Nevada Statutory Healthcare Declaration - Withholding or Withdrawing Life-Sustaining Treatment by an Appointee, Allowing Another to Make Decisions
Overview of this form
The Statutory Healthcare Declaration allows you to appoint a trusted individual to make healthcare decisions on your behalf if you are unable to do so due to an incurable and irreversible condition. This form is unique because it enables your appointed agent to make explicit decisions regarding the withholding or withdrawal of life-sustaining treatment, unlike other healthcare directives that may not provide such specific guidance.
Key parts of this document
- Appointment of an individual to make decisions for withholding or withdrawing life-sustaining treatment.
- Specification of treatment that only prolongs dying and is not necessary for comfort or pain alleviation.
- Optional decision regarding the continuation of artificial nutrition and hydration.
- Signature fields for the declarant and witnesses to validate the form.
- Provision to specify alternate agents if the primary appointee is unavailable.
Situations where this form applies
This form is necessary when you want to ensure that your healthcare wishes are respected in situations where you cannot communicate your preferences. It is particularly relevant for individuals facing terminal illnesses, those undergoing significant medical procedures, or anyone who wishes to preemptively define their end-of-life care and preferences about life-sustaining treatments.
Who needs this form
- Individuals who want to designate a healthcare decision-maker.
- Patients diagnosed with life-limiting conditions.
- People who want to clarify their wishes regarding life-sustaining treatments.
- Those seeking peace of mind that their medical care will align with their values.
Steps to complete this form
- Identify and fill in the name of the principal appointing the agent.
- Appoint an individual to make healthcare decisions in the case of your incapacity.
- Decide and indicate your wishes regarding the withholding or withdrawal of life-sustaining treatments.
- Ensure to initial the statement if you want to include or exclude artificial nutrition and hydration.
- Sign and date the form in the presence of witnesses as required.
Notarization requirements for this form
In most cases, this form does not require notarization. However, some jurisdictions or signing circumstances might. US Legal Forms offers online notarization powered by Notarize, accessible 24/7 for a quick, remote process.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Typical mistakes to avoid
- Failing to appoint an alternate agent if the primary is unavailable.
- Not initialing the statement regarding artificial nutrition and hydration when that decision is important.
- Skipping required witness signatures, which may invalidate the form.
- Using outdated versions of the form that do not comply with current statutory requirements.
Why complete this form online
- Convenience of downloading and storing your form securely.
- Editability allows you to customize the form to match your specific wishes easily.
- Access to reliable, attorney-drafted content ensures you are using an up-to-date and legally valid form.
- Time-saving compared to visiting a legal office for form preparation.
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FAQ
After I complete an advance directive, can I revoke it? Yes. You can revoke your living will or appointment of a health care representative at any time.
Talk to your agent. Talk to the person or persons you want to make decisions for you so they: Write your personal directive. You have 2 options: Sign it. You and a witness have to sign the personal directive to make it a legal document. Give out copies.
The name and contact information of your healthcare agent/proxy. Answers to specific questions about your preferences for care if you become unable to speak for yourself. Names and signatures of individuals who witness your signing your advance directive, if required.
An advance directive also allows you to express your values and desires related to end-of-life care. You might think of it as a living documentone that you can adjust as your situation changes because of new information or a change in your health.
A breathing machine, CPR, and artificial nutrition and hydration are examples of life-sustaining treatments. Living willAn advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.
You can get the forms in a doctor's office, hospital, law office, state or local office for the aging, senior center, nursing home, or online. When you write your advance directive, think about the kinds of treatments that you do or don't want to receive if you get seriously hurt or ill.
A living will tells your health care provider what types of treatment you want or don't want should you become incapacitated.However, another type of advance directive a medical power of attorney puts these decisions in someone else's hands.
A person can change an Individual Healthcare Instruction by writing a new Advance Directive with the changes in it that she wants to make.A person can also revoke their Advance Directive orally, by telling their healthcare provider that they no longer want either the entire document or any parts of it enforced.
The living will. Durable power of attorney for health care/Medical power of attorney. POLST (Physician Orders for Life-Sustaining Treatment) Do not resuscitate (DNR) orders. Organ and tissue donation.
