Missouri
Missouri Power of Attorney Laws: Durable, Medical, and Financial POA (2026)
Independently fact-checked against primary sources (last audited August 18, 2026). · Reviewed by the RecordingLaw editorial team. · Law checked current as of August 18, 2026. · 18 primary sources cited on this page. How we verify our legal content

Missouri governs financial powers of attorney under the Durable Power of Attorney Law of Missouri, Mo. Rev. Stat. §§ 404.700 to 404.737. Missouri did not adopt the Uniform Power of Attorney Act. A power of attorney is not durable by default in Missouri: durability requires that the document be denominated a "Durable Power of Attorney" and contain express language stating that the agent's authority survives the principal's disability or incapacity. Execution requires the principal's signature, a date, and acknowledgment before a notary public in the same manner prescribed for real estate conveyances under Mo. Rev. Stat. § 404.705. Health care decision-making authority is an entirely separate matter governed by the Durable Power of Attorney for Health Care Act, Mo. Rev. Stat. §§ 404.800 to 404.865.
What a Power of Attorney Does in Missouri
A power of attorney is a written instrument in which a principal grants an attorney in fact (also called an agent) the legal authority to act on the principal's behalf. Missouri's financial power of attorney statute, Mo. Rev. Stat. §§ 404.700 to 404.737, sets out the rules governing how these documents are created, what authority they convey, the duties of the attorney in fact, and how they end.
The scope of an agent's authority depends on what the document grants. A general power of attorney may authorize the agent to handle all of the principal's property, financial accounts, business affairs, and legal transactions. A limited power of attorney may restrict the agent to a single task, such as selling a specific piece of real estate.
An agent acting under a Missouri POA serves in a fiduciary capacity. Under Mo. Rev. Stat. § 404.714, the agent must act in the interest of the principal, avoid conflicts of interest, exercise the degree of care a prudent person would use, keep the principal's property separate from other assets, and maintain regular contact with the principal to obtain instructions.
A power of attorney ends automatically at the principal's death. Under § 404.714, upon the principal's death the agent must follow court instructions and deliver the principal's property and records to the personal representative of the estate. The agent has no authority to act after death, regardless of anything the document may state.
Durable Power of Attorney in Missouri
Under Mo. Rev. Stat. § 404.705, a power of attorney in Missouri is durable only if it meets two requirements: the document must be denominated a "Durable Power of Attorney," and it must contain express language stating that the attorney in fact's authority will not terminate if the principal becomes disabled or incapacitated. Without that language, the power of attorney is non-durable, and the agent's authority is suspended the moment the principal becomes incapacitated.

The statute provides two alternative sample durability clauses. The first: "THIS IS A DURABLE POWER OF ATTORNEY AND THE AUTHORITY OF MY ATTORNEY IN FACT SHALL NOT TERMINATE IF I BECOME DISABLED OR INCAPACITATED OR IN THE EVENT OF LATER UNCERTAINTY AS TO WHETHER I AM DEAD OR ALIVE." The second applies to springing POAs: "THIS IS A DURABLE POWER OF ATTORNEY AND THE AUTHORITY OF MY ATTORNEY IN FACT, WHEN EFFECTIVE, SHALL NOT TERMINATE OR BE VOID OR VOIDABLE IF I AM OR BECOME DISABLED OR INCAPACITATED." Language that substantially conforms to either formulation is acceptable.
This requirement places Missouri opposite to states that have adopted the Uniform Power of Attorney Act, where durability is the default. In Missouri, a person who wants a durable POA must affirmatively say so. A POA that is silent on durability will lapse upon incapacity, precisely when families most need the document to work.
A non-durable POA suspends the agent's authority during any disability or incapacity, though § 404.714 allows continued authority in special circumstances such as when the principal is missing, captured, or held hostage.
How to Create a Valid Missouri Power of Attorney
Mo. Rev. Stat. § 404.705 sets out the execution requirements for a Missouri durable power of attorney. To be valid, the document must meet all three of the following requirements.
Signature. The principal must sign the power of attorney.
Date. The document must be dated.
Notarization. The principal's signature must be acknowledged in the manner prescribed by law for conveyances of real estate, meaning the principal must acknowledge the signature before a notary public. This requirement mirrors the formality used to execute deeds and other instruments affecting real property.
The statute does not require witness signatures for a financial power of attorney. Notarization alone satisfies the acknowledgment requirement. However, when the authority granted covers real property transactions that must be recorded, the document should be prepared in a form suitable for recording with the county recorder of deeds.
Under § 404.705, acts performed by an attorney in fact under a properly executed durable power of attorney bind the principal and the principal's successors in interest, notwithstanding any subsequent disability or incapacity of the principal. Recording the POA is generally not required for validity between the parties, but may be required for specific real estate transactions.
What a Missouri Agent Can and Cannot Do
General Authority

Under Mo. Rev. Stat. § 404.710, an attorney in fact with general authority has all the rights, power, and authority to act for the principal that the principal would have regarding the principal's person, property, and business interests. This broad grant allows the agent to execute contracts, handle banking transactions, manage investments, pay bills, deal with tax matters, employ professionals such as attorneys and accountants, and conduct other financial affairs on the principal's behalf.
Actions Requiring Express Authorization
Certain sensitive actions fall outside general authority and require explicit enumeration in the document. Under § 404.710, the principal must expressly authorize the agent to:
- Make or revoke gifts of the principal's property
- Create or change survivorship interests in property
- Designate or change beneficiaries on accounts or contracts
- Fund trusts not created by the principal
- Execute, amend, or revoke trust agreements
A general grant of broad authority does not imply any of these powers. Each one must be specifically identified in the POA document. This express-authority requirement protects the principal from an agent who might otherwise use wide powers to redirect assets for personal benefit.
Duties and Prohibited Actions
Under § 404.714, the agent must keep the principal's property and accounts clearly separate from other property under § 404.712, and must sign all instruments in a way that clearly identifies the agent's representative capacity. An agent may never execute a will or living will on the principal's behalf, regardless of how broad the authority granted appears to be.
Multiple Agents
Mo. Rev. Stat. § 404.707 allows a principal to appoint more than one attorney in fact, with authority exercised jointly, severally, or in any other manner specified in the document. Any person not disqualified from serving as a guardian or conservator under Mo. Rev. Stat. § 475.055 is eligible to serve as attorney in fact.
Health Care Power of Attorney in Missouri
Health care decision-making authority in Missouri is governed by an entirely separate statute: the Durable Power of Attorney for Health Care Act, Mo. Rev. Stat. §§ 404.800 to 404.865. A financial POA cannot authorize medical decisions in Missouri, and a health care POA cannot be used to manage financial affairs. The two instruments serve distinct purposes and operate under distinct rules.
What a Health Care Agent Can Do
Under §§ 404.800 to 404.865, a principal may designate an attorney in fact to make health care decisions when the principal is incapacitated. The agent's authority covers decisions about medical treatment, choice of health care providers, and, with express authorization, decisions to withhold or withdraw life-sustaining treatment including artificially supplied nutrition and hydration under Mo. Rev. Stat. § 404.820. Withdrawal of artificially supplied nutrition and hydration requires specific authority granted in the document; it is not covered by a general health care grant.
Who Can Serve as Health Care Agent
Under Mo. Rev. Stat. § 404.815, an attending physician, an employee of the attending physician, or an owner, operator, or employee of a health care facility where the patient is a resident may not serve as health care attorney in fact. Exceptions apply when the patient and the proposed agent are related by blood or marriage within the second degree of kinship, or when both are members of the same religious community bound by vows.
Medical Records and Decision-Making
Under Mo. Rev. Stat. § 404.840, a copy of the health care POA must be placed in the patient's medical records when its existence becomes known to the health care provider, before the provider acts on the agent's decisions. The health care agent has the same rights as the patient to access health care information, review medical records, and authorize record disclosures, subject to any limitations in the document.
Under Mo. Rev. Stat. § 404.822, when making health care decisions the agent must seek and consider information about the patient's medical diagnosis, prognosis, and the benefits and burdens of proposed treatment.
Health Care Directives
Missouri also recognizes written health care directives (living wills) under Mo. Rev. Stat. ch. 459. Under Mo. Rev. Stat. § 459.015, a competent person may execute a written declaration directing the withholding or withdrawal of death-prolonging procedures. The declaration must be in writing, signed, dated, and if not entirely handwritten, witnessed by two or more persons at least eighteen years of age. A health care directive under ch. 459 and a health care POA under §§ 404.800 to 404.865 are complementary instruments that can be used together.
Revoking or Ending a Missouri Power of Attorney
Revoking a Financial POA

A principal who retains legal capacity may revoke a financial power of attorney at any time. Under Mo. Rev. Stat. § 404.717, a financial POA terminates when any of the following occurs:
- The principal informs the attorney in fact orally or in writing that the authority is terminated
- Written notice of termination is filed with the recorder of deeds in relevant jurisdictions
- The date specified in the document arrives, if the POA includes a termination date
- The attorney in fact becomes unable to serve and no successor is named
- The principal and attorney in fact were married and the principal files for divorce or dissolution
Under § 404.717, an attorney in fact who acts in good faith without actual or constructive knowledge that a POA has been terminated is protected from liability. Conversely, willful misconduct or fraud after receiving actual notice of termination creates liability including damages and attorney's fees. For this reason, a principal who revokes a POA should promptly provide written notice to the agent and to every financial institution or third party that may hold or be presented with the old document.
Automatic Termination at Death
Every power of attorney ends at the principal's death. This applies to both durable and non-durable POAs. After the principal's death, the personal representative of the estate, not the attorney in fact, has authority over the principal's property.
Revoking a Health Care POA
Under Mo. Rev. Stat. § 404.850, a patient may revoke a health care power of attorney at any time and in any manner by which the patient is able to communicate intent to revoke. The revocation becomes effective once the patient communicates it to the agent or to the attending physician. Upon learning of a revocation, the attending physician must ensure the revocation is made part of the patient's medical records. Executing a new valid health care POA automatically revokes any prior health care POA, unless the new document specifies otherwise.
For a plain-English overview of how POAs work across all 50 states, see the Power of Attorney national guide.
Legal information, not legal advice. This page summarizes Missouri statutory law governing powers of attorney. It does not constitute legal advice and does not create an attorney-client relationship. Missouri estate planning involves individual circumstances that a Missouri-licensed attorney can evaluate. Consult a qualified Missouri attorney before executing or relying on any power of attorney document.
Statutes cited reflect their in-force version as of May 2026.
More Missouri Laws
Frequently Asked Questions
Is a Missouri power of attorney durable by default?
No. Under Mo. Rev. Stat. § 404.705, a Missouri power of attorney is durable only if the document is denominated a 'Durable Power of Attorney' and expressly states that the attorney in fact's authority will not terminate upon the principal's disability or incapacity. Both requirements must be satisfied. Without them, authority lapses the moment the principal becomes incapacitated. Missouri did not adopt the Uniform Power of Attorney Act, so there is no default durability rule. Anyone relying on a Missouri POA for incapacity planning must confirm the document is properly titled and contains express durability language.
Does a Missouri power of attorney need to be notarized?
Yes. Mo. Rev. Stat. § 404.705 requires that the principal sign and date the document and acknowledge it in the manner prescribed by law for conveyances of real estate, which means acknowledgment before a notary public. Notarization is a validity requirement, not merely a best practice. A financial POA that is not properly notarized may not be enforceable against third parties such as banks and title companies.
Can a Missouri agent make gifts without express authorization?
No. Under Mo. Rev. Stat. § 404.710, making or revoking gifts of the principal's property is one of the actions that requires express authorization in the power of attorney document. A general grant of broad authority does not include gift-making power. The same rule applies to creating or changing survivorship interests in property, changing beneficiary designations, funding trusts not created by the principal, and executing, amending, or revoking trust agreements.
Is a Missouri financial POA the same as a health care POA?
No. They are separate instruments governed by separate statutes. A financial POA under Mo. Rev. Stat. §§ 404.700 to 404.737 covers property, banking, and legal matters. A health care POA under the Durable Power of Attorney for Health Care Act, §§ 404.800 to 404.865, authorizes an agent to make medical decisions when the principal is incapacitated. The two documents serve different purposes and one cannot substitute for the other.
Who can serve as an attorney in fact in Missouri?
Under Mo. Rev. Stat. § 404.707, any person who is not disqualified from serving as a guardian or conservator under Mo. Rev. Stat. § 475.055 may serve as attorney in fact for a financial POA. For a health care POA, Mo. Rev. Stat. § 404.815 prohibits the principal's attending physician, that physician's employees, and owners, operators, or employees of a health care facility where the principal is a resident from serving as health care agent, unless the parties are related within the second degree by blood or marriage.
How does a principal revoke a Missouri power of attorney?
For a financial POA, Mo. Rev. Stat. § 404.717 allows revocation by oral or written notice to the attorney in fact, or by filing written notice with the recorder of deeds in relevant jurisdictions. No specific form is required. To protect against third-party reliance on the old document, the principal should send prompt written notice to the agent and to all institutions holding the old POA. For a health care POA, Mo. Rev. Stat. § 404.850 allows revocation at any time in any manner the patient can communicate intent, with notice to the agent or attending physician.
When does a Missouri power of attorney end automatically?
A Missouri power of attorney ends automatically at the principal's death, regardless of whether it is durable or non-durable. Under Mo. Rev. Stat. § 404.717, authority also terminates on any date specified in the document, when the attorney in fact becomes unable to serve without a named successor, and when the principal and attorney in fact were married and a divorce or dissolution filing occurs. A non-durable POA additionally suspends authority upon the principal's incapacity.
Updates
Independently fact-checked against the cited primary sources; governing law re-checked for recent changes
Governing law re-checked for recent changes
Reviewed and approved by an editor
The Law Behind This Article
This article rests on the statutory provisions below, held in our own legal record and retrieved from the official source. Tap a section to read the operative text.
Revised Statutes of Missouri, Title XXVI (TRADE AND COMMERCE), Chapter 404
§ 404.700Law, how cited.In force
Sections 404.700 to 404.735 may be cited as the "Durable Power of Attorney Law of Missouri".
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Cited in 2 court opinionsMost recently applied by a court: 2007
Leading cases: Bridges v. White (Missouri Court of Appeals 2007, 223 S.W.3d 195) · Cruzan Ex Rel. Cruzan v. Director, Missouri Department of Health (Supreme Court of the United States 1990, 497 U.S. 261)
Identified automatically from the court opinions citing this section — not a ranking of which case controls.
§ 404.703Definitions.In force
As used in sections 404.700 to 404.735 the following terms mean: (1) "Attorney in fact", an individual or corporation appointed to act as agent of a principal in a written power of attorney; (2) "Court", the circuit court including the probate division of the circuit court; (3) "Disabled" or "incapacitated", a person who is wholly or partially disabled or incapacitated as defined in section 475.010 or in a similar law of the place having jurisdiction of the person whose capacity is in question; (4) "Durable power of attorney", a written power of attorney in which the authority of the attorney in fact does not terminate in the event the principal becomes disabled or incapacitated or in the event of later uncertainty as to whether the principal is dead or alive and which complies with subsection 1 of section 404.705 or is durable under the laws of any of the following places: (a) The law of the place where executed; (b) The law of the place of the residence of the principal when executed; or (c) The law of a place designated in the written power of attorney if that place has a reasonable relationship to the purpose of the instrument; (5) "Legal representative", a…
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
§ 404.705Durable power of attorney, procedure to create, requirements, effect, recording not required, exception — person appointed has no duty to exercise authority conferred, exception.In force
1. The authority granted by a principal to an attorney in fact in a written power of attorney is not terminated in the event the principal becomes wholly or partially disabled or incapacitated or in the event of later uncertainty as to whether the principal is dead or alive if: (1) The power of attorney is denominated a "Durable Power of Attorney"; (2) The power of attorney includes a provision that states in substance one of the following: (a) "THIS IS A DURABLE POWER OF ATTORNEY AND THE AUTHORITY OF MY ATTORNEY IN FACT SHALL NOT TERMINATE IF I BECOME DISABLED OR INCAPACITATED OR IN THE EVENT OF LATER UNCERTAINTY AS TO WHETHER I AM DEAD OR ALIVE"; or (b) "THIS IS A DURABLE POWER OF ATTORNEY AND THE AUTHORITY OF MY ATTORNEY IN FACT, WHEN EFFECTIVE, SHALL NOT TERMINATE OR BE VOID OR VOIDABLE IF I AM OR BECOME DISABLED OR INCAPACITATED OR IN THE EVENT OF LATER UNCERTAINTY AS TO WHETHER I AM DEAD OR ALIVE"; and (3) The power of attorney is subscribed by the principal, and dated and acknowledged in the manner prescribed by law for conveyances of real estate.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Cited in 2 court opinionsMost recently applied by a court: 2023
Leading cases: Byrne v. Schneider (Missouri Court of Appeals 1991, 808 S.W.2d 936) · Carlos Alberto Rivas and Tamara Lynn Rivas (United States Bankruptcy Court, E.D. Missouri 2023)
Identified automatically from the court opinions citing this section — not a ranking of which case controls.
§ 404.707Principal may appoint multiple attorneys in fact — authority may be joint or several — qualifications — persons disqualified.In force
1. A principal may appoint more than one attorney in fact in one or more powers of attorney and may provide that the authority conferred on two or more attorneys in fact shall or may be exercised either jointly or severally or in a manner, with such priority and with respect to such subjects as is provided in the power of attorney. 2. Any person, other than a person who is disqualified from being appointed a guardian or conservator of the principal under subsection 2 of section 475.055, shall be qualified to be designated an attorney in fact under a durable power of attorney. 3. The designation of a person not qualified to act as an attorney in fact for a principal under a durable power of attorney subjects the person to removal as attorney in fact but does not affect the immunities of third persons nor relieve the unqualified person of any duties or responsibilities to the principal or the principal's successors.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
§ 404.710Power of attorney with general powers.In force
1. A principal may delegate to an attorney in fact in a power of attorney general powers to act in a fiduciary capacity on the principal's behalf with respect to all lawful subjects and purposes or with respect to one or more express subjects or purposes. A power of attorney with general powers may be durable or not durable. 2. If the power of attorney states that general powers are granted to the attorney in fact and further states in substance that it grants power to the attorney in fact to act with respect to all lawful subjects and purposes or that it grants general powers for general purposes or does not by its terms limit the power to the specific subject or purposes set out in the instrument, then the authority of the attorney in fact acting under the power of attorney shall extend to and include each and every action or power which an adult who is nondisabled and nonincapacitated may carry out through an agent specifically authorized in the premises, with respect to any and all matters whatsoever, except as provided in subsections 6 and 7 of this section. When a power of attorney grants general powers to an attorney in fact to act with respect to all lawful subjects…
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Cited in 1 court opinionsMost recently applied by a court: 2007
Leading cases: Bridges v. White (Missouri Court of Appeals 2007, 223 S.W.3d 195)
Identified automatically from the court opinions citing this section — not a ranking of which case controls.
§ 404.712Name in which acts are performed and property held — property and accounts of principal to be kept separate — how identified.In force
1. An attorney in fact acting for the principal under a power of attorney shall clearly indicate his capacity and shall keep the principal's property and accounts separate and distinct from all other property and accounts in a manner to identify the property and accounts clearly as belonging to the principal. 2. An attorney in fact holding property for a principal complies with subsection 1 of this section if the property is held in the name of the principal, in the name of the attorney in fact as attorney in fact for the principal or in the name of the attorney in fact as personal custodian for the principal under the Missouri personal custodian law, uniform custodial trust law or similar law of any state.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Cited in 1 court opinionsMost recently applied by a court: 2013
Leading cases: Meyer v. Purcell (Missouri Court of Appeals 2013, 405 S.W.3d 572)
Identified automatically from the court opinions citing this section — not a ranking of which case controls.
§ 404.714Duties of attorney in fact.In force
1. An attorney in fact who elects to act under a power of attorney is under a duty to act in the interest of the principal and to avoid conflicts of interest that impair the ability of the attorney in fact so to act. A person who is appointed an attorney in fact under a power of attorney, either durable or not durable, who undertakes to exercise the authority conferred in the power of attorney, has a fiduciary obligation to exercise the powers conferred in the best interests of the principal, and to avoid self-dealing and conflicts of interest, as in the case of a trustee with respect to the trustee's beneficiary or beneficiaries; and in the absence of explicit authorization, the attorney in fact shall exercise a high degree of care in maintaining, without modification, any estate plan which the principal may have in place, including, but not limited to, arrangements made by the principal for disposition of assets at death through beneficiary designations, ownership by joint tenancy or tenancy by the entirety, trust arrangements or by will or codicil. Unless otherwise provided in the power of attorney or in a separate agreement between the principal and attorney in fact, an…
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Cited in 4 court opinionsMost recently applied by a court: 2017
Leading cases: Meyer v. Purcell (Missouri Court of Appeals 2013, 405 S.W.3d 572) · Taylor-McDonald v. Taylor (Missouri Court of Appeals 2008, 245 S.W.3d 867) · Mintner v. Mintner (Missouri Court of Appeals 2017, 530 S.W.3d 534)
Identified automatically from the court opinions citing this section — not a ranking of which case controls.
§ 404.717Modification and termination of power of attorney — liability between principal and attorney in fact.In force
1. As between the principal and attorney in fact or successor attorney in fact, and any agents appointed by either of them, unless the power of attorney is coupled with an interest, the authority granted in a power of attorney shall be modified or terminated as follows: (1) On the date shown in the power of attorney and in accordance with the express provisions of the power of attorney; (2) When the principal, orally or in writing, or the principal's legal representative with approval of the court in writing informs the attorney in fact or successor that the power of attorney is modified or terminated, or when and under what circumstances it is modified or terminated; (3) When a written notice of modification or termination of the power of attorney is filed by the principal or the principal's legal representative for record in the office of the recorder of deeds in the city or county of the principal's residence or, if the principal is a nonresident of the state, in the city or county of the residence of the attorney in fact last known to the principal, or in the city or county in which is located any property specifically referred to in the power of attorney; (4) On the…
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Cited in 1 court opinionsMost recently applied by a court: 2008
Leading cases: Taylor-McDonald v. Taylor (Missouri Court of Appeals 2008, 245 S.W.3d 867)
Identified automatically from the court opinions citing this section — not a ranking of which case controls.
§ 404.800Short title.In force
Sections 404.800 to 404.865 may be cited as the "Durable Power of Attorney for Health Care Act".
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
§ 404.805Definitions.In force
1. As used in sections 404.800 to 404.865, the following terms mean: (1) "Certification", a written instrument or a written entry in a medical record; (2) "Incapacitated", a person who is unable by reason of any physical or mental condition to receive and evaluate information or to communicate decisions to such an extent that he lacks capacity to meet essential requirements for food, clothing, shelter, safety or other care such that serious physical injury, illness or disease is likely to occur; (3) "Patient", the principal of a durable power of attorney for health care under sections 404.800 to 404.865. 2. The definitions of section 404.703 shall apply to sections 404.800 to 404.865 except as modified by this section.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
§ 404.810Applicability of general law.In force
Section 404.710, section 404.714, section 404.705, subsections 1 and 2 of section 404.707, section 404.717, subsection 1 and 2 of section 404.723, section 404.727, and section 404.731 shall apply to powers granted under sections 404.800 to 404.865. No other provisions of sections 404.700 to 404.735 shall apply to the durable power of attorney for health care act unless specifically incorporated by reference therein.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Cited in 1 court opinionsMost recently applied by a court: 2019
Leading cases: Theron Ingram v. Brook Chateau (Supreme Court of Missouri 2019)
Identified automatically from the court opinions citing this section — not a ranking of which case controls.
§ 404.815Physician, health care facility, not to serve as attorney in fact — exceptions.In force
Notwithstanding any other provision of law to the contrary, an attending physician or an employee of the attending physician, or an owner, operator or employee of a health care facility in which the patient is a resident, shall not serve as an attorney in fact unless: (1) The patient and attorney in fact are related by affinity or consanguinity within the second degree; (2) The patient and attorney in fact are members of the same community of persons who are bound by vows to a religious life and who conduct or assist in the conducting of religious services and actually and regularly engage in religious, benevolent, charitable, or educational ministry, or the performance of health care services.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
§ 404.820Withdrawing or withholding treatment, specific authority required — restrictions.In force
1. If a patient wishes to confer on an attorney in fact the authority to direct a health care provider to withhold or withdraw artificially supplied nutrition and hydration, the patient shall specifically grant such authority in the power of attorney. This limitation shall not be construed to require that artificially supplied nutrition and hydration be continued when, in the medical judgment of the attending physician, the patient cannot tolerate it. 2. Notwithstanding any other provision of sections 404.800 to 404.865 to the contrary, no attorney in fact may, with the intent of causing the death of the patient, authorize the withdrawal of nutrition or hydration which the patient may ingest through natural means. 3. Attorneys in fact shall consider appropriate measures in accord with current standards of medical practice to provide comfort to the patient.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
§ 404.822Health care decisions, attorney in fact to consider medical diagnosis.In force
In making any health care decision in accordance with sections 404.800 to 404.865, the attorney in fact shall seek and consider information concerning the patient's medical diagnosis, the patient's prognosis and the benefits and burdens of the treatment to the patient. In withdrawing treatment, which withdrawal will allow the preexisting condition to run its natural course, the attorney in fact shall seek evidence of the medical diagnosis and the prognosis and the benefit and burden of the treatment to the patient to the extent possible within prevailing medical standards.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
§ 404.840Medical records to include durable power of attorney, when — effect.In force
1. A copy of a power of attorney for health care decisions shall be made a part of the patient's medical record when the existence of the power of attorney becomes known to the patient's health care provider and prior to the provider's taking any action pursuant to the decision of the attorney in fact. 2. Except to the extent the right is limited by the power of attorney or any federal law, an attorney in fact designated to make health care decisions has the same right as the patient to receive information regarding the proposed health care, to receive and review medical records and to consent to the disclosure of medical records. However, the right to access to medical records is not a waiver of any evidentiary privilege.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
§ 404.850Revocation, procedure, effect.In force
1. A power of attorney for health care may be revoked at any time and in any manner by which the patient is able to communicate the intent to revoke. Revocation shall be effective upon communication of such revocation by the patient to the attorney in fact or to the attending physician or health care provider. 2. Upon learning of the revocation of a power of attorney for health care, the attending physician or other health care provider shall cause the revocation to be made a part of the patient's medical records. 3. Unless the power of attorney provides otherwise, execution by the patient of a valid power of attorney for health care revokes any prior power of attorney for health care.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Revised Statutes of Missouri, Title XXXI (TRUSTS AND ESTATES OF DECEDENTS AND PERSONS UNDER DISABILITY), Chapter 459
§ 459.015Declaration, who may execute requirements of declaration — form — witnesses required, when — notice to physician — filed — where.In force
1. Any competent person may execute a declaration directing the withholding or withdrawal of death-prolonging procedures. The declaration made pursuant to sections 459.010 to 459.055 shall be: (1) In writing; (2) Signed by the person making the declaration, or by another person in the declarant's presence and by the declarant's expressed direction; (3) Dated; and (4) If not wholly in the declarant's handwriting, signed in the presence of two or more witnesses at least eighteen years of age neither of whom shall be the person who signed the declaration on behalf of and at the direction of the person making the declaration. 2. It shall be the responsibility of the declarant to provide for notification to his attending physician of the existence of the declaration. Upon the request of the patient, the declaration shall be placed in the declarant's medical records as maintained by his attending physician and the medical records of any health facility of which he is a patient.
Official text (excerpt) · last checked 2026-07-31 · Read the full text in our law library · Verify at revisor.mo.gov
Cited in 3 court opinionsMost recently applied by a court: 1997
Leading cases: Cruzan Ex Rel. Cruzan v. Harmon (Supreme Court of Missouri 1988, 760 S.W.2d 408) · Cruzan Ex Rel. Cruzan v. Director, Missouri Department of Health (Supreme Court of the United States 1990, 497 U.S. 261) · Vacco v. Quill (Supreme Court of the United States 1997, 521 U.S. 793)
Identified automatically from the court opinions citing this section — not a ranking of which case controls.
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This article also draws on these acts and chapters (opening at their first section): Revised Statutes of Missouri, Title XXVI (TRADE AND COMMERCE), Chapter 404 § 404.005 (Law, how cited.)
Related law for further reading — not part of this article’s citations.
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Sources and References
- Mo. Rev. Stat. Chapter 404 - Durable Power of Attorney Law of Missouri (§§ 404.700 to 404.737) and Health Care Act (§§ 404.800 to 404.865)(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.700 - Short Title: Durable Power of Attorney Law of Missouri(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.703 - Definitions(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.705 - Durable Power of Attorney: Execution Requirements and Durability(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.707 - Appointment and Qualifications of Attorney in Fact(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.710 - General Powers; Express Authority Required for Gifts and Certain Transfers(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.712 - Duty to Keep Property Separate(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.714 - Duties of Attorney in Fact(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.717 - Termination of Power of Attorney(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.800 - Short Title: Durable Power of Attorney for Health Care Act (§§ 404.800 to 404.865)(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.805 - Health Care Act Definitions(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.810 - Applicability of General Law to Health Care POA(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.815 - Restrictions on Health Care Attorney in Fact(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.820 - Withdrawal of Treatment: Specific Authority Required(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.822 - Agent Duty to Seek Medical Information(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.840 - Medical Records and Agent Access Rights(revisor.mo.gov).gov
- Mo. Rev. Stat. § 404.850 - Revocation of Health Care Power of Attorney(revisor.mo.gov).gov
- Mo. Rev. Stat. § 459.015 - Health Care Directives: Execution Requirements(revisor.mo.gov).gov