Miller Law Office, PLLC Elder Law

Selected Plan: Young Adult

Welcome to Miller Law Office, PLLC
Enter your own legal name (the person creating this account,), exactly as on your driver’s license or government ID If you’re completing this for someone else, you’ll add their details later

Once they turn 18, doors close. This plan opens them—Power of Attorney (POA) + HIPAA Release opens those doors so you can help when it counts. Before we start your plan, type your mobile number and primary email below in case we’re disconnected.

First Name *

Middle Name

Last Name *

Primary Email *

Password *

Mobile Number *

Young Adult Info
Enter your 18+ Adult Child’s full legal name. They’re the one the documents protect (the “Principal”). Next, you’ll name who can help with medical or financial matters (the “Agent”)

Are you a parent filling this out for your college student? *

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Yes

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Adult Child’s Legal Name (18+)

Your Contact Details
Your Contact Details

Name:

Date Of Birth *

Also known as(optional)

Suffix(optional)

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III

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Other

What are your personal pronouns?

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he/him

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she/her

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they/them

Your Address

Full Address: *

State

Financial Power of Attorney
Name who can manage money, bills, and accounts if you can’t (your “Financial Agent”). You’ll add a first choice (Primary Agent) and a backup (Successor Agent). This permission (“Power of Attorney” / “POA”) lets your agent act under the powers you grant—without going to court. If agents serve at the same time (“joint”), they must agree; otherwise, either may act alone. Not sure? Your Miller Law Office attorney can help. Call 972-284-0585.

Choose who can handle money, bills, and accounts the person this plan is for can’t act — their money helper (Financial Agent). Start with your top choice, then add a backup (Successor Agent).

Primary Agent : *

Successor Agent : * Click "+" to add agent

Sanity Check: Agents should be dependable and organized. If you’re unsure, we can help you decide. Call 972-284-0585.

Medical Power of Attorney
Name who can make medical decisions if you can’t communicate or decide (your “Medical Agent”). This permission (“Medical Power of Attorney” / “Medical POA”) is used only while you’re unable and ends when you can decide again. We recommend one primary and at least one backup (used in listed order). If two people serve at the same time (“joint”), they must agree. Questions? Your Miller Law Office attorney can help. Call 972-284-0585.

Choose your medical decision-maker if the person this plan is for can’t act. Start with a top choice, then add a backup.

Do you wish to use same agents as your Financial Power of Attorney? *

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Yes

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Primary Agent : *

Full Address: *

Mobile Number: *

Successor Agent : *

Full Address: *

Mobile Number: *

Sanity Check: Agents should be someone calm, reachable, and who knows your wishes. If you’re unsure, we can help you decide. Call 972-284-0585.

Review & Submit

You’re almost done.

When you submit, our team will review your information, resolve any gaps, and prepare your documents. You’ll have a chance to ask questions and confirm details before anything is finalized.

Step 1: Review Your Information.

Use "Review Your Information" to see everything in one place. Need to change something? Click the "Previous" button.

Step 2: Create Your Plan

Click the "Submit & Create Your Plan" button below to checkout. Afterward, we’ll prepare your plan so your wishes are clear and your helpers can act when it counts. You’ll receive a confirmation email detailing next steps.

Need help? Call 972-284-0585.

Review Your Information

Your Progress