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Wisconsin Power of Attorney for Health Care Form F-00085

The health agent’s decision authority follows the document’s incapacity provisions; health care powers are separate from property management.

Jurisdiction
Wisconsin
Purpose
Medical & health care
Source / form version
F-00085, February 2020, as listed by DHS
Resource format
PDF
Signing
The principal and two eligible adult witnesses sign together. A notary alone does not replace the two witnesses for this form.
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Sources checked: 2026-11-13. General information, not individual legal advice.

Print the letter and all six form pages

The DHS download is eight pages: introductory material followed by the six-page health care instrument. It includes an agent, an alternate, treatment decisions and completion instructions. Read every page and use the signing route described by this health form, rather than the different finance-and-property document.

Sources: [2] [3] [4]

Check specific decisions before signing

The form separately asks about matters such as admission to care facilities, feeding tubes and other treatment preferences. Do not treat these elections as administrative blanks. Discuss the choices with the agent and provider, and coordinate any existing declaration to health professionals so the documents express a consistent plan.

Sources: [2] [3] [4]

Arrange qualified witnesses and accessible copies

DHS excludes specified relatives, people financially responsible for care, the agent, estate claimants and certain providers or facility staff from witnessing; limited chaplain and social-worker exceptions are described in the instructions. Both witnesses and the principal sign at the same time. Give copies to providers and tell trusted people where the signed document is kept. Read the witness declaration before arranging the meeting. A witness should be able to confirm the eligibility statements rather than discovering a disqualifying relationship after everyone signs.

Sources: [2] [3] [4]

Common questions

Can I use a notary instead of two witnesses?

The DHS health care form requires two qualified witnesses. Notarization by itself is not a substitute.

Sources: [2] [3] [4]

Does my financial agent automatically have medical authority?

No. Wisconsin publishes separate financial and health care powers. Complete the appropriate health appointment for medical decisions.

Sources: [2] [3] [4]

Related forms and guides

Sources and verification

  1. Wisconsin Department of Health Services: source and instructions (opens in a new tab)
  2. Published form (opens in a new tab)
  3. Wisconsin DHS advance-directive overview (opens in a new tab)
  4. Wisconsin Statutes Chapter 155 (opens in a new tab)

8-page PDF downloaded and inspected; DHS’s current 2026 listing still identifies this form as February 2020. Its new 2026 patient-representative forms are separate listings, not a reason to relabel F-00085. Legislative-site access timed out; no unverified claim of a revised capacity rule.

The date above records a source check. It does not certify that a form is suitable for your circumstances or that an attorney has reviewed your document. Read the publisher’s current instructions before use.