Illinois · Standard edition

Illinois Medical Power of Attorney Template

Create a Illinois medical power of attorney online to name a healthcare agent. The Standard document covers the agent's authority, when it begins, the decision standard, life-sustaining treatment instructions, a HIPAA authorization, revocation, and Illinois witness and notary requirements.

Start your Illinois Medical Power of Attorney

Illinois rules built into this template

  • Signing: This document must be signed by the Principal and bear the signature of a witness who is at least 18 years old. The Principal's treating health care professionals (such as the attending physician, advanced practice nurse, physician assistant, dentist, or psychologist) and their relatives, among others listed in the statute, may not serve as the witness (755 ILCS 45/4-5.1).
  • Illinois provides a statutory short form power of attorney for health care (755 ILCS 45/4-10).

What the Medical Power of Attorney includes

  1. Appointment of Agent
  2. Authority of Agent
  3. When Authority Begins
  4. Standard for Decisions
  5. Life-Sustaining Treatment and Special Instructions
  6. HIPAA Authorization
  7. Limitations
  8. Duration and Revocation
  9. Reliance and Liability
  10. Execution
  11. State-Specific Information
  12. Governing Law

Frequently asked questions

Who can witness a medical power of attorney in Illinois?
This document must be signed by the Principal and bear the signature of a witness who is at least 18 years old. The Principal's treating health care professionals (such as the attending physician, advanced practice nurse, physician assistant, dentist, or psychologist) and their relatives, among others listed in the statute, may not serve as the witness (755 ILCS 45/4-5.1).
Can my healthcare agent see my medical records in Illinois?
Yes, if you include the HIPAA authorization. The Standard document can name your agent as your personal representative under HIPAA so providers can share your health information with them.
What is the difference between the Standard and Professional Medical Power of Attorney?
The Standard edition is a complete, state-aware Medical Power of Attorney for common situations. The Professional edition adds longer clause coverage, schedules, and optional modules for more complex matters. You can preview either edition free before you pay.

Medical Power of Attorney templates for other states

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Start your Illinois Medical Power of Attorney