A Georgia medical power of attorney, also called a healthcare power of attorney, is a signed legal document that names an agent to make health care decisions for you if you cannot. Georgia law, O.C.G.A. § 31-32-5, requires the document to be in writing, signed and witnessed.[1.1] Our free Georgia medical power of attorney PDF pairs the power of attorney for health care with an advance directive, and two witnesses must sign it in your presence.[1.2]
Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Georgia law. If you notice an error or outdated information, please contact us.
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Appoint an agent you trust, talk through your healthcare preferences with them, and tell them where you keep the signed copy. For the general picture, read our medical power of attorney form guide, or browse all Georgia power of attorney forms.
Georgia regulates the advance directive for health care under O.C.G.A. § 31-32-5. The document must be in writing and signed by you, or by another person who signs in your presence and at your express direction.[1.1] Two witnesses must attest and sign it in your presence. They must be of sound mind and at least 18 years old, and they do not have to be together or present when you sign.[1.2]
Under O.C.G.A. § 31-32-2(6), a health care agent is a person you appoint to act for you and on your behalf to make decisions related to consent, refusal, or withdrawal of any type of health care. The term includes any back-up or successor agent you appoint.[2.1]
| Document Name | Georgia Medical Power of Attorney Form |
| Form Parts | Power of attorney for health care (Part I), advance directive (Part II), general provisions (Part III) |
| State Form Name | Georgia Advance Directive for Health Care |
| State Law | O.C.G.A. § 31-32-5[1.1] |
| Signing Requirements | Your signature and two witnesses[1.1][1.2] |
| Who Can’t Be the Agent? | A physician or health care provider directly involved in your health care[1.6] |
| Who Can’t Be a Witness? | Your agent, anyone who will knowingly inherit from you or gain financially from your death, and anyone directly involved in your health care[1.3][1.4] |
| # of Fillable Fields | 29 |
| Available Formats | Adobe PDF |
Popular Local Medical POA Forms
MPOA templates are used in each and every state. Find out more about several other popular MPOA forms regularly filled out by Americans.
This template has three parts. Part I names your agent and an alternate agent. Part II is the advance directive, which sets out end-of-life wishes in printed text. Part III holds the general provisions and your signature. You write in only a few places, listed here in the order they appear on the form.
The screenshots under each step show the FormsPal Georgia 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.
A few steps happen outside the form itself. Get the template, read the General Information page, sign with your witnesses, and share copies. Work through them in this order, and keep the signed original where your agent can find it.
These answers come from O.C.G.A. § 31-32-5, the Georgia statute on advance directives for health care. They cover who can witness the document, who cannot serve as your agent, and how the witnesses sign.
Neither witness can be a person who:
In addition, not more than one witness may be an employee, agent, or medical staff member of the health care facility where you are receiving care.[1.5]
A physician or health care provider who is directly involved in your health care may not serve as your health care agent.[1.6] Choose someone you trust instead, such as a relative or close friend, and name an alternate agent on the form.
No. The witnesses do not have to be together or present when you sign.[1.2] They must still attest and sign in your presence, so you watch each witness sign. Both must be of sound mind and at least 18 years old.
On this template, Part I is the power of attorney for health care, which appoints your agent and an alternate agent. Part II is the advance directive, which records your end-of-life wishes and your wishes about pain relief. Part III holds the general provisions and your signature.
Other Medical POA Forms by State
Create your document online in minutes, or download the free Georgia medical power of attorney PDF and print it. The template holds the power of attorney for health care, the advance directive, the general provisions, a notary acknowledgment, a General Information page and a witness page in one file.
General information, not legal or tax advice.
