Legal Authority & Healthcare Proxy

Quick reference — who can speak, decide, and be called. Update when documents change.

For (parent / care recipient)

Date updated

Role

Name

Phone

Notes

Medical / healthcare POA or proxy

Financial POA

Primary emergency contact

Secondary contact

Primary physician

Preferred hospital

Where original documents live

Will / estate docs

POA / proxy forms

Advance directive / DNR

Attorney name / phone

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