Maryland Uniform Healthcare Act Form

State:
Multi-State
Control #:
US-01613
Format:
Word; 
Rich Text
Instant download

Description

This form is a model example of an Advance Health Care Directive. It may not comply with the law of your state on health care directives, medical power of attorney and/or living wills - and must be adapted to the law of your state.
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FAQ

The form as a whole is called ?Maryland Advance Directive: Planning for Future Health Care Decisions.? It has three parts to it: Part I, Selection of Health Care Agent; Part II, Treatment Preferences (?Living Will?); and Part III, Signature and Witnesses.

Power of attorney for your health (Advance Directive) You can appoint someone to make medical decisions for you by completing the Maryland Advance Directive Form. Two witnesses must co-sign the form. The form does not need to be notarized.

?An advance directive allows you to decide who you want to make health care decisions for you if you are unable to do so yourself. You can also use it to say what kinds of treatments you do or don't want, especially the treatments often used in a medical emergency or near the end of a person's life. Health Care Agent.

The Act includes an optional advance directive form, allowing individuals to appoint a health care agent; specify whether or not they want life-sustaining procedures if they are in a terminal condition, persistent vegetative state, or end-stage condition; or both.

You can appoint someone to make medical decisions for you by completing the Maryland Advance Directive Form. Two witnesses must co-sign the form. The form does not need to be notarized.

Whether or not your home state calls for an official notarization by a notary public, every state in the U.S. requires your advance directive to be signed by witnesses. Some states require both witnesses and notary publics to sign advance directives.

A MOLST form contains medical orders related to a patient's current medical condition. An advance directive provides guidance to a health care practitioner but treatment decisions need to be based upon medical orders.

Nearly any adult can be a witness. If you name a health care agent, though, that person may not be a witness. Also, one of the witnesses must be a person who would not financially benefit by your death or handle your estate. You do not need to have the form notarized.

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Maryland Uniform Healthcare Act Form