Kansas Health Care Power of Attorney Form

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A Kansas durable health care power of attorney is a form that allows an individual (the principal) to designate and appoint a person of their selection to act as their agent for health care decisions. The agent has the power to make decisions for the principal after their death or incapacitation. A principal can revoke the agreement at any time for any reason. As § 58-632 states, this form represents the agent’s ability to act on the principal behalf to:

  • Consent, refuse consent, or withdraw consent to care and treatments;
  • Make decisions about organ donation and autopsy; and
  • Make necessary arrangements with health care providers.


State Laws: §§ 58-625 to 58-632

Signing Requirements (§ 58-629e): Must be witnessed by two (2) witnesses or acknowledged by a Notary Public.