Health & Benefits
Worried about doing this on your own? You may be able to get free legal help.
This Easy Form helps you give another person access to your health care information or control of your health care decisions. This person would become your agent, and they would have power of attorney.
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 20 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, address, and phone number of the person you want to designate as the agent with power of attorney,
- The names, address, and phone numbers of any successor agents,
- When you want to authorize the agent to start making decisions for you, and
- What you want the agent to do and not do regarding life-sustaining treatments and other health care issues.
What documents will this create?
This program produces the following documents:
- Instructions
- Power of Attorney for Health Care
Worried about doing this on your own? You may be able to get free legal help.
