Medical Durable Power of Attorney
Lets you make medical decisions for them if they're incapacitated and can't speak for themselves — a car accident, surgery, a coma. This is the one that matters most in an emergency.
CRS §15-14-506Home / Use cases / College & young adults / Colorado
Colorado · Free guideThe day your teen turns 18, hospitals, banks, and their school can legally shut you out — even in an emergency. The fix is four short documents. Below is exactly what each one does, what Colorado requires, and a ready-to-fill template for each. No $150 form bundle required.
Once they're a legal adult, access doesn't transfer automatically — they have to grant it. Each document covers a different gap.
Lets you make medical decisions for them if they're incapacitated and can't speak for themselves — a car accident, surgery, a coma. This is the one that matters most in an emergency.
CRS §15-14-506Lets doctors, clinics, and the campus health center actually talk to you and share their records — even when they're conscious. Without it, they can refuse to confirm they're even a patient.
45 CFR §164.508Lets you handle money and paperwork on their behalf — bank issues, tuition and bursar accounts, a lease, taxes, an insurance claim, or a car registration if they can't.
CRS §15-14-701+Lets Colorado School of Mines share their education records — grades, bills, enrollment status — with you. This one comes from the school, not from a form vendor. (See below.)
34 CFR Part 99Signing and witnessing rules differ by document. Here's the short version.
| Document | Must be signed by | Witnesses | Notary |
|---|---|---|---|
| Medical Durable POA | The young adult (the principal), 18+ | Not required by statute | Not required — but strongly recommended so hospitals accept it without question |
| HIPAA Authorization | The young adult | Not required | Not required |
| Financial Durable POA | The young adult | Not required by statute | Yes — acknowledge before a notary. Banks routinely demand it (CRS §15-14-705) |
| FERPA Release | The young adult (via the school's form / student portal) | Per school policy | Not required |
Plan an hour. Do it together at the kitchen table before move-in week.
Replace every highlighted blank with their real details — full legal name, date of birth, your name and phone, and your scope choices. Print two copies of each so they keep one and you keep one.
The witnesses should not be you or anyone named in the documents. A notary at a bank or UPS Store works; bring unexpired photo ID for the young adult.
They sign each document; the notary completes the acknowledgment block on the two POAs. Don't sign anything ahead of time — the notary must watch them sign.
Give a copy to their primary doctor and the campus health center. Keep a photo of each on both your phones — an ER will accept a clear photo or PDF in a pinch.
This one isn't a downloadable template — they grant it through the school. See the FERPA & Mines section below.
Type their details once below — every blank in all three documents fills in automatically. Your entries save in this browser only. Then hit Print to get a clean packet.
Enter the details once — all three forms fill in automatically. Saved on this device only; nothing is sent anywhere.
In the print dialog, choose “Save as PDF” (or “Microsoft Print to PDF”) as the destination to keep a file you can email, store, or print later.
MEDICAL DURABLE POWER OF ATTORNEY
(Colorado — appointment of agent for health-care decisions, C.R.S. § 15-14-506)
I, [YOUNG ADULT'S FULL LEGAL NAME], of [THEIR ADDRESS], born [DATE OF BIRTH], being an adult of sound mind, intend to create a medical durable power of attorney by this document.
I appoint the following persons as my primary agents to make health-care decisions for me:
My co-agents are authorized to act [CO-AGENTS ACT: independently or jointly]. In any medical emergency in which only one co-agent is reasonably available, that co-agent may act alone.
These persons are backup agents. They act only if both of my primary agents above are unable or unwilling to serve, in the order listed: [SUCCESSOR AGENTS — e.g. siblings: name, relationship, phone].
My agent is authorized to make any and all health-care decisions for me that I could make myself, including consenting to, refusing, or withdrawing medical treatment, selecting and discharging providers, and accessing my medical records, but only when I am unable to make or communicate my own health-care decisions as determined by my attending physician.
[Write any limits here, or "None."]
This power of attorney is durable and is not affected by my later incapacity. It takes effect upon a determination that I lack decisional capacity and continues until I regain it or revoke this document. I may revoke it at any time in any manner that communicates my intent to revoke.
State of Colorado, County of . Subscribed and sworn before me on by the person named above.
AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION
(HIPAA — 45 C.F.R. § 164.508)
I, [YOUNG ADULT'S FULL LEGAL NAME], DOB [DATE OF BIRTH], authorize my health-care providers to use and disclose my protected health information as described below.
Any physician, hospital, clinic, pharmacy, mental-health provider, or campus health/counseling service that has treated me, including [name campus health center / specific providers, or "all of my providers"].
Each of the following persons, any of whom may receive my information individually:
(a) [AGENT 1 — FULL NAME] (my [AGENT 1 RELATIONSHIP]), phone [AGENT 1 PHONE];
(b) [AGENT 2 — FULL NAME] (my [AGENT 2 RELATIONSHIP]), phone [AGENT 2 PHONE].
Additionally, the backup agents named in my powers of attorney (e.g. my siblings) may receive my information: [SUCCESSOR AGENTS — e.g. siblings: name, relationship, phone].
My complete medical record and any health information relating to my care, including diagnosis, treatment, test results, and billing — except the following, which I exclude: [list exclusions such as mental health, substance use, or reproductive health, or write "None."]
To allow the person named above to be informed of and assist with my medical care. (Purpose: "at my request.")
This authorization expires on [DATE, e.g. graduation, or "three years from signing"] unless I revoke it sooner in writing. I understand I may revoke it at any time except to the extent action has already been taken in reliance on it.
DURABLE POWER OF ATTORNEY (FINANCIAL)
(Colorado Uniform Power of Attorney Act — C.R.S. § 15-14-701 et seq.)
I, [YOUNG ADULT'S FULL LEGAL NAME], of [THEIR ADDRESS], DOB [DATE OF BIRTH], appoint the agent named below to act for me in financial and legal matters.
I appoint as my primary agents:
My co-agents may act [CO-AGENTS ACT: independently or jointly].
These persons are backup agents. They act only if both of my primary agents above are unable or unwilling to serve, in the order listed: [SUCCESSOR AGENTS — e.g. siblings: name, relationship, phone].
I grant my agent authority over the following subjects (initial each that applies, or write "all of the above"):
Banking and financial accounts · Tuition, bursar & school accounts · Real property / leases · Insurance claims · Taxes · Motor vehicles · Personal and family maintenance
Under C.R.S. § 15-14-741, the following powers must be granted expressly. Initial each one you wish to grant; leave blank to withhold it:
Make gifts · Create or change rights of survivorship · Create or change beneficiary designations · Delegate authority under this power · Create, amend, or revoke a trust
This power of attorney is durable — it is not terminated by my later incapacity. It is effective [choose: "immediately" OR "only upon my incapacity as certified in writing by a physician"].
[Any limits, or "None."]
State of Colorado, County of . Acknowledged before me on by .
The actual sit-down. Roughly an hour start to finish, most of it the notary visit.
Full legal name (as it appears on their ID), date of birth, their Golden address, your full name, relationship, phone, and address. Have their unexpired photo ID on hand — the notary will check it.
On the page, the parts you fill are shown in blue. Don't leave any blank empty — if something doesn't apply, write "None" or "N/A" so no one can add to it later.
Both POAs: name both parents as co-agents, choose whether they act independently or jointly, and list siblings as successor agents. Medical POA: add any treatment limits. HIPAA: decide whether to carve out mental-health, substance-use, or reproductive records, and set an expiration. Financial POA: initial the subjects you want covered, separately initial any "hot powers," and pick "effective immediately" vs. "only upon incapacity."
Signatures on the two POAs must happen in front of the notary, or they won't be valid. Print, then bring everything unsigned to the notary appointment.
They sign each document; the notary watches and completes the acknowledgment block on the two POAs. Then photograph each signed page and save a PDF on both phones.
Fees vary by location (see the estimates below). Bring their photo ID — the notary will not notarize without it.
| Option | Typical cost | Good when |
|---|---|---|
| Your bank or credit union | Usually free for account holders | You already bank there — easiest and cheapest. Call ahead to confirm a notary is in that day. |
| The UPS Store / FedEx Office / pack-and-ship | ~$5–15 per signature | Walk-in convenience; there's one near campus in Golden. No account needed. |
| AAA branch | Free for members | You're a AAA member — free notary is a membership perk. |
| Public library | Free or a few dollars | Many Colorado libraries (including Jefferson County, which serves Golden) offer notary by appointment. |
| Colorado School of Mines campus | Often free for students | They're already on campus. Check Student Life / the Registrar / ASCSM for a notary on staff. |
| Mobile notary (comes to you) | ~$25–75 travel fee | You want it done at home before move-in, witnesses and all, in one sitting. |
| Online notary (Remote Online Notarization) | ~$25 per session | They're already in Golden and you're elsewhere — Colorado authorizes RON, so they can notarize by webcam. Services: Notarize, OneNotary, your bank's app. |
FERPA (the Family Educational Rights and Privacy Act) transfers control of education records to the student once they enroll in college, regardless of who pays tuition. A generic form won't open the school's systems — Mines honors its own release/proxy process. This part is free; don't pay a vendor for it.
The FERPA release / "authorized user" or proxy-access setup lives under the student account, typically through the Registrar's office.
Common categories: academic records/grades, billing & financial aid, enrollment status. They pick which ones — they're in control of the scope.
Mines' student-account/bursar system has a separate "authorized user" grant so you can view and pay the bill. The FERPA release and the billing grant are not always the same toggle.
The Mines Office of the Registrar can confirm exactly which form or portal screen to use this term — policies and portal layouts change.
Releasign can hold these authorizations as scoped, revocable, audit-logged releases your young adult controls from their phone.
Thanks — we'll be in touch.
Not legal advice. Releasign is not a law firm and these templates are educational starting points, not a substitute for advice from a Colorado-licensed attorney. Statutes and school policies change; verify current Colorado requirements (Title 15, C.R.S.), HIPAA (45 C.F.R. § 164.508), and FERPA (34 C.F.R. Part 99), and confirm Colorado School of Mines' current FERPA/proxy process with its Registrar before relying on any document here. For complex situations — significant assets, mental-health or substance-use carve-outs, or out-of-state property — consult an attorney.