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Power of Attorney and Guardian Appointment

Power of Attorney Financial. To appoint someone to help you with financial transactions that would require your signature.

Power of Attorney for Healthcare. To appoint someone to help you with healthcare decisions that would require your consent. This can be limited or very broad. It's up to you.  Includes a Medical Authorization and Consent, a HIPAA Waiver, and an Advance Directive. 

Guardian Appointment. Nominate an individual as Guardian of a minor child for whom you are legally responsible.  

The entire process step-by-step.
 
1.  Complete the questionnaire;
 
2.  TLC will call you, go over your information and get your credit card information for billing;
 
2.  TLC will prepare a draft of your documents and send to you via email;
 
3.  Attorney / Client consultation to review documents; and
 
5.  TLC will mail final documents to client.
 
6.  Sign your documents at the TLC Corporate office where 2 witnesses and a Notary Public will be provided, or on your own.

YOUR CONTACT INFORMATION

CHOOSING POWER OF ATTORNEY AGENTS

Certain individuals may not serve as a Power of Attorney Agents. Please answer the following questions:
 YesNo
Is your appointee under the age of 18 years?
Is your appointee a Judge or Court Clerk?
Is your appointee employed by a Missouri State Social Service Agency?
Is your appointee an employee of a healthcare facility in which you are a resident?
Is your appointee mentally incapacitated?

GUARDIAN APPOINTMENT

Print the names, addresses, telephone numbers and relationship to Client of the person(s) that you want to raise a child of yours under 18 (if applicable):
 Name, Address & Telephone Of GuardianRelationship
1st Choice
Alternate

HEALTHCARE POWER OF ATTORNEY APPOINTMENT

Who do you want to have your Healthcare Power of Attorney Agent (POA) to make major decisions about your healthcare? Print the names, addresses, telephone numbers and relationship to Client below:
 Name, Address & Telephone of Healthcare POARelationship
1st Choice
Alternate

FINANCIAL & PERSONAL POWER OF ATTORNEY APPOINTMENT

Who do you want to have Power of Attorney (POA) to make decisions for you about your financial matters? Print the names, addresses, telephone numbers and relationship to Client of the person(s) that you want to give your Power of Attorney.
 Name, Address & Telephone Of Financial Matters POARelationship
1st Choice
Alternate

END-OF-LIFE DECISIONS

Please answer "Yes", "No" or leave blank if undecided.
 YesNo
Prolong my life if I have an incurable and irreversible condition that will result in my death within a relatively short time?
Prolong my life if I become unconscious and, to a reasonable degree of medical certainty, I will not regain consciousness?
Prolong my life if the likely risks and burdens of treatment would outweigh the expected benefits?,
Prolong my life as long as possible within the limits of generally accepted health care standards?
Should your health care agent have the authority to make a disposition of a part or parts of your body (i.e., make any anatomical gifts)?
Should your agent have the authority to authorize an autopsy even if an autopsy is not required by law?
Do you wish to designate a primary physician?

BURIAL WISHES

At death I wish to be:
I have already made funeral arrangements: