State-specific notes
•The Durable Power of Attorney for Health Care must be signed by the principal and acknowledged in the manner prescribed by law for conveyances of real estate, that is, before a notary public (Mo. Rev. Stat. §404.705, incorporated into the DPOA-HC act by §404.810).
•The Durable Power of Attorney for Health Care alone needs no attesting witnesses, because the health care act incorporates only the subscription, dating and acknowledgment rule (Mo. Rev. Stat. §404.810, incorporating §404.705). The document Will.com generates is not that bare instrument: it also contains a Living Will Declaration, and a declaration that is not wholly in the declarant's handwriting must be signed in the presence of two or more witnesses at least eighteen years of age, neither of whom may be the person who signed the declaration on the declarant's behalf (Mo. Rev. Stat. §459.015). Sign before both witnesses and a notary at one sitting.
•The Living Will Declaration inside the document Will.com generates is Missouri's statutory declaration directing the withholding or withdrawal of death-prolonging procedures (Mo. Rev. Stat. §§459.010 to 459.055). The declaration must be in writing, signed by the declarant or by another person in the declarant's presence and at the declarant's express direction, and dated (§459.015.1). The statute sets out a sample declaration and states that it is not necessary to use that sample form, and that the declaration may include other specific directions (§459.015.3). The Department of Health and Senior Services must include an advance health care directive form, and directions for completing it, on its website (§459.016).
•Authority to direct a health care provider to withhold or withdraw artificially supplied nutrition and hydration must be granted to the attorney in fact specifically, not by a general grant of health care authority (Mo. Rev. Stat. §404.820). No attorney in fact may authorize withdrawal of nutrition or hydration the patient can take by natural means with the intent of causing death, and before withdrawal of artificially supplied nutrition or hydration the physician must either explain the intention to the patient and offer the chance to refuse, or certify in the file that the patient cannot understand it.
•Missouri disqualifies the attending physician, the physician's employee, and an owner, operator, or employee of the patient's health care facility from serving as agent unless related within the second degree by blood or marriage, or unless both the patient and the agent are members of the same religious community that conducts religious, charitable, or health care ministry (Mo. Rev. Stat. §404.815).