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Colorado Medical Durable Power of Attorney Form

This hospital form takes effect when you cannot make your own health care decisions and continues during that incapacity.

Jurisdiction
Colorado
Purpose
Medical & health care
Source / form version
F50-255 — February 2010; current English link on publisher page
Resource format
PDF
Signing
Sign and date. The hospital form states witnesses or notarization are optional but recommended, not required by Colorado law.
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Sources checked: 2026-11-13. General information, not individual legal advice.

Appoint a health care decision-maker

Denver Health’s two-page document includes instructions and a blank medical durable power of attorney. It lets you name an agent and two backups, with telephone details. The document authorizes care decisions and access to information needed for them; it does not create authority over your bank accounts or real estate.

Sources: [2] [3]

Write preferences as well as names

The form provides separate spaces for wishes about life-prolonging care and special provisions or limits. Discuss these with your chosen agent and clinician. If a choice is unclear, explain the outcome you value rather than marking a treatment without understanding it. Your agent should follow your known wishes and the document’s restrictions.

Sources: [2] [3]

Sign and make it available

The principal signs and dates the form. Its witness lines are labeled optional; the hospital recommends witnesses or a notary to support use elsewhere. Keep the instructions with the completed document and give copies to the agent and care team. Confirm how your provider stores advance directives so the appointment can be found.

Sources: [2] [3]

Common questions

Does Colorado require two witnesses for this form?

The Denver Health medical power of attorney says witnesses are optional. Do not import the separate living-will execution rules into this document.

Sources: [1] [3]

When can this agent act?

The downloaded form ties the agent’s decision-making authority to your inability to make your own health care decisions. It is not an immediate transfer of your own decision-making rights.

Sources: [1] [3]

Related forms and guides

Sources and verification

  1. Denver Health Medical Center: source and instructions (opens in a new tab)
  2. Publisher document download (opens in a new tab)
  3. Applicable state law or official guidance (opens in a new tab)
  4. Colorado Revised Statutes 2026, §15-14-506 (opens in a new tab)

The current Denver Health page links English F50-255 (2/10), rather than the newer 2026 translated editions. The two-page image PDF was downloaded and its signature page visually inspected. No fillable fields. Activation checked against Colorado Revised Statutes 2026, §15-14-506.

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.