Get Ne Dhhs Mltc-pb-3 2017-2025

Filling out the NE DHHS MLTC-PB-3 form is a critical step in establishing a power of attorney for health care in Nebraska. This guide will provide you with clear instructions to complete the form online efficiently and accurately.

Follow the steps to fill out the NE DHHS MLTC-PB-3 form online.

1. Click 'Get Form' button to access and open the NE DHHS MLTC-PB-3 online in your preferred document editor.
2. Enter your full name in the designated field, naming the person you choose as your attorney in fact for health care. Be sure to include their full name, address, and phone number.
3. If applicable, appoint a successor power of attorney for health care by completing the fields for their name, address, and phone number, as this ensures continuity in decision-making.
4. Initial the acknowledgment statements to confirm your understanding of the authority you are granting your attorney in fact. This section is critical as it outlines the powers you are providing.
5. If you have specific instructions regarding health care limitations or preferences, clearly detail them in the provided spaces within the form.
6. Optionally, provide directives for life-sustaining treatment and artificial nutrition and hydration, if applicable, ensuring that your attorney in fact understands your wishes.
7. Read and initial the last acknowledgment concerning the power of attorney document and its implications thoroughly.
8. Once you have completed the form, save your changes and ensure that you do not sign it until you are in the presence of two witnesses or a notary.
9. After acquiring the necessary signatures, save, download, print, or share the completed form as needed.

Complete your required documents online promptly and accurately.