Free Mental Health Declaration and Power of Attorney

This document allows you to state your wishes regarding mental health care, should you become unable to do so yourself. You can also designate someone to make mental health care decisions for you in the future.

Use the Mental Health Declaration and Power of Attorney document if:
  • You want to state your wishes for mental health care, so it is more likely that they are carried out.
  • You want to designate someone to make decisions for your mental health care if you are unable to do so yourself.
  • You anticipate treatment in a mental health facility.
  • Your mental health is declining or you have been diagnosed with a condition that may lead the inability to make mental health care decisions for yourself.
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