If someone faces a critical moment of an accident or incurable severe disease, he or she may become unconscious at some point and will no longer be capable of decisions and actions. For such cases, a person needs a representative who will be responsible for the decisions tied to medical care. To appoint this person (an agent or attorney), you should create the “Medical Power of Attorney form” (or the MPA form).
The medical power of attorney form allows for giving various instructions to your attorney (or agent) regarding many things and procedures. Among those things are:
And many other things that are related to medical care when a critical situation occurs.
Georgia power of attorney forms – this section will allow you to learn more about some other powers of attorney that can be used in Georgia.
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In Georgia, the MPA form is included in the “Advance Directive” (or AD) form. You designate your health care agent or attorney at the very beginning of the Advance Directive.
With this directive, you may choose someone who will take care of your treatment if you suddenly become disabled. In the United States, it is especially recommended to create such a form if a person is severely ill or has passed a certain age (usually when they are 65 years old or more). However, accidents with serious traumas happen without age limits, so creating the MPA form may be considered even if the declarant is young and healthy.
Rules that one has to consider to create the MPA form in the US vary from state to state. Many states require either notarization of this form or getting a signature from a witness (or even two witnesses).
The AD form in Georgia is regulated by paragraph 31-32-5 of state law (Georgia Code). You do not have to notarize this paper in Georgia; however, two witnesses will have to sign your document according to the local law.
The AD in Georgia is quite detailed: the form consists of 15 pages and describes many aspects of a declarant’s will about health care. In Georgia, a declarant may add two backup agents that can substitute the initial agent if he or she wants.
| Document Name | Georgia Medical Power of Attorney Form |
| State Form Name | Georgia Advance Directive for Health Care |
| State Laws | Georgia Code, Sections 31-32-1 to 31-32-14 |
| Signing Requirements | Two Witnesses |
| Who Can’t Be the Agent? | Section 31-32-4 |
| Who Can’t Be the Witness? | Section 31-32-5(2) |
| Avg. Time to Fill Out | 8 minutes |
| # of Fillable Fields | 21 |
| 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.
For your convenience, we have added a comprehensive guide with all the steps to create the Advance Directive in Georgia easily. Check out the instructions below.
1. Download the Georgia AD Form Template
Completion of the Advance Directive begins with downloading the template of the document. You may use our form building software if you want to make it quick.
2. Insert Your Name and Date of Birth
As a declarant, you should add your full name and date of birth under the heading of the form.
3. Read the Notice Thoroughly
Below the lines for a declarant’s name and birth date, there is a notice that describes which parts are included in the Advance Directive in Georgia. The form has four parts:
Every part has a brief description that helps a declarant to orientate. You are not obliged to fill out all of the three first sections; one is enough; to make the form valid, it is necessary to complete the last part.
4. Appoint Your Health Care Agent
The first part of the AD Form in Georgia is dedicated to your medical care agent or attorney appointment. Keep in mind that if you designate your spouse as your agent and get divorced later, the form will not be effective from the moment when you are divorced. Also, if a declarant is not married yet, the form will be annulled (if a selected agent is different from the spouse).
In Georgia, you should insert the name and address of your agent, as well as all phone numbers possible: cell, home, and work numbers. The email address of your agent is needed, too.
5. Add Your Backup Agent(s)
You may add two backup agents in your Advance Directive in Georgia. This section is optional, so you can leave it blank. If you have decided to appoint a backup agent (or agents), you have to add the same data as for your initial agent (see instructions in Step 4).
6. Read and Accept the Following Notice
After appointing your agent(s), you will see a text that consists of the general information about the directive. Read and accept it. If someone is not clear, you may consult your lawyer.
7. Delegate the Responsibilities to Agent
Here, you will see a list of three matters in which your agent will act. They includes:
You have to read the descriptions and choose the relevant points by placing your initials. If a person that should take care of the final disposition of your body is not your agent, add his or her data. Here, you will also state if your body will be buried or go through a cremation process.
8. State Your Treatment Preferences
In the second part of the Advance Directive in Georgia, you should make numerous choices about your treatment preferences. Read each statement carefully and choose wisely; your choice should coincide with your wishes. This is an optional section of the AD Form in Georgia.
9. Fill out the “Guardianship” Part (If Needed)
This section is optional, too. Here, you may choose your guardian for the situations when a court decides that you need one.
You may opt for your health care agent as your guardian or appoint another person. If you add another person, place his or her name, address, available phone numbers, and email address to the relevant lines.
10. Add the Effectiveness Dates
In the following part (which is mandatory), you need to insert the dates of the Advance Directive effectiveness.
11. Sign the Advance Directive
After adding the dates of effectiveness, you should sign the form and add a date of signing.
12. Ask Witnesses to Sign
In Georgia, you should have two witnesses to make the Advance Directive valid. The last page of the form has blank lines where your witnesses should sign, add a date of signing, and insert their personal details: names and addresses. Remember that your health care agent cannot be your witness.
Other Medical POA Forms by State
