Connecticut Medical Power of Attorney Form


A Connecticut medical power of attorney is a form that gives an agent the ability to make health care and medical choices for another person (the principal). If the principal has written a living will, the agent must follow the wishes stated in that form. Otherwise, the agent is responsible for choosing medical care, physicians, and facilities for the principal if they can no longer communicate independently. The principal must appoint a trustworthy agent who can make wellness-related decisions that align with their spiritual, cultural, and religious beliefs. The attending physician is required to follow the instructions provided by the agent.

Also known as an: Appointment of Health Care Representative Form

Laws: Title 19a, Chapter 386w

Signing requirements (§ 19a-575a): The principal must sign the form in the presence of two (2) witnesses, who must also sign.