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Mississippi Advance Health Care Directive

In Mississippi, the document that names someone to make medical decisions for you when you cannot speak for yourself is called a advance health care directive. Elsewhere it goes by medical power of attorney or advance directive agent designation: same role, local name. In Mississippi, a advance health care directive generally must be either acknowledged before a notary public or signed by two witnesses (Miss. Code Ann. 41-41-205).

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

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

Mississippi signing requirements

Mississippi advance health care directive signing requirements at a glance
NotarizationNotary or two witnesses (either satisfies the statute)
WitnessesTwo witnesses as the alternative to notarization
StatuteMiss. Code Ann. 41-41-205

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 Mississippi requirement in the statute cited above (or with your state's self-help resources) before signing your advance health care directive.

How this template works in Mississippi

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 Mississippi 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 Mississippi

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