Understanding a North Carolina Health Care Power of Attorney

  • Scope: In North Carolina, you may execute a health care power of attorney that grants the person you choose the full power and authority to make your health care decisions for you to the same extent that you could make those decisions for yourself if you had the capacity to do so. These broad sweeping powers could include, but are not limited to, withholding or discontinuing life-prolonging measures, exercising any and all rights you may have with respect to anatomical gifts, authorizing any autopsy, and even disposition of your remains. However, the health care power of attorney is limited to the matters addressed in it and can further be tailored to meet your wishes through the use of language that applies specific limitations and restrictions that you deem appropriate.
  • Effective Date: If your health care power of attorney meets the requirements described above, it becomes effective when your physician, who you designate, determines in writing that you lack sufficient understanding or capacity to communicate decisions relating to your health care, and shall continue in effect during your incapacity.
  • Revocation: If you no longer wish your North Carolina health care power of attorney to be valid, there are several ways that it can be revoked or terminated. ​
  • Intent to Revoke by Principal: So long as you are capable of making and communicating health care decisions, you may revoke your health care power of attorney at any time by executing and acknowledging an instrument of revocation, or a subsequent health care power of attorney. This revocation becomes effective upon your communication of your intent to revoke to your named health care agents and physician.
  • Divorce or Separation from Health Care Agent Spouse: Your health care power of attorney is revoked upon divorce or separation between you and your spouse where your spouse is your named health care agent. However, if your health care power of attorney designates a substitute health care agent, the substitute shall serve as the health care agent and the health care power of attorney is not revoked.
  • Death of Principal: Your death revokes your health care care power of attorney.
  • Death of All Named Healthcare Agents: If all of the health care agents named in your health care power of attorney die, or for any reason fail or refuse to act, your health care power of attorney is revoked.
C. Todd Browning
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