Special Power of Attorney for Medical Authorization
I, ___________(1)___________, of __________(2)_________, hereby appoint ______________(3)________________ of ___________(4)_______________, as my attorney in fact to act in my capacity to do any and all of the following: 1. Make any and all decisions and authorize all procedures that _____(5)____ may deem necessary regarding the medical treatment of my children, _____(6)_____ and/or ______(7)______. The rights, powers, and authority of my attorney in fact to exercise any and all of the rights and powers herein granted shall commence and be in full force and effect and shall remain in full force and effect until ___________(8)_______________ or unless specifically extended or rescinded earlier by either party. Dated ___________(9)______________, 20_(10)_. ____________(11)______________ STATE OF _______(12)____________ COUNTY OF ______(13)____________ BEFORE ME, the undersigned authority, on this _(14)_ day of _______(15)________, 20_(16)_, personally appeared ___________(17)___________ to me well known to be the person described in and who signed the Foregoing, and acknowledged to me that he executed the same freely and voluntarily for the uses and purposes therein expressed. WITNESS my hand and official seal the date aforesaid. __________(18)_________________ NOTARY PUBLIC My Commission Expires:__(19)___ ##Notice## The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.
Sample legal document: "Assignment of Real Estate Purchase and Sale Agreement."
Sample legal document: "Assignment of Contract for Purchase of Real Estate."
Sample legal document: "Assignment of Stock Certificate."
Sample legal document: "Construction Contract."
Sample legal document: "Assignment of Rents by Lessor with Repurchase Agreement."
Sample legal document: "Agreement for Permission to Sublet."
Sample legal document: "Contract Employing Real Estate Broker for Sale of Property."
Sample legal document: "Agreement Between Owner and Contractor."
Sample legal document: "Lease Agreement."
Sample legal document: "Assignment of Mortgage."