Example Document for Revocation of Durable Power of Attorney for Health Care
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Revocation of Durable Power of Attorney for Health Care - Example Document

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In this sample document, the Revocation of Durable Power of Attorney for Health Care is used to revoke a certain Durable Power of Attorney for Health Care, which is identified.   A Revocation of Durable Power of Attorney for Health Care cancels the authoritization granted under the Durable Power of Attorney for Health Care.

Because a person may have signed more than one durable power of attorney at any given time, it is important to specifically identify the Durable Power of Attorney being revoked.  For example, a person may have a Financial Durable Power of Attorney and a Durable Power of Attorney for Health Care in effect, at the same time.  Thus, this Revocation asks for the specific date the Durable Power of Attorney being revoked was signed, the place signed, (if applicable) recording information, etc.

Many reasons exist why a Principal would want to revoke his or her durable power of attorney.  For example, the principal may want to appoint another agent to carry out his or her health care decisions.



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