Free Colorado Medical Power of Attorney Form

A Colorado medical power of attorney is a written document in which you, the principal, name an agent to make health care decisions if you cannot. Colorado law limits what your agent may do and says when an agent’s appointment ends. The free Colorado medical power of attorney form below combines the appointment with an advance directive and downloads as a PDF.

Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Colorado law. If you notice an error or outdated information, please contact us.

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Colorado Medical Power of Attorney Overview

A Colorado medical power of attorney lets you appoint a person you trust, called your agent, to speak for you on health care matters when you cannot. The agent deals with doctors and hospitals on your behalf and can ask for your medical records. The powers are the ones written in the form you sign.

The FormsPal template is titled Colorado Medical Power of Attorney with Advance Directive. Part I names your agent and an alternate agent, Part II states end-of-life wishes, and Part III holds general provisions. For other documents, browse our Colorado power of attorney forms, or read how the medical power of attorney form works in general.

Colorado Laws and Requirements

Colorado’s rules for a medical durable power of attorney come from the Colorado Patient Autonomy Act, sections 15-14-503 to 15-14-509 of the Colorado Revised Statutes.[1.5] They cover what an agent may do and when an agent’s appointment ends. A separate law, the Colorado Medical Treatment Decision Act, covers living wills. The sections below put each rule in plain words.

Signing Requirements

The Colorado Patient Autonomy Act, the law on the medical durable power of attorney, sets no witness or notary requirement for signing it.[1.1] Colorado’s Uniform Power of Attorney Act, which has its own signing rule, does not apply to a power to make health-care decisions.[1.7] Many people still sign before a notary, because doctors and hospitals may be more ready to accept a notarized document. That is common practice, not a Colorado rule. The act also does not say who may sign for you if you cannot sign.

Part II of the template states your end-of-life wishes. A separate law, the Colorado Medical Treatment Decision Act, covers a declaration as to medical treatment, often called a living will. A declaration must be signed in the presence of two witnesses,[1.3] or signed and acknowledged before a notary public or another person authorized by law to take acknowledgments.[1.4] Colorado lets you combine a declaration with a medical power of attorney in one document.[1.6] If you want Part II to count as a declaration under that Act, sign the form one of those two ways. If you are physically unable to sign a declaration, another person may sign it in your presence and at your direction. That person, and any witness or notary, may not be a physician, an employee of your attending physician or of the health care facility where you are a patient, or a person with a claim against your estate or who expects to inherit from you.[1.2][1.3]

Choose how you will sign before you print the form. The FormsPal template has a notary acknowledgment on page 7 and no lines for witnesses.

Choosing and Changing Your Agent

Colorado limits what an agent can do and says when an appointment ends. These three rules apply to a medical durable power of attorney.

  • No agent may consent to or refuse medical treatment for you over your objection.[1.1]
  • A later divorce, dissolution of marriage, annulment, or legal separation automatically revokes the appointment of a spouse you named as agent, unless the document expressly says otherwise.[1.1]
  • Unless the document says otherwise, the agent’s appointment is revoked if you revoke it or if the agent is unable or unwilling to serve.[1.1]

Pick an agent you trust and talk with that person before you name them. That is common practice, not a Colorado rule. To end an appointment yourself, see our guide to revoking a power of attorney. Before you fill in the form, it helps to talk through a few points.

  • Your wishes about medical treatment and end-of-life care.
  • Whether the person is willing to serve and can be reached by phone or email.
  • Who should be your alternate agent if the first person cannot serve.
  • Where you will keep the signed original and who will get copies.

Page 1 of the template asks for a phone number, an email address and any other contact information for both the agent and the alternate agent. Having these ready makes the form quicker to fill out.

Colorado Medical Power of Attorney Form Details

Document NameColorado Medical Power of Attorney Form
FormsPal TemplateColorado Medical Power of Attorney with Advance Directive, seven pages
State LawsColorado Revised Statutes, Sections 15-14-503 to 15-14-509 (Colorado Patient Autonomy Act)
Signing RequirementsNo witness or notary required by the Colorado Patient Autonomy Act[1.1]. A living will declaration needs two witnesses or a notary[1.3]
Agent LimitAn agent may not consent to or refuse treatment over your objection[1.1]
Avg. Time to Fill Out8 minutes
# of Fillable Fields21
Available FormatsAdobe PDF

Colorado Medical Power of Attorney Form Contents

The FormsPal template has three parts, a signature page and a notary acknowledgment. What each part says comes from the printed text of the form, not from the statute. Read all seven pages before you sign.

  • Part I, Power of Attorney for Health Care. You name your agent and an alternate agent. The listed powers include consenting to or refusing medical care, hiring health care personnel, getting your medical records, arranging pain relief, and arranging funeral and burial or cremation.
  • Sections 2 to 7 of Part I. The printed text says the power takes effect when your treating physician certifies in writing that you lack capacity. It also includes a HIPAA release so your agent can receive your medical records.
  • Part II, Advance Health Care Directive. This part states your end-of-life wishes in fixed wording, with no blanks to fill in.
  • Part III, General Provisions. One clause says the document revokes your earlier health care powers of attorney, living wills and directives to physicians. It does not revoke durable powers of attorney for asset management.
  • Signature and acknowledgment. The date, signature and printed name sit on page 6. Page 7 is an acknowledgment that a notary public completes.

The advance directive is a serious statement about end-of-life care. If it does not match what you want, talk to a lawyer or your doctor before you sign. You can also compare it with our Colorado living will form.

Filling Out the Colorado Medical Power of Attorney Form

The form has 21 fillable fields, all on pages 1, 6 and 7. The five steps below follow the form in order. Pages 2 to 5 are printed text with no blanks, so read them before you sign. To fill in the downloaded PDF on screen, use our online PDF editor.

The screenshots under each step show the FormsPal Colorado medical power of attorney template filled with sample entries in blue, so you can see where each answer goes. The names, addresses, dates and amounts are examples only.

  1. Part I: principal and agent. On page 1, write your full name and home address as the principal. Then write the full name and address of the person you appoint as your agent.
    Colorado medical power of attorney: POWER OF ATTORNEY FOR HEALTH CARE, filled with sample entries
    Step 1: sample entries, not a real document.
  2. Agent contact details and alternate agent. Still on page 1, add the agent’s phone number, email and any alternative contact information. In the Alternate Agent paragraph, repeat the agent’s name, then enter the alternate agent’s name and address, followed by the alternate agent’s phone, email and alternative contact.
    Colorado medical power of attorney: Agent's phone, Agent's email and more, filled with sample entries
    Step 2: sample entries, not a real document.
  3. Date, signature and printed name. On page 6, enter the date after the words “I have hereunto set my hand on,” sign on the signature line and print your name.
    Colorado medical power of attorney: Date, Signature and more, filled with sample entries
    Step 3: sample entries, not a real document.
  4. Notary acknowledgment: county, date and officer. Page 7 holds the notary acknowledgment. The county, the date, the officer’s name and title, and your name as the person who appeared are completed when you appear before the notary.
    Colorado medical power of attorney: County, Date and more, filled with sample entries
    Step 4: sample entries, not a real document.
  5. Notary signature and seal. The notary signs on the Signature (Seal) line at the bottom of page 7 and adds the official seal.
    Colorado medical power of attorney: Signature, filled with sample entries
    Step 5: sample entries, not a real document.

How to Sign and Use the Colorado Medical Power of Attorney

Filling in the blanks is only part of the job. The steps below cover what happens around the form, from getting the template to sharing copies. Colorado’s medical durable power of attorney law does not require witnesses or a notary, so decide before you print whether you will use one.

  1. Get the template. Build the document with our online form builder, or download the PDF.
  2. Read pages 2 to 5 and Part II. They are fixed text, so check that they match your wishes.
  3. Choose how to sign. Colorado’s medical durable power of attorney law does not require witnesses or a notary.[1.1] Many people sign before a notary so that doctors and hospitals accept the document more readily. If you want Part II to count as a living will declaration, sign in the presence of two witnesses or have your signature acknowledged before a notary public.[1.3]
  4. Sign and date on page 6. If you use a notary, the notary completes the notary acknowledgment on page 7 and adds a seal. The template has no witness lines, so if you choose witnesses, ask a lawyer how to record their signatures.
  5. If you cannot sign, talk to a lawyer first. The medical durable power of attorney law does not say who may sign for you. For a living will declaration, another person may sign in your presence and at your direction.[1.2]
  6. Keep and share copies. It is common practice to keep the original in a safe place and to give copies to your agent and your doctor.

Frequently Asked Questions

Does a medical power of attorney need to be notarized in Colorado?

No. The Colorado Patient Autonomy Act, the law on medical durable powers of attorney, sets no witness or notary requirement.[1.1] Notarizing is still common practice, because doctors and hospitals may be more ready to accept a notarized document. A living will declaration under the Colorado Medical Treatment Decision Act is different. It must be signed in the presence of two witnesses, or signed and acknowledged before a notary public.[1.3]

What if I cannot sign the document myself?

Colorado’s medical durable power of attorney law does not say who may sign for you, so talk to a lawyer first. For a living will declaration, the Colorado Medical Treatment Decision Act lets another person sign if you are physically unable to. That person must sign in your presence and at your direction, and may not be a physician, an employee of your attending physician or of the health care facility where you are a patient, or a person with a claim against your estate or who expects to inherit from you.[1.2]

What happens if I name my spouse as agent and we divorce?

A later divorce, dissolution of marriage, annulment, or legal separation automatically revokes the appointment of a spouse you named as agent. The exception is a medical durable power of attorney that expressly provides otherwise.[1.1]

Can my agent make a medical decision over my objection?

No. Under Colorado law, no agent may consent to or refuse medical treatment for you over your objection.[1.1]

When does an agent’s appointment end?

Unless the document says otherwise, an appointment is revoked if you revoke it or if the agent is unable or unwilling to serve.[1.1]

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Download a Free Colorado Medical Power of Attorney Form

You can download the Colorado medical power of attorney as a PDF with 21 fillable fields, or build it online and print it. Colorado’s medical durable power of attorney law sets no witness or notary requirement[1.1], though many people sign before a notary. If you want Part II to count as a living will declaration, sign in the presence of two witnesses or with your signature acknowledged before a notary public.[1.3]

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General information, not legal or tax advice.

Sources

  1. Colo. Rev. Stat. title 15 (2024). Accessed October 16, 2026.
    • 1.1 § 15-14-506 (medical durable power of attorney)
    • 1.2 § 15-18-105(1) (living will declaration, signing for the declarant)
    • 1.3 § 15-18-106 (living will declaration, witnesses or notary)
    • 1.4 § 15-18-106(1)(b) (living will declaration, notary option)
    • 1.5 §§ 15-14-503 to 15-14-509 (Colorado Patient Autonomy Act)
    • 1.6 § 15-18-104(7) (declaration combined with a medical power of attorney)
    • 1.7 § 15-14-703(1)(b) (Uniform Power of Attorney Act does not apply to health-care powers)
Published: May 21, 2022
Mara Erlach
Mara Erlach
Writer & Attorney
Mara has been practicing estate planning and trust law in California since 2003, taking pride in helping clients of all backgrounds and asset profiles form a complete and customized estate plan. Her specialties are: estate planning, wills and trusts, trust and probate administration.