Law Resources

THIS MEDICAL POWER OF ATTORNEY IS AN IMPORTANT LEGAL DOCUMENT.
BEFORE SIGNING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT FACTS:

Specifically, you acknowledge that this document is intended to support your decision as a sovereign individual and your rights as a patient as described in your Advanced Directive for Covid 19. You acknowledge that all treatment options for Covid 19 have risks. You are making a conscience decision to forego the use of the ventilator and/or Remdesivir and direct your Medical Power of Attorney to seek alternative treatment options. You acknowledge that in seeking alternative treatment options there are still risks associated and there is no guarantee that you will succumb to death or suffer from serious bodily injury and only expect that your agents comply with your wishes and that they make the best decision available at the time

Except to the extent you state otherwise, this document gives the person you name as your agent the authority to make any and all health care decisions for you in accordance with your wishes, including your religious and moral beliefs, when you are unable to make the decisions yourself. Because "health care" means any treatment, service, or procedure to maintain, diagnose, or treat your physical or mental condition, your agent has the power to make a broad range of health care decisions for you. Your agent may consent, refuse to consent, or withdraw consent to medical treatment and may make decisions about withdrawing or withholding life-sustaining treatment. Your agent may not consent to voluntary inpatient mental health services, convulsive treatment, psychosurgery, or abortion. A physician must comply with your agent's instructions or allow you to be transferred to another physician.

LIMITATIONS ON THE DECISION MAKING AUTHORITY OF MY AGENT ARE AS FOLLOWS:

This Power of Attorney specifically is to be used for the limited purpose of determining treatment options associated with a Covid 19, variants or illnesses derived thereof diagnosis or for the treatment of side effects from vaccines associated with Covid 19 or its variants.



DIRECTIVE TO PHYSICIANS AND FAMILY OR SURROGATES REGARDING
COVID19 or VARIANTS THEREOF AND TREAMENT PROTOCOLS:

I, ______________________________, recognize that the best health care is based upon a partnership of trust and communication with my physician. My physician and I will make health care or treatment decisions together as long as I am of sound mind and able to make my wishes known. If there comes a time that I am unable to make medical decisions about myself because of illness or injury, I direct that the following treatment preferences be honored: If I am diagnosed with COVID 19, a variant or afflicted with an ailment derived thereof, either determined through testing positive or am determined to be presumptively positive as defined by my symptoms. I intentionally and specifically reject the use of Remdesivir or the use of a ventilator as a treatment option or any other treatment method that is being utilized that is resulting in a high injury or death rate.

  • _______ If treatment is necessary because I have received the COVID19 or any subsequent variant vaccine, I hereby revoke traditional treatment and direct my agent to seek alternative treatment by professionals treating patients and side effects caused by the vaccine.

  • _______ If the facility does not allow for the use of any alternative medical treatments, I direct my agent to have me discharged and placed on HOSPICE CARE as opposed to being treated with the ventilator or Remdesivir. If I am discharged, I direct that I be provided oxygen and any other necessary equipment for comfort.

  • _______ I do not consent to receiving any vaccine for COVID19 while be admitted to any medical or psychiatric facility.

  • _______ In the event that new medications or treatment options for COVID19 are made available.

    I direct my Medical Power of Attorney or surrogate to conduct an independent evaluation regarding the side effects or risks associated with any new medications or treatment options prior to consenting to the administration.

    If a medical professional disregards my wishes and refuses to cooperate, I specifically request that a criminal referral be made for assault on my person, false imprisonment and negligent homicide if I should pass away. I have educated myself on the COVID19 pandemic and am aware that the government protocols are life threatening and that the medical establishment is knowingly causing harm.