You may designate an agent to make health care decisions for you when you are no longer capable of making them yourself.  Your agent may consent, refuse to consent, or withdraw consent to medical treatment and may make decisions about withdrawing or withholding life-sustaining treatment.  Your agent is authorized to apply for your admission to a medical, nursing, residential, mental health or other similar facility.  

This power of attorney allows you to create a living will.   If you are suffering from a terminal condition and your attending physician and another physician independently of each other, have determined that there can be no recovery from such condition and your death is imminent, where the application of life-prolonging procedures would serve only to artificially prolong the dying process, this document allows you to instruct your agent that such procedures be withheld or withdrawn and you be permitted to die naturally with only the administration of medication or the performance of any medical procedure deemed necessary to provide you with comfort, care and alleviate pain. 

Notwithstanding the above, this power of attorney reserves you the right to make health care decisions for yourself as long as you are able to give informed consent with respect to a particular decision.  In addition, no treatment may be give to you over your objection.   

This power of attorney consists of approximately two pages.