTORNEY and COMBINED
Abbreviations: AD = Advance Directive LW = Living Will DPA = Durable Power of Attorney UHCDA = Uniform Health Care Decisions Act.
Maine Durable Financial Power of Attorney Page 1 of 14 Maine
Pay expenses for necessary health care and custodial care on behalf of the individuals described in paragraph (a);. (f). Act as the Principal's personal
MRS Title 24 Chapter 21. MAINE HEALTH SECURITY ACT
18 nov. 2021 An entity that provides or arranges for health care services and that follows a written professional competence review process; [PL 1997 c. 697 ...
Title 18-C §5-805: Optional form - Maine Legislature
Part 1 of this form is a power of attorney for health care Part 1 lets you name another individual as agent to make health care decisions for you if you become
Title 18-C §5-803: Advance health care directives - Maine Legislature
An adult or emancipated minor with capacity may execute a power of attorney for health care which may authorize the agent to make any health care decision the
[PDF] HEALTH CARE POWER OF ATTORNEY
(4) AGENT'S AUTHORITY: My agent is authorized to make all health-care decisions that in my agent's judgment relate to psychiatric psychological and emotional
[PDF] An Act To Enact the Maine Uniform Power of Attorney Act Be it
Under this power of attorney you give your Agent broad and sweeping powers to sell or otherwise dispose of your property without notice to you Under this
[PDF] Maine Law on Health Care Advance Directives
Under Maine law any spoken written decisions or instructions about the health care you want in the future is called an Advance Directive You can tell your
[PDF] Taking Charge of Your Health Care - Maine Health
Once your agent has the right to make health care decisions for you your agent can look at your medical records and consent to giving your medical information
[PDF] state health care power of attorney statutes
Abbreviations: AD = Advance Directive LW = Living Will DPA = Durable Power of Attorney UHCDA = Uniform Health Care Decisions Act STATE
Maine Medical Power of Attorney - Legal Templates
Create a printable Maine Medical Power of Attorney form for free Word PDF templates for download inside along with instructions to fill the form
Free Maine Health Care Advance Directive - PDF - eForms
An advance directive is a medical power of attorney and living will combined into a single form Advance Directive Includes Part 1 Power of Attorney for
What is the statute of POA in Maine?
A power of attorney must be signed by the principal or in the principal's conscious presence by another individual directed by the principal to sign the principal's name on the power of attorney.Does a POA need to be notarized in Maine?
A power of attorney must be notarized to be effective in Maine. As under prior law, powers of attorney in Maine must still contain specific language providing notice to the principal and notice to the agent warning both principal and agent of their obligations and liabilities under Maine law.What is durable power of attorney medical Maine?
With a durable power of attorney for health care, the principal appoints an agent to direct the course of their health care during any period of incapacitation. Typically, individuals appoint their spouse, a close friend, or a relative as their agent.- You do not need to have a Notary Public sign your Advance Directive form to make it legal in Maine.
HEALTH CARE POWER OF ATTORNEY
Under the Uniform Health Care Decisions Act
18-A M.R.S.A. § 5-801 et seq.
I, ________________ currently of__________________________, ___________ ___________, name street address city Maine, whose birth date is ________________, execute this Health Care Power of Attorney so that I might obtain mental health care and treatment. (1) DESIGNATION OF AGENT: I, designate the following individual as my agent to make mental health-care decisions for me: __________________________________________ _____________________________ _ (name of individual) (home phone) (work phone) (address) (city) (state) (zip code) (2) DESIGNATION OF ALTERNATIVE AGENT: (OPTIONAL) If I revoke this agent's authority or if my agent is not willing, able or reasonably available to make mental health care decisions for me, I designate as my first alternate agent: __________________________________________ _____________________________ _ (name of individual) (home phone) (work phone) (address) (city) (state) (zip code) HEALTH CARE POWER OF ATTORNEY of _______________________ Page ___2___ (3) AGENT AND ALTERNATIVE AGENT UNAVAILABLE: If I revoke the authority of my agent and first alternate agent, if I have named one, or if neither my agent or alternate, if I have named one, is willing, able or reasonably available to make health-care decisions for me, the instructions in this health care directive are nevertheless to be followed without need for the express authorization of an agent. YES____ NO_____ (4) AGENT'S AUTHORITY: My agent is authorized to make all health-care decisions that in my agent's judgment relate to psychiatric, psychological and emotional care and treatment, including the right to consent, withhold consent or withdraw consent to any test, procedure, program of medications or any form of mental health care and treatment and to select or discharge any mental health care providers or institutions. (5) WHEN AGENT'S AUTHORITY BECOMES EFFECTIVE: My agent's authority becomes effective when: (Indicate the applicable options) ____ my primary physician, or, if I should be in an emergency room or in a treatment setting, the attending physician determines that I am unable to make my own health-care decisions. _____ my primary physician, or, if I should be in an emergency room or in a treatment setting, the attending physician determines that I meet involuntary hospitalization standards. _____ my primary physician, or, if I should be in an emergency room or in a treatment setting, the attending physician determines that if I do not receive psychiatric hospitalization or the treatment as set out in this instrument my condition will quickly deteriorate such that I would soon meet the standard for involuntary hospitalization. ______ other. Describe ________________________________________________ ____ ______ ______ The above option(s) require a second physician's opinion. Yes._____ No _____I waive the 2
nd opinion requirement if another physician is not available. Yes _____ No ______ (If I require a second opinion and do not waive the requirement should no second physician be available, I understand that my advance directive may not become effective.) HEALTH CARE POWER OF ATTORNEY of __________________________ Page__3__ (6) AGENT'S OBLIGATION: My agent shall make health-care decisions for me in accordance with this power of attorney for health care and my other wishes to the extent known to my agent. To the extent my wishes are unknown, my agent shall make health-care decisions for me in accordance with what the agent determines to be in my best interest. In determining my best interest, my agent shall consider my personal values to the extent known to my agent. (7) NOMINATION OF GUARDIAN: (OPTIONAL) If a guardian of my person needs to be appointed for me by a court, I nominate the following individual to be appointed as my guardian. __________________________________________ _____________________________ _ (name of individual) (home phone) (work phone) (address) (city) (state) (zip code) (8) CHILD CARE ARRANGEMENTS If I am to be admitted to residential care or to a hospital, or I am otherwise unable to care for my children, and I have not made prior child care arrangements, I authorize my agent to make those arrangements. If my agent or alternative is not available, I request that the following individual be contacted to care for my children temporarily: __________________________________________ _____________________________ _ (name of individual) (home phone) (work phone) (address) (city) (state) (zip code) (9) DESIGNATION OF PRIMARY PHYSICIAN I designate the following as my primary physician, for the purposes of this directive: ______________________________________________ _______________________ (name of physician) (phone number) (address) (city) (state) (zip code) HEALTH CARE POWER OF ATTORNEY of _______________________ Page ___4___ A COPY OF THIS FORM HAS THE SAME EFFECT AS THE ORIGINAL. ________________________________________ Dated: ______________________________ signature _________________________________________ _____________________________ _______ witness signature witness signature _________________________________________ _____________________________ _______ witness Address witness address ______________________________________________________ _________________ _______________________________city state zip code city state zip code
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