I, (name), grant (name) permission to make medical decisions for me in the case of emergencies. This letter is valid until (date). I give my permission for (name) to make any medical decision that needs to be made if I am unable to make the decision myself....
Dear (recipient's name),
I, (name), grant (name) permission to make medical decisions for me in the case of emergencies. This letter is valid until (date). I give my permission for (name) to make any medical decision that needs to be made if I am unable to make the decision myself.
Sincerely,
(your name)