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West Virginia Medical Power of Attorney

A medical power of attorney names an agent to make health care decisions for you in West Virginia when you cannot speak for yourself. In West Virginia, a medical power of attorney generally must be signed before a notary public and two witnesses (W. Va. Code 16-30-4).

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

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

West Virginia signing requirements

West Virginia medical power of attorney signing requirements at a glance
NotarizationYes, required
WitnessesTwo witnesses
StatuteW. Va. Code 16-30-4

Two 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 West Virginia 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 West Virginia

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 West Virginia 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 West Virginia

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