After Signing a Durable Power of Attorney and Health Care Surrogate Documents

Elder Law
Jason Neufeld
July 15, 2020

You’re being responsible. You are addressing a fact of life that many prefer to ignore: there may come a time when you are incapable of making your own decisions (or will need help with certain transactions). Congratulations for recognizing that these are important issues and that it is far better for you to decide who to empower to make important decisions on your behalf, rather than having a court decide.

This article is for those who have already met with their estate planning lawyer or elder care attorney to sign a durable power of attorney and a collection of incapacity planning documents sometimes referred to as advanced directives: health care surrogate designation, living will and health care power of attorney.

What To Do Once a Durable Power of Attorney and Health Care Surrogate Designation have been properly signed

The elder law or estate planning attorney has likely just given you a stack of documents, or perhaps placed them in a very official and important looking binder.

Now what?

I like to tell my clients that all of these documents are only good if the institutions and facilities recognize and accept them! Some estate planning attorneys are great at drafting advanced directives and powers of attorney, but make it seem as if their effect is immediate and third parties will not give you any trouble. Theoretically, this should be true. A properly drafted, executed and notarized durable power of attorney should be honored by third-parties immediately. Practically, I often find that this is not the case.  

Oftentimes, there may be a waiting period while the durable power of attorney or health care surrogate designation is reviewed by an institution’s legal counsel.

My goal is to give you practical advice on how avoid delays or barriers to your documents being accepted.

What to do with the Durable Power of Attorney After It has been executed?

I wrote another article that explains how an elder law attorney can help if a bank or other institution rejects a power of attorney. But, especially with my clients who are executing these documents in advance of needing to utilize them, I try to counsel my clients on what to do with a durable power of attorney immediately after it is signed in order to avoid confusion and frustration down the line.  

The advice is rather simple: After a power of attorney has been properly executed, provide a copy to every entity that you want to honor the document. This includes (but is not limited to): banks, investment brokerages, retirement account holders, mortgage companies, etc… some financial institutions have their own power of attorney forms they will want signed and attached to the power of attorney you signed with your lawyer. Then they will have the POA reviewed by their in-house attorneys to be approved.  

But once its approved and in your file, your agent/attorney-in-fact will have no problems making decisions on your behalf down the line.

  • As a corollary to this advice: Keep in mind that if you ever decide to withdraw, revoke or change who you named as agent under a POA, you will have to notify the same organizations of the power of attorney revocation (or they may continue to honor it despite your intent to the contrary).

What to do with the Health Care Surrogate Designation After It has been fully signed?

A health care surrogate and health care power of attorney are simply documents that allow you to designate who can make health-care related decisions for you. After a healthcare surrogate designation has been properly signed, my advice is similar to the above.

Make sure your physicians and local hospitals have copies of your health care surrogate designation on file in advance. This is because you don’t want your health care surrogate wasting time arguing with medical personnel if an important decision needs to be made. Place the advanced directives in your medical file now soyour health care surrogate will be empowered to assist you later, in your time of need.

In our office, we create very powerful advanced directives by combining the health care surrogate designation, health care power of attorney and living will in one combined document. This has the very practical effect of letting hospital administrators and physicians know (without having to check multiple documents), who is in charge during a health care crisis, especially if you, the patient, are unresponsive or incapable of making health decisions for yourself.  

Does the Florida Durable Power of Attorney Accomplish Your Goals?

In another article I explain common problems with power of attorney documents. Essentially there is no "one size fits all" durable power of attorney and I see very practical problems with free forms circulating the internet.

At the end of the day, the durable power of attorney and health care surrogate designation are two of the most important and powerful documents a lawyer can draft. But they provide limited benefit if they are not well written or just sit in a home safe or bookshelf. It can be immensely frustrating when institutions put up roadblocks, preventing the effective use of these documents.

By placing well-drafted power of attorney or health care advanced directive in the hands of the very organizations that you want to honor them, in advance, you can prevent a huge future headache.  

Does the person I choose in my POA have to live in Florida?

No. You can empower anyone you so desire to serve as your agent or attorney-in-fact under a Florida Durable Power of Attorney. However, there are certainly practical reasons why someone local would make more sense than someone out of state. Sometimes, quick decisions need to be made - and if your key decision maker lives far away, this can be difficult.

That being said, the person(s) you select as your agents under a POA have to be trusted. If you only trust someone outside of Florida to make important decisions then that person is the best choice.

Additional Elder Law Resources

Health Care Advanced Directives - Myths vs. Facts

Will Your Estate Planning Documents be Followed?

Nine Reasons Why You Need a Florida Durable Power of Attorney

Jason Neufeld
Jason is committed to assisting and protecting the most vulnerable members of society, through his substantial legal work with the elderly.