A Utah medical power of attorney form is a written document that names an agent to make health care decisions for you when you cannot make them yourself. It deals with health care choices, not money or property. FormsPal's Utah template pairs the power of attorney with an advance health care directive, so it also records your wishes about end-of-life care.
Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Utah law. If you notice an error or outdated information, please contact us.
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Beyond naming an agent, the form lets you leave instructions about your care. They can cover:
For other documents used in the state, see our Utah power of attorney templates.
A Utah medical power of attorney must be in writing, signed by you, and signed by an adult witness.[2.2] The directive form must also be dated, and it lists who may not serve as a witness.[1] A health care decision made by your agent does not need approval from a court.[2.1]
Utah's directive form has the witness state that they are 18 years of age or older and are not any of the following in relation to you (the declarant):
The same form states that your agent cannot force health care against your will, even if a physician has found that you lack health care decision making capacity.[1]
| Document Name | Utah Medical Power of Attorney Form |
| Template Title | Utah Medical Power of Attorney with Advance Directive |
| State Laws | Utah Code §§ 75A-9-101 to 75A-9-129 (Uniform Health Care Decisions Act)[3], including § 75A-9-107 |
| Signing Requirements | Signed by you and an adult witness[2.2] |
| Who Can't Be the Witness? | See the witness list in the section above[1] |
| Court Approval of Agent's Decisions | Not needed[2.1] |
| Avg. Time to Fill Out | 8 minutes |
| # of Fillable Fields | 25 |
| Available Formats | Adobe PDF |
Popular Local Medical POA Forms
MPOA forms are probably the most commonly downloaded ones within the US. The following are some of the most asked durable power of attorney forms.
The FormsPal Utah medical power of attorney template runs nine pages and has 25 fillable fields. Part I names your agent and alternate agent, Part II is the advance health care directive, where you record your end-of-life wishes as you would in a living will, and Part III holds the general provisions. The six steps below follow the form in order.
The screenshots under each step show the FormsPal Utah 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.
Once the form is filled in, signing and sharing it takes a few more steps. Sign it with your adult witness, keep the original somewhere safe, and give copies to the people who will need to act on it. The steps below follow that order.
These answers cover the signing basics for a Utah medical power of attorney, taken from the Utah Code sections listed in the sources below. They are general information and do not replace advice from an attorney, so ask one if your situation is unusual or your family disagrees about your care.
Yes. A Utah power of attorney for health care must be in writing.[2.2]
You sign it as the person creating the power, and an adult witness signs it too.[2.2]
Utah's directive form has the witness confirm they are 18 or older. It also lists people who cannot witness, including your relatives by blood or marriage, anyone entitled to part of your estate, your health care provider, and your agent or alternate agent.[1]
No. A health care decision made by your agent is effective without judicial approval.[2.1]
Other Medical POA Forms by State
You can download the Utah medical power of attorney PDF or build the form online with FormsPal. Answer a few questions and the builder fills in the form for you. Print it, sign it with your adult witness, and keep the original safe.
General information, not legal or tax advice.
Unless noted otherwise, the sources below are from the Utah Code.
