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Colorado Directiva de Atención Médica - Declaración sobre...

Arvada Colorado Directiva de Atención Médica - Declaración sobre Tratamiento Médico o Quirúrgico - Testamento en Vida - Colorado Health Care Directive - Declaration as to Medical or Surgical Treatment - Living Will

Category:

Poder notarial - Cuidado de la salud - Testamentos en vida - Alaska

State:

Colorado

City:

Arvada

Control #:

CO-P021

Format:

Instant download

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Description

This is a form that is provided for in the Colorado Revised Statutes, which allows you to express your wishes and desires regarding whether or not your life is prolonged by artificial means. Any competent adult may execute a declaration directing that life sustaining procedures be withheld or withdrawn if, at some future time,
he is in a terminal condition and either unconscious or otherwise incompetent
to decide whether any medical procedure or intervention should be accepted or rejected. You can also use this form to make an anatomical gift of your organs or tissues after death. Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.

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How to fill out Colorado Directiva De Atención Médica - Declaración Sobre Tratamiento Médico O Quirúrgico - Testamento En Vida?

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Directiva de Atención Médica - Declaración sobre Tratamiento Médico o Quirúrgico - Testamento en Vida

Power of Attorney and Health Care - General - Colorado

STATUTORY REFERENCE

ALL REFERENCES ARE TO THE COLORADO REVISED STATUTES

COLORADO MEDICAL TREATMENT DECISIONS ACT

(15-18-101 through 15-18-113)

An adult is any person eighteen years of age or older.

Artificial nourishment is nourishment supplied through a tube inserted into the stomach or intestines or nutrients injected intravenously into the bloodstream.

A declarant means a mentally competent adult who executes a declaration.

A declaration is a written document voluntarily executed by a declarant in accordance with the requirements of 15-18-104.

A life sustaining procedure is any medical procedure or intervention that, if administered to a qualified patient, would serve only to prolong the dying process. Life sustaining procedure shall not include any medical procedure or intervention for nourishment of the qualified patient or considered necessary by the attending physician to provide comfort or alleviate pain.

A qualified patient is a patient who has executed a declaration and who has been certified by the attending physician and one other physician to be in a terminal condition.

A terminal condition is an incurable or irreversible condition for which the administration of life sustaining procedures will serve only to postpone the moment of death.

Any competent adult may execute a declaration directing that life sustaining procedures be withheld or withdrawn if, at some future time, he is in a terminal condition and either unconscious or otherwise incompetent to decide whether any medical procedure or intervention should be accepted or rejected. It is the responsibility of the declarant or someone acting for him to submit the declaration to the attending physician for entry in the declarant's medical record.

In the case of a declaration of a qualified patient known to the attending physician to be pregnant, a medical evaluation must be made as to whether the fetus is viable and could with a reasonable degree of medical certainty develop to live birth with continued application of life sustaining procedures. If such is the case, the declaration is given no force or effect.

Notwithstanding the provisions of a declaration, when an attending physician has determined that pain results from a discontinuance of artificial nourishment, he may order that such nourishment be provided but only to the extent necessary to provide comfort and alleviate pain.

A declaration executed before two witnesses by any competent adult is legally effective. The statutory form is not required.

In the event that the declarant is physically unable to sign the declaration, it may be signed by some other person in the declarant's presence and at his direction. A person so signing may not be:

The attending physician or any other physician; or
An employee of the attending physician or health care facility in which the declarant is a patient; or
A person who has a claim against any portion of the estate of the declarant at his death at the time the declaration is signed; or
A person who knows or believes that he is entitled to any portion of the estate of the declarant upon his death either as a beneficiary of a will in existence at the time the declaration is signed or as an heir at law.

A declaration must be signed by the declarant in the presence of two witnesses. The witnesses may not be any person set out above.

If the declarant is a patient or resident of a health care facility, no witness can be a patient of that facility.

A declaration may be revoked by the declarant orally, in writing, or by burning, tearing, canceling, obliterating, or destroying said declaration.