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Oklahoma Health Care Power of Attorney Form

Normally activates upon the incapacity determination described in the form; an initialed option makes authority immediate.

Jurisdiction
Oklahoma
Purpose
Medical & health care
Source / form version
Publication 99-63 — May 2022
Resource format
PDF
Signing
Sign and date with two witnesses aged at least 18 who are unrelated to you and not named to inherit from you. The form does not require a notary.
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Sources checked: 2026-11-13. General information, not individual legal advice.

Know this form’s treatment limits

Oklahoma Human Services publishes a two-page health care power of attorney that names an agent and two optional alternates. It authorizes health care choices within the document’s scope, including a possible do-not-resuscitate consent. It expressly does not replace the separate authorization required for withholding or withdrawing life-sustaining treatment, nutrition or hydration.

Sources: [2] [3]

Choose timing and write limitations

The form includes a place to limit the agent’s authority and a choice about when it begins. Read the incapacity-based rule before initialing immediate authority. The agent should know your preferences and be willing to serve. Facility-related agent restrictions also apply; review them before naming someone involved in your residential care.

Sources: [2] [3]

Use the two-witness execution

After completing the choices, sign and date with two eligible adult witnesses. The publisher’s instructions exclude relatives and people named to inherit from you. Give the completed form to your physician, other providers, any facility caring for you and the agents you named. Coordinate it with any separate Oklahoma advance directive rather than assuming one document covers every end-of-life decision.

Sources: [2] [3]

Common questions

Does this replace an Oklahoma advance directive?

No. The form itself identifies limits concerning life-sustaining treatment, nutrition and hydration. Review a separate advance directive for those directions.

Sources: [1] [3]

Do the witnesses also need a notary?

The current Human Services health care form requires two eligible witnesses and does not include a mandatory notary step. Older combined financial/medical forms may have different instructions.

Sources: [1] [3]

Related forms and guides

Sources and verification

  1. Oklahoma Human Services: 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)

Publisher source and document inspected. This is source research, not independent attorney review.

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.