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North Carolina Health Care Power of Attorney

In North Carolina, the document that names someone to make medical decisions for you when you cannot speak for yourself is called a health care power of attorney. Elsewhere it goes by medical power of attorney or advance directive agent designation: same role, local name. In North Carolina, a health care power of attorney generally must be signed before a notary public and two witnesses (N.C. Gen. Stat. 32A-16(3)).

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

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

North Carolina signing requirements

North Carolina health care power of attorney signing requirements at a glance
NotarizationYes, required
WitnessesTwo witnesses
StatuteN.C. Gen. Stat. 32A-16(3)

Two qualified witnesses plus a notary.

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 North Carolina requirement in the statute cited above (or with your state's self-help resources) before signing your health care power of attorney.

How this template works in North Carolina

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 North Carolina 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 North Carolina

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