The Ala Firm
The Ala Firm
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    • How we help your family
    • FAQ – Estate planning
  • Forms
    • Consultation questionnaire
    • Last will and testament
    • Financial power of attorney (POA)
    • Medical power of attorney (POA)
    • Trust agreement – Married couple
    • Individual pour-over trust
    • Guardianship election for minors
    • Living will
  • About The Ala Firm

Medical Power of Attorney

Complete this form if you are having The Ala Firm prepare a Medical Power of Attorney for you. If you are married, each spouse should complete a separate form/entry.
    If you choose no, your medical power of attorney will only become effective if you are determined to be incapacitated or unable to make decisions regarding your own care.
  • Designation of Primary Agent

    If you are not married, please select "no".
  • Designation of Alternate Agents

  • Quality of Life and Comfort Care

    For example, the power of attorney may include language such as: "My agent should bear in mind my standards for maintaining personal dignity and a meaningful quality of life. For me, quality of life requires/involves ..."
  • Anatomical Gifts (Organ Donation)

    You may choose to authorize the donation of your organs, tissue, bone, corneas, and other components of your body. If you desire to add this to your Medical Power of Attorney, please avoid any conflict with the organ donation instructions placed on your drivers' license.
    Unless you select the fourth option, you may choose more than one.
  • Compensation of Agent

    Agents are typically reimbursed for all reasonable expenses, and/or are paid for the services rendered while acting as your agent.
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About Marisa

Marisa Ala

Marisa is taking her 20 years of experience in litigation and helping families secure their financial future through informed estate planning.