What Do I Need to Sign My Healthcare Proxy in Missouri?

Witness, notary, and remote online notarization (RON) requirements for healthcare proxies in Missouri.

Frequently Asked Questions

Missouri requires 2 witnesses for a healthcare proxy.RSMo § 404.810Verified Jul 15, 2026 Witnesses cannot be: The person named as your healthcare agent, The person who signed for you. Witnesses must be at least 18 years old.

Yes, notarization is required for a healthcare proxy to be valid in Missouri.RSMo § 404.810Verified Jul 15, 2026

Yes. A healthcare proxy can be executed entirely remotely in Missourithe signing happens in a live video session with an online notary (RSMo § 404.705.1(3)). 2 witnesses must join the same video session.RSMo § 404.810Verified Jul 15, 2026

To execute a healthcare proxy in Missouri: Find 2 adults to serve as witnesses. Review witness restrictions to ensure eligibility. Schedule a notary appointment (in-person or online via RON). Sign remotely: signer, notary, and 2 witnesses in one live video session

Generally yes. Missouri accepts out-of-state healthcare directives in practice, but doesn't have an explicit reciprocity statute, so recognition rests on hospital practice and emergency-care doctrine.RSMo § 404.703(4) via § 404.805.2 (durability of out-of-state instruments); otherwise general comity — § 404.810 does not incorporate § 404.730Verified Jul 15, 2026 Missouri has no explicit recognition statute for out-of-state healthcare POAs. § 404.703(4) (definitions, applied to the DPOA-HC Act by § 404.805.2) treats a power of attorney as durable if durable under the law of the place where executed or of the principal's residence when executed — statutory support for the durability of out-of-state documents. The general-act reciprocity provision (§ 404.730.5-.6, "durable and may be carried out and enforced in this state") is NOT incorporated by § 404.810. § 404.865 addresses delegation prohibition only. Out-of-state healthcare POAs generally honored under comity if substantially compliant with Missouri law. The document portability tool covers reciprocity rules in detail.

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