A medical power of attorney is a written document in which you name an agent to make health care decisions for you if you cannot make them yourself. Minnesota law calls the broader paper a health care directive, and it can hold a health care power of attorney, health care instructions, or both.[1] The FormsPal Minnesota medical power of attorney form combines the two: Part I names your agent, and Part II records your wishes for end-of-life care.
Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Minnesota law. If you notice an error or outdated information, please contact us.
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Under Minnesota law, a health care directive must be in writing, be dated, and state the principal's name. The principal is you, the person making the directive. You sign it, or you authorize another person to sign for you, and a notary public or witnesses then verify that signature.[1]
In plain words, a health care directive in this state needs all of these:
Your health care agent, or an alternate health care agent, may not act as a witness or notary public when you sign the health care directive that appoints them.[1]
| Document Name | Minnesota Medical Power of Attorney Form |
| Legal Name Under State Law | Health care directive |
| State Laws | Minnesota Statutes, Chapter 145C |
| Signing Requirements | Notary public or witnesses[1] |
| Avg. Time to Fill Out | 8 minutes |
| # of Fillable Fields | 21 |
| Available Formats | Adobe PDF |
Popular Local Medical POA Forms
HCPOA templates are among the most commonly used ones in the US. Take a look at some of the most asked durable POA documents.
This template has 21 fillable fields in five areas. Part I names your agent. Part II, your end-of-life wishes, and Part III, the general provisions, are printed text. You date and sign near the end, and a notary completes the last page.
The screenshots under each step show the FormsPal Minnesota 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.





After you fill in the template, you still need to get it verified and put it to use. State law lets a notary public or witnesses verify your signature, and this template is built for a notary.[1] These steps cover getting the form, signing it, and sharing it.
Not always. Minnesota law lets either a notary public or witnesses verify the principal's signature, as Chapter 145C provides. Instead of witnesses, the principal may sign before a notary public.[1] The FormsPal template has a notary block on page 7.
Yes. The signature can be yours or that of another person you authorize to sign on your behalf. State law sets the conditions for a signature by another person.[1]
Yes. It must be in writing and dated, and it must state the principal's name. The template has a line for your name on page 1 and a date line on page 6.[1]

Other Medical POA Forms by State
Download the template as a PDF, or fill it out online and print it. It has 21 fillable fields and a notary acknowledgment on its last page, so you can put your health care decisions in writing, sign, and take it to a notary with your family or agent beside you if you wish.
Looking for another document? FormsPal also offers a Minnesota living will form and a Minnesota durable power of attorney form, plus a Minnesota last will template. You can also browse every power of attorney form by state.

General information, not legal or tax advice.
