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Indiana Life Prolonging Procedures Declaration - Life Support

State:
Indiana
Control #:
IN-02184-A
Format:
Word; 
Rich Text
Instant download

Description

This is a Life Prolonging Procedures Declaration, to be used in the State of Indiana. It is a statutory form requesting that life support and procedures be used if the Declarant becomes ill and can not make the decision verbally at that time.

The Indiana Life Prolonging Procedures Declaration — Life Support (ILPPD-LS) is a legal document that outlines the wishes of an individual regarding the use of life-sustaining medical treatment. This document is designed to ensure that an individual’s wishes are honored and that their healthcare team is informed of their health care goals and preferences. The ILPPD-LS allows individuals to make informed decisions about their medical care while protecting their rights to make these decisions. The ILPPD-LS covers a variety of life-sustaining treatments, including artificial nutrition and hydration (feeding tube), cardiopulmonary resuscitation (CPR), mechanical ventilation, dialysis, and intravenous fluids. The document also outlines the individual’s wishes regarding the use of other treatments, such as antibiotics, chemotherapy, and other medications. The ILPPD-LS is available in two versions: the Standard Life Support Directive and the Advanced Life Support Directive. The Standard Life Support Directive outlines the individual’s wishes regarding the use of life-sustaining treatments, such as artificial nutrition and hydration, cardiopulmonary resuscitation, mechanical ventilation, dialysis, and intravenous fluids. The Advanced Life Support Directive offers more detailed information about the individual’s wishes and preferences, such as the preferred treatment settings and the use of additional treatments, such as antibiotics and chemotherapy. The ILPPD-LS is a legally binding document that must be signed by two witnesses and notarized in order to be valid. It is important to ensure that the ILPPD-LS is up-to-date and accurately reflects the individual’s current wishes regarding their medical care.

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FAQ

An Indiana medical power of attorney, also known as 'Form 56184' or 'Health Care Representative Appointment,' grants power to one person (a ?health care representative?) to make medical decisions on another person's (a ?principal?) behalf if the latter is incapable of doing so for themselves.

What is an Indiana Medical Power of Attorney? An Indiana Medical Power of Attorney is a legal document that grants a trusted person the authority to make healthcare decisions on your behalf, such as accepting or refusing certain medical treatments and procedures, when you cannot do so.

Power of Attorney allows an individual to act as the authority for another person in specific instances. Indiana Department of Revenue (DOR) requires a Power of Attorney form (POA-1) for customers to authorize another person to have access to their information.

Ing to the new statute, the following individuals may make healthcare decisions for an incapacitated person, in order of priority: Spouse. Any adult child. Any parent.

The Indiana Living Will Act is found at Indiana Code § 16-36-4. This law allows you to write one of two kinds of advance directive. Living Will Declaration: This document is used to tell your physician and family that life - prolonging treatments should not be used so that you are allowed to die naturally.

There are four major types of powers of attorney, which include: conventional, durable, minor child, and medical.

Please note that Indiana law has very specific requirements for a Power of Attorney to be valid. The member's signature must be witnessed and attested to by a Notary Public. The Notary Public must also sign the document along with their printed name and the notarial seal.

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Indiana Life Prolonging Procedures Declaration - Life Support