Everything you could need to do this is here: https://michiganlegalhelp.org/sites/default/files/assets/kim200301-power-of-attorney-form-design-v16-fillable.pdf
Michigan Legal Help: Creating a HCPOA for Free

Everything you could need to do this is here: https://michiganlegalhelp.org/sites/default/files/assets/kim200301-power-of-attorney-form-design-v16-fillable.pdf