Notarizing a Medical Power of Attorney or Advance Directive
Updated 2026-09-19
Medical powers of attorney, health care proxies and advance directives are often notarized, witnessed, or both, depending on the state and the form. The patient signs in front of the notary with photo identification, and the notary confirms they understand what they are signing and are acting freely.
Notarization, witnesses, or both
Requirements differ by state and by form. Many advance directive forms print their own instructions at the top — read them before booking, because arriving without the required witnesses is the most common cause of a failed appointment.
Hospital and facility signings
Notaries visit hospitals, rehabilitation units, hospices and care homes routinely. Coordinate with nursing staff so the patient is awake and comfortable, and check any visitor rules. Staff often cannot serve as witnesses; ask early rather than at the bedside.
What the notary checks at the bedside
- The patient's identification, or a permitted alternative if the facility holds it
- That the patient is responsive and understands the act of signing
- That no one is pressuring or directing the patient
- That the patient can sign or make a permitted mark
If the patient cannot sign
Some states allow a signature by mark or a directed signature with witnesses. These procedures are state-specific — ask the notary when booking whether their state permits it and what it requires.
Frequently asked questions
- Can hospital staff witness?
- Often not, because of restrictions on interested parties or facility employees. Confirm with both the facility and the notary.
- Is a notarized advance directive valid in another state?
- Many states honor out-of-state directives, but rules differ. Ask the treating facility or a legal professional.
- How quickly can a notary come?
- Many mobile notaries offer same-day and after-hours hospital visits for urgent situations.
Search the notary directory
Enter your ZIP code or city to see notaries who serve your area.
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Read guideNotarization requirements vary by state and document type. A notary public generally cannot give legal advice, choose a document for you, draft a document unless separately authorized, tell you how to complete a form, or explain the legal effect of signing. If you are unsure whether your document needs notarization or which notarial act is required, ask the agency or person receiving the document, or consult a qualified legal professional.