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Other Names: Florida Healthcare POA Florida Healthcare Power of Attorney Florida Medical POA Florida Healthcare Proxy
Florida Medical Power of Attorney document preview

What is a Florida Medical Power of Attorney?

A Florida Medical Power of Attorney is a legal document that gives someone else permission to make healthcare decisions for you, such as requesting or refusing specific medical treatments, when you cannot do so. 
The person granting permission is known as the "principal," while the individuals or organizations gaining authority are called the "agents." Designed for Florida residents, our Power of Attorney for health care can be used in Miami-Dade County, Broward County, Palm Beach County, and in all other counties across the state. All Florida Medical PoA forms from Rocket Lawyer can be tailored to address your specific situation. This essential document will provide confirmation to medical providers and other parties that your chosen representative(s) can make choices for you when you are not able.

When to use a Florida Medical Power of Attorney:

  • You want to legally let a certain person, or alternatives, make healthcare choices for you if you're unable to.
  • You'd like to make things easier for your family if you become incapacitated.

Sample Florida Medical Power of Attorney

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. DESIGNATION OF HEALTH CARE SURROGATE. In the event that I, , have been determined to be incapacitated to provide informed consent for medical treatment and surgical and diagnostic procedures, I wish to designate as my Surrogate for health care decisions:



Surrogate Name:



Phone Number:

Relation, if any:


. AUTHORITY OF SURROGATE. While I have decision-making capacity, my wishes are controlling and my physicians and health care providers must clearly communicate to me the treatment plan or any change to the treatment plan prior to its implementation.


To the extent that I am capable of understanding, my health care surrogate shall keep me reasonably informed of all decisions that he or she has made on my behalf and matters concerning me.


I fully understand that this designation will permit my designee to make health care decisions and to provide, withhold, or withdraw consent on my behalf; to apply for public benefits to defray the cost of health care; to have access to my records necessary to make decisions or apply for benefits; and to authorize my admission to or transfer from a health care facility. I specifically give my Surrogate the authority to provide, withhold or withdraw consent to the provision of life-prolonging procedures on my behalf the provision of artificially provided nutrition and hydration. My Surrogate must act consistently with my desires as stated in this document or otherwise made known.




Surrogate Name:




Phone Number:


I affirm that this Designation is not being made as a condition of treatment or admission to a health care facility. I have read and understand the contents of this document and the effect of this grant of powers to my Surrogate. I am emotionally and mentally competent to make this declaration.


Signed on _____ day of _______________, _____.




Signature: ________________________________________






Witness Signature: ________________________________________



Date: ______________________________



Witness Signature: _________________________________________



Date: ______________________________


At least one witness is not 's spouse nor blood relative.






The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this _____ day of ____________________, ______ by , who is personally known to me or who has produced ________________________________ as identification.



Signature of person taking acknowledgment



Name typed, printed, or stamped

My commission expires _____________


Florida Medical Power of Attorney FAQs

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  • How do I get a Medical Power of Attorney in Florida?

    It's very easy to give or receive the authority you may need with a free Florida Medical Power of Attorney template from Rocket Lawyer:

    1. Make the document - Answer a few simple questions and we will do the rest
    2. Send or share - Go over the document with your agent(s) or get legal help
    3. Sign and make it legal - Required or not, notarization and witnesses are a best practice

    This method, in many cases, would end up being notably less expensive and less time-consuming than hiring a conventional attorney. If needed, you can prepare this Medical PoA on behalf of your spouse or another relative, and then help them sign once you've drafted it. Please keep in mind that for a PoA form to be considered legally valid, the principal must be a mentally competent adult when they sign. In the event that the principal is already unable to make their own decisions, a conservatorship might be required. When facing this situation, it is best for you to talk to an attorney .

  • Why should I have a Power of Attorney for healthcare in Florida?

    Anyone who is over 18 years old should have a Medical Power of Attorney. Though it is tough to acknowledge, a day might come when you are not able to make your own healthcare decisions. Here are some common occasions where you might find PoA forms to be helpful:

    • You have been given a terminal diagnosis
    • You plan to undergo an in-patient procedure requiring anesthesia
    • You are planning to move into a community care facility
    • You are aging or have declining health

    Regardless of whether your Florida Medical Power of Attorney is being drafted as part of a long-term plan or produced in response to an unexpected emergency, notarization and witnesses are strongly recommended for protecting your document if its credibility is doubted.

  • What are the differences between a Florida Healthcare Proxy and a Florida Medical Power of Attorney?

    Sometimes, in discussing the subjects of estate planning or elder care with healthcare or legal professionals, you might hear "healthcare power of attorney", "medical power of attorney" and "healthcare proxy" being used interchangeably. In short, they're the same. That being said, you should keep in mind that it's entirely possible to establish power of attorney over affairs that aren't health-related, in which case, "proxy" typically is not the preferred term.

  • Do I need a lawyer to review my Florida Medical PoA?

    Florida Medical PoA forms are generally straightforward, but you could have questions. The answer will depend on whom you ask, but sometimes a lawyer will not even agree to review your document if they were not the author. An easier approach to consider is to get help via attorney services at Rocket Lawyer. As a Premium member, you have the ability to ask for advice from an attorney with relevant experience or get answers to additional questions related to your Medical Power of Attorney. As always, Rocket Lawyer is here to help.

  • How much might it traditionally cost to get a Power of Attorney form for health care in Florida?

    The cost of finding and working with a conventional lawyer to draft a Medical Power of Attorney could range anywhere from $200 to $500. When using Rocket Lawyer, you aren't just filling out a Power of Attorney template. In case you ever require support from a lawyer, your Rocket Lawyer membership offers up to 40% in savings when you hire an Rocket Lawyer network attorney.

  • Is anything else required after making a Florida Medical Power of Attorney?

    Alongside your Power of Attorney, there's a set of tips for what is next after your document is completed. Feel free to engage with the PoA in all of the following ways: making edits, printing it out, and/or signing it. Finally, be sure that your agent(s) and care providers get their copy of the fully executed document.

  • Does a Medical Power of Attorney need to be notarized, witnessed, and/or recorded in Florida?

    The guidelines and restrictions vary in each state; however, in Florida, your document will need to be signed by two witnesses. Only one of your witnesses may be your spouse or another relative. Finally, as a basic standard, witnesses will need to be at least 18 years old, and none of them should simultaneously be your agent.

    See Florida Medical/Healthcare Power of Attorney law: Chapter 765, Part II

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