Revocation of Medical Durable Power of Attorney - Colorado
Colorado · Fillable PDF · Free
Use this form to cancel a Colorado medical durable power of attorney, a living will declaration, or both. Use this form to cancel a Colorado medical durable power of attorney, a living will declaration, or both.
Colorado residents and families reviewing revocation of medical durable power of attorney.
What you'll need
Read the supplied packet before completing its fields.
Follow this document's signing, identification and any witness instructions.
How to complete it
Identify the documents (Page 1) Check each document you are revoking and enter its date and agent names.
Sign before a notary (Page 2) Colorado lets you revoke these documents at any time. A notarized revocation gives clear proof of the date and your identity. Bring a current, government-issued photo ID.
Notify your doctors and agents (Page 2) Give copies to your doctor, hospital, and each agent named, and record each notice.
This is Colorado’s statutory form for directing what happens to your body after death, such as burial or cremation, and who arranges your funeral or memorial.
Federal privacy law (HIPAA) limits who doctors, hospitals, and insurers can talk to about you. This authorization lets the people you name receive your health information so they can help you.
This is a Colorado living will, called a “Declaration as to Medical or Surgical Treatment.” It tells your doctors not to artificially prolong your life if you have a terminal condition or are in a persistent vegetative state and cannot decide for yourself.
A Colorado medical durable power of attorney names someone (your “agent”) to make health care decisions for you if you cannot. It does not cover finances.
These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.