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Do I needs a doctors recommendation and a lawyer. What if the parent is very uncooperative and combative?

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You can't get a POA from a person with dementia. You see a lawyer and you pursue a Guardian or Conservator appointment in court.
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I agree with Windyridge above, your parent would need to be able to understand the wording in a Power of Attorney. Attorneys will refuse to have someone sign if that Attorney feels the person isn't competent.
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Your parent must be judged mentally competent to assign a POA. It doesn't sound like they are. You may want to look into legal guardianship.
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