FREE POWER OF ATTORNEY WORKSHEET

(print this page and enter choices)

Everyone needs a health care power of attorney.

You can name the people who would make health care decisions for you if you were not able to make those choices.

PRINT THIS FORM:

Use the "Print Worksheet" button to print a copy of this worksheet.

ENTER YOUR CHOICES:

Enter your choices on the printed form.

GENERATE THE FORM:

Go to www.DreamDocsData.com with the completed form.

Click on "Free Power of Attorney".

Enter the information.

You will receive your completed Power of Attorney by email attachment.

FREE POWER OF ATTORNEY

WORKSHEET

BASIC POWER OF ATTORNEY INFORMATION:

Your Last Name:

Your Email Address:

Promotional Code (Name of Attorney):

           William G. Wais

 Your Full Legal Name:

YOUR CHOICES FOR

HEALTH CARE POWER OF ATTORNEY:

These are the people you would make health care choices for you if you are not able to make them yourself.

Your spouse would normally be your first choice.

Your best choices are: parents, brothers, sisters, responsible adult children, and other friends and relatives. 

Just try to pick the people who would be the best choices.

First Choice - Health Care Power of Attorney

Second Choice-Health Care Power of Attorney

Third Choice - Health Care Power of Attorney

YOUR COUNTY OF RESIDENCE:

Law Offices of William G. Wais

100 W. Broadway, Suite 900

Glendale, California 91210

(818) 244-1894 

FAX:   (818) 244-9996

bill@billwais.com