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Lasting power of attorney for health and welfare
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LP1H in short
Form LP1H is the paper form used to make and register a lasting power of attorney (LPA) for health and welfare in England and Wales. It lets you (the donor) choose attorneys to make decisions about your daily routine, medical care, moving into a care home and, if you allow it, life-sustaining treatment. It can only be used once it is registered and only when you cannot make your own decisions.
| Issued by | Office of the Public Guardian (OPG) |
|---|---|
| Current version | LP1H Health and welfare (08.25) (checked 2026-10-25) |
| Who fills it in | The donor fills in sections 1 to 7 and signs sections 5 and 9. The donor must be 18 or over and have mental capacity when making the LPA. Either the donor or the attorney(s) can then fill in sections 12 to 15 and apply to register it. The donor does not need to live in the UK or be a British citizen. |
| Who receives it | The Office of the Public Guardian (OPG), which checks and registers the LPA. After registration, attorneys can show it to doctors, care providers and others when the donor lacks capacity. |
| Where to send it | Post the original signed LPA with the fee (or fee reduction form) to: Office of the Public Guardian, PO Box 16185, Birmingham B2 2WH. If you use the online service, you still print the LPA, sign it on paper and post it to OPG. |
| Deadline | There is no fixed deadline to register. The form says it is a good idea to register straight away, because mistakes cannot be fixed if the donor loses mental capacity first. GOV.UK says registration takes 8 to 10 weeks if there are no mistakes, and this includes a statutory waiting period of 4 weeks. |
| Fee | GOV.UK lists the fee to register an LPA as £92, or £184 if you register both a health and welfare LPA and a property and financial affairs LPA. A repeat application within 3 months after OPG could not register the LPA costs £46. You may pay half if the donor's income before tax is under £12,000 a year, or nothing if the donor gets certain means-tested benefits (apply with form LPA120). Fees are non-refundable. |
| Official links | Official page · Official PDF · Official instructions |
What changed
The registration fee rose from £82 to £92 on 17 November 2025. The current form (08.25) no longer prints the fee and tells you to check GOV.UK or call 0300 456 0300 for the current amount. The fee reduction form LPA120 was updated in February and April 2026. The Powers of Attorney Act 2023 allows OPG to introduce a modernised LPA service, including identity checks, but OPG's 2025 to 2026 annual report says this is still being designed and tested, and no go-live date had been published when this page was checked.
How to fill out LP1H, line by line
| Section 1 | The donor Your name, any other names you are known by, date of birth, address and optional email. You are the donor: the person giving the power. Write in capital letters with a black pen. |
| Section 2 | The attorneys Name, date of birth and address of each attorney. You need at least one. Attorneys must be 18 or over and have mental capacity. Use Continuation sheet 1 for more than 4. |
| Section 3 | How should your attorneys make decisions? Only if you have more than one attorney. Tick one: jointly and severally (they can act together or alone), jointly (they must agree every decision), or jointly for some decisions and jointly and severally for others (list the joint decisions on Continuation sheet 2). |
| Section 4 | Replacement attorneys Optional. People who step in if an original attorney can no longer act, for example because they die, lose capacity, no longer want to act or are no longer your spouse or civil partner. |
| Section 5 | Life-sustaining treatment Sign only one option. Option A gives your attorneys authority to give or refuse consent to life-sustaining treatment for you. Option B does not. Your signature here must be witnessed by someone 18 or over who is not an attorney or replacement attorney, and you sign this before or at the same time as section 9. |
| Section 6 | People to notify Optional. Up to 5 people who are told when the LPA is being registered, so they can raise concerns. You cannot name your attorneys or replacement attorneys here. |
| Section 7 | Preferences and instructions Optional. Preferences are wishes attorneys should keep in mind. Instructions are rules they must follow. You can use this section to say more about your wishes on life-sustaining treatment. The form warns that instructions that are not legally correct would have to be removed before registration. |
| Section 8 | Your legal rights and responsibilities Everyone signing the LPA must read this page. It explains the Mental Capacity Act 2005 principles that attorneys must follow. |
| Section 9 | Signature: donor The donor signs and dates this page in front of a witness, before anyone else signs. The witness must be 18 or over and must not be an attorney or replacement attorney. Sign section 5 and any continuation sheets 1 and 2 at the same time. |
| Section 10 | Signature: certificate provider Signed after the donor. The certificate provider confirms the donor understands the LPA and is not being pressured. They must be 18 or over and either have known the donor personally for at least 2 years or have relevant professional skills, such as a GP or solicitor. |
| Section 11 | Signature: attorney or replacement Each attorney and replacement attorney signs a separate copy of this page, after the certificate provider has signed section 10. Each signature must be witnessed by someone 18 or over who is not the donor. Attorneys can witness each other. |
| Section 12 | The applicant Who is applying to register: the donor, or the attorney(s), not both together. If attorneys appointed jointly are applying, they all need to sign section 15. |
| Section 13 | Who do you want to receive the LPA? Choose who OPG sends the registered LPA and letters to: the donor, an attorney, or someone else, and how they prefer to be contacted. |
| Section 14 | Application fee Choose to pay by card (OPG will phone you, so do not write card details on the form) or by cheque. Tick the boxes here if you are applying for a reduced fee with form LPA120, or making a repeat application within 3 months. |
| Section 15 | Signature (application to register) The applicant from section 12 signs and dates this last, after sections 9, 10 and 11 have been signed. By signing, you confirm you have sent form LP3 to any people to notify. |
Common mistakes to avoid
- Not signing section 5, signing both options, or having section 5 signed without a witness. You must sign only one option, with a witness.
- Signing in the wrong order. Section 5 and section 9 come first, then the certificate provider signs section 10, then the attorneys sign section 11. The guide says OPG will not register the LPA if the order is wrong.
- Using an attorney or replacement attorney as the witness for the donor's signatures. The donor also cannot witness an attorney's signature.
- Choosing a certificate provider who is not allowed, such as a family member, in-law, unmarried partner, business partner or employee of the donor or an attorney, or someone who runs or works at the donor's care home.
- Signing a photocopy or using a digital signature. GOV.UK says everyone must sign the same original document.
- Leaving out pages, including blank ones. The checklist says to send every page of the LPA.
- Expecting attorneys to act while the donor still has capacity. A health and welfare LPA can only be used when the donor cannot make their own decisions.
- Forgetting to send form LP3 to the people to notify before applying to register.
Questions about LP1H
Can I make a health and welfare LPA online?
Yes. GOV.UK has an online service where you fill in the LPA and pay. You then print the LPA, everyone signs the paper copy in the right order, and you post it to OPG. GOV.UK says it is usually quicker if you make it and pay online.
What is the difference between option A and option B in section 5?
Option A lets your attorneys give or refuse consent to life-sustaining treatment for you. Option B means they cannot. With option B, doctors take into account the views of your attorneys and others interested in your welfare, and any written statement you have made.
When can my attorneys use a health and welfare LPA?
Only after OPG has registered it, and only when you do not have mental capacity to make the decision yourself.
How much does it cost to register an LP1H?
GOV.UK lists the fee as £92 for one LPA, or £184 for both types. You may pay half if the donor earns under £12,000 a year, or nothing if they get certain means-tested benefits. Check GOV.UK for the current fee before you pay.
Who can witness the signatures?
Anyone aged 18 or over, with limits. Your attorneys cannot witness your signatures in sections 5 and 9, and you cannot witness theirs. Attorneys and replacement attorneys can witness each other. A certificate provider can also act as a witness.
Do I need both an LP1H and an LP1F?
They cover different decisions. LP1H is for health and care decisions and LP1F is for money and property. You can make one or both. Each one is registered and paid for separately.
Related forms
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Sources
Checked against the official sources on 2026-10-25. PDF Editor Hub is not affiliated with the Office of the Public Guardian or any government agency. This page is general information, not legal or tax advice.
- https://www.gov.uk/government/publications/make-a-lasting-power-of-attorney
- https://assets.publishing.service.gov.uk/media/68a83d5d3a052c9c504c8d8f/20250822-LP1H-create-and-register-your-lasting-power-of-attorney.pdf
- https://www.gov.uk/government/publications/lasting-power-of-attorney-forms/lp12-make-and-register-your-lasting-power-of-attorney-a-guide-web-version
- https://www.gov.uk/power-of-attorney
- https://www.gov.uk/power-of-attorney/make-lasting-power
- https://www.gov.uk/power-of-attorney/register
- https://www.gov.uk/government/publications/power-of-attorney-fees
- https://www.gov.uk/government/organisations/office-of-the-public-guardian/about/about-our-services
- https://www.gov.uk/government/publications/opg-annual-report-and-accounts-2025-to-2026/opg-annual-report-and-accounts-2025-to-2026-web-version
- https://publicguardian.blog.gov.uk/2023/09/25/powers-of-attorney-bill-receives-royal-assent/
- https://www.lastingpowerofattorney.service.gov.uk/login