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https://www.illinoislegalaid.org/legal-information/power-attorney-health-care
Date: 12/14/2025

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  2. Health & Benefits
  3. Planning for loss of health or life
  4. Power of attorney for health care

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Health & Benefits

Worried about doing this on your own?  You may be able to get free legal help.

Apply Online
Power of attorney for health care Easy Form
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This Easy Form helps you give someone you trust power of attorney to make decisions about your health care. This person would become your agent, and they would make choices about your health care when you cannot.

This Easy Form does not give your form to your agent, doctors, or loved ones. You can download the form and instructions at the end of the program.

Learn more about giving someone power of attorney for health care.

This program will help you make your documents. It will ask questions for you to answer. At the end of the program, you will get completed documents and instructions. You can save and print them, or the program can email them to you.

Form completion time: 10 minutes to 15 minutes

You will not be able to save your work in the middle of the program.

The interview and forms are in English.

Can I use this program?

To use this program:

  • You must be seeking a Power of Attorney for Health Care to give another person access or control of your health care decisions, and
  • You must live in Illinois.

What do I need first?

To complete this program, you will need to know:

  • The name, city, state, and phone number of the person you want to designate as the agent with power of attorney,
  • The name, city, state, and phone number of any successor agents,
  • When you want your agent to start making decisions for you, and
  • What you want your agent to do regarding your health care.

What documents will this create?

This program produces the following documents:

  • Instructions
  • Power of Planning information sheet
  • Power of Attorney for Health Care

Easy Form program opens in a new tab or window.

Start program
Mobile-friendly
Last full review by a subject matter expert
November 17, 2025
Last revised by staff
November 17, 2025

About our legal information

Forms

Power of attorney revocation Easy Form
A program to help you cancel the power that you gave an agent under a Power of Attorney for Healthcare or Property.

Power of attorney resignation Easy Form
A program to help you complete the forms to resign as an agent for power of attorney.

Learn more

Power of attorney for property
Power of Planning: Your life, your decisions.
Living will

Worried about doing this on your own?  You may be able to get free legal help.

Apply Online

Forms

Power of attorney revocation Easy Form
A program to help you cancel the power that you gave an agent under a Power of Attorney for Healthcare or Property.

Power of attorney resignation Easy Form
A program to help you complete the forms to resign as an agent for power of attorney.

Learn more

Power of Planning: Your life, your decisions.
Living will
Power of attorney for property
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ILAO is a registered 501(c)(3) nonprofit organization. ILAO's tax identification number is 20-2917133.

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© 2025 Illinois Legal Aid Online. 
All rights reserved.
 
ILAO is a registered 501(c)(3) nonprofit organization. ILAO's tax identification number is 20-2917133.