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Power of Attorney, Health Care Agent, HIPAA Release: Which Paper Answers Which Question

At a glance: A family relationship alone does not settle every medical decision or information-sharing question. Record the person's chosen contacts, preferences, and current decision-making documents, and keep a copy where the care team can find it.

About 4 minute readPractical home care planning guide: Power of Attorney, Health Care Agent, HIPAA Release: Which Paper Answers Which Question

A family usually discovers it is missing a document at the worst moment. The bank will not talk to the daughter about her father’s overdue bill. The hospital will not tell the son what the doctor said. Nobody is sure who should decide about surgery. Each of these problems is answered by a different document, and one document does not cover the others.

This guide is for Georgia families planning ahead with a parent who can still make and sign their own decisions. It explains what each document is for. An attorney can tell you which ones your family needs and prepare them correctly.

Money and property: a financial power of attorney

A financial power of attorney lets the person (the principal) name an agent to handle property and money: paying bills, managing accounts, dealing with insurance and real estate. Georgia has a statutory form under O.C.G.A. Title 10, Chapter 6B, in effect since July 1, 2017. The state’s form says plainly that it does not authorize the agent to make health care decisions (Georgia Division of Aging Services).

Medical decisions: a health care agent

The Georgia Advance Directive for Health Care lets a person name a health care agent to make medical decisions when the person cannot. The same form records wishes about treatment at the end of life. The form is created under O.C.G.A. Title 31, Chapter 32, and replaced Georgia’s older living will and durable power of attorney for health care forms in 2007 (Georgia Division of Aging Services).

Medical information: HIPAA and the family

The federal HIPAA Privacy Rule controls when doctors and hospitals share a patient’s health information. Under that rule, a health care agent is generally treated as the patient’s personal representative (HHS). Providers may also share information with family members involved in a patient’s care in some situations under 45 C.F.R. § 164.510(b), but they are not always required to. A signed HIPAA authorization naming the people who may receive information can make those conversations easier, especially for a family member who is not the health care agent.

QuestionDocumentWho it names
Who can pay bills and manage accounts?Financial power of attorneyAn agent for property and money
Who can decide about medical treatment?Advance directive for health careA health care agent
Who can doctors talk to?HIPAA authorizationThe people the patient lists

If the documents are missing

If a person can no longer make decisions and has not signed these documents, the family may need a court to appoint a guardian or conservator, depending on the decisions involved. An attorney can explain when court is needed. A court process takes time and money, and the person no longer chooses who will act for them.

Keep them findable

Keep copies in the Next-of-Kin Box, give copies to the agents and the primary doctor, and record where the originals are on OPA’s free Document Locator. The Legal Readiness checklist lists the questions to bring to an attorney.

A first step this week

Ask your parent who should handle money, who should make medical decisions, and who the doctors may talk to, if the parent cannot. Write down the answers and take them to an elder law attorney.

Laws and official forms change, and the legal statements here can change. Confirm the current requirements before you act. Confirm what applies to your family with a licensed Georgia attorney before you sign or rely on any document. This is general information, not legal advice.

For a reliable next step, use Georgia’s advance directive for health care for the official details, then use how care starts when your family needs to organize support at home.

For a related decision, HHS HIPAA Privacy Rule information can help frame the question, and this site’s Next-of-Kin Box guide offers a practical next step.

Frequently asked questions

How do we choose the first task to get help with?

Start with the part of the day or week that is hardest to cover safely and consistently. A clear example, such as morning routines, bathing, meals, or transportation, gives the conversation a practical starting point.

When should a clinician be involved?

Bring new or worsening health concerns to the appropriate clinical team. Call 911 for an emergency. Home care can support daily routines, but it does not replace medical assessment or treatment.

Start with the part of the week that is hardest.

Write down the times when help would ease the pressure at home, then consider what support would fit the routine.

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