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Limited Health Care Power of Attorney

Peoples Health offers a Limited Health Care Power of Attorney document, which allows you to name someone to carry out business and health care transactions solely with Peoples Health on your behalf, even if you are able to do so yourself but just want assistance. This document does not give the person the right to carry out business and health care transactions with any other entity besides Peoples Health. You can download it using the link below.

Limited Health Care Power of Attorney Form
Download Limited Health Care Power of Attorney

When the form is completed properly, it is effective as soon as we receive it. You do not need to have it notarized. You can send the completed form to us through one of the following methods:

Mail: Attn: Customer Service Department
Peoples Health
Three Lakeway Center
3838 N. Causeway Blvd., Suite 2500
Metairie, LA 70002

 

Fax:    504-849-6906

In-Person: Peoples Health Medicare Center
3017 Veterans Memorial Blvd.
Metairie, LA 70002
Monday – Friday
8 a.m. to 5 p.m.

If you need a power of attorney for situations outside of those related to Peoples Health, you may need to speak with an attorney for advice on creating one for those needs.

For more information, contact customer service.

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