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Indiana Medical Power of Attorney

A medical power of attorney names an agent to make health care decisions for you in Indiana when you cannot speak for yourself. In Indiana, a medical power of attorney generally must be signed by one witness; notarization is not required (Ind. Code 16-36-1-7).

This template walks you through naming your agent and an alternate, describing the authority you grant, and signing it the way Indiana expects. Download the finished document in Word and PDF.

Create your Indiana medical power of attorneyRead the full Medical Power of Attorney guide

Indiana signing requirements

Indiana medical power of attorney signing requirements at a glance
NotarizationNot required by statute
WitnessesOne witness
StatuteInd. Code 16-36-1-7

Verify before you rely on it

Power of attorney statutes change, and banks, hospitals, and county recorders can have their own acceptance practices. Confirm the current Indiana requirement in the statute cited above (or with your state's self-help resources) before signing your medical power of attorney.

How this template works in Indiana

Answer guided questions about the principal, the agent, and the powers you grant, and the document writes itself in front of you. Then sign it following the Indiana requirements above and download it in Word and PDF.

The form, the live preview, and the full guide live on the main Medical Power of Attorney page.

Other power of attorney forms for Indiana

Not sure this is the right variant? Each one solves a different problem: general authority, authority that survives incapacity, medical decisions, or a single defined task.

Medical Power of Attorney in other states