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Rhode Island Statutory Equivalent of Living Will or Declaration

Rhode Island Statutory Equivalent of Living Will or Declaration

Category:

Power of Attorney - Healthcare - Living Wills

State:

Rhode Island

Control #:

RI-P024

Format:

Instant download

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What is this form?

The Statutory Equivalent of Living Will or Declaration is a legal document that allows individuals to outline their preferences for medical treatment at the end of life. This form enables you to specify whether you want to prolong your life through artificial means when facing an incurable condition. Unlike general medical power of attorney documents, this declaration focuses specifically on your wishes related to life-sustaining treatment when you cannot communicate these decisions yourself.

What’s included in this form

Declarant's identity: Name of the individual making the declaration.
Condition trigger: Specifies the condition under which the declaration applies.
Instructions: Clearly indicates whether to withhold or withdraw artificial feeding, with options to check.
Signature of the declarant: Confirms the individual's intent and understanding.
Witness signatures: Required to validate the declaration, including witnesses' names and addresses.

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When this form is needed

This form should be used if you want to ensure that your medical treatment preferences are known and respected in the event that you become unable to communicate your wishes due to a terminal illness or incurable condition. It is especially important for individuals with serious health issues or those who wish to take proactive steps in planning their end-of-life care.

Intended users of this form

Individuals facing chronic or terminal illnesses.
Anyone who wants to express their preferences regarding life-sustaining treatment.
Adults of sound mind who wish to ensure their health care decisions align with their values.

How to prepare this document

Identify yourself: Fill in your full name at the designated space.
State your preferences: Specify the conditions under which you do not wish to have your life prolonged.
Choose options: Indicate whether you want to include or exclude artificial feeding by checking the appropriate box.
Sign the document: Provide your signature to validate the declaration.
Obtain witnesses: Have at least two witnesses sign and provide their addresses, ensuring they meet requirements set forth by Rhode Island law.

Notarization requirements for this form

This form does not typically require notarization unless specified by local law. However, ensuring that it is signed in the presence of witnesses is crucial for its validity.

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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.

Avoid these common issues

Not having the required number of witness signatures.
Failing to specify conditions under which the declaration applies.
Not checking the appropriate options regarding artificial feeding.
Neglecting to keep a copy of the completed form for personal records.

Benefits of completing this form online

Convenience: Access and download the form from anywhere at any time.
Editability: Tailor the document to your specific needs by filling in your preferences easily.
Reliability: Ensure that the form is legally compliant and created by licensed attorneys.

Legal use & context

Valid in Rhode Island under the corresponding state law.
Enforceable as a directive for healthcare providers regarding treatment preferences.
Applicable in situations where the declarant is unable to communicate their wishes due to medical conditions.

Quick recap

The Statutory Equivalent of Living Will or Declaration expresses your healthcare preferences.
Use this form to avoid confusion among family members and healthcare providers about your wishes.
Make sure all fields are completed and signed in the presence of witnesses to ensure legality.

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Definitions A "declaration" is a witnessed document executed in accordance with the requirements of §23-4.11-3. A "health care provider" is a person who is licensed, certified, or otherwise authorized by the law of this state to administer health care in the ordinary course of business or practice of a profession. "Life sustaining procedure" is any medical procedure or intervention that, when administered to a qualified patient, will serve only to prolong the dying process. "Life sustaining procedure" does not mean any medical procedure or intervention considered necessary by the attending physician to provide comfort and care or alleviate pain. A "qualified patient" is a patient who has executed a declaration in accordance with Rhode Island law and who has been determined by the attending physician to be in a terminal condition. A "terminal condition" is an incurable or irreversible condition that, without the administration of life sustaining procedures, will, in the opinion of the attending physician, result in death. The Declaration A competent individual eighteen years of age or older may at any time execute a declaration concerning the withholding or withdrawal of life sustaining procedures. The declaration must be signed by the declarant, or another at the declarant's direction in the presence of two subscribing witnesses who are not related to the declarant by blood or marriage. A physician or other health care provider who is provided a copy of the declaration must make that declaration a part of the declarant's medical record. A declaration is effective ONLY when:

The declaration is communicated to the attending physician; The declarant is determined by the attending physician to be in a terminal condition; and The declarant is unable to make treatment decisions.

Form The statutory form is not required. Revocation "A declaration may be revoked at any time and in any manner by which the declarant is able to communicate an intent to revoke, without regard to mental or physical condition." A revocation is only effective as to the attending physician or any health care provider upon communication to that physician or health care provider by the declarant or by another who witnessed the revocation. The attending physician or health care provider must make the revocation a part of the declarant's medical record. A revocation is only effective as to the attending physician or any health care provider or emergency medical services personnel upon communication to that physician health care provider or emergency medical services personnel by the declarant or by another who witnessed the revocation. Inconsistency With Durable Power of Attorney If there is an inconsistency between a declaration executed pursuant to this chapter and a durable health care power of attorney executed pursuant to chapter 4.10, both of which have been executed by the same person, the latter executed document shall control as to any inconsistent provision. Presumption of Validity A physician or health care provider or emergency medical services personnel may presume, in the absence of actual notice to the contrary, that a declaration complies with the requirements of Rhode Island law and is valid. Note: All Information and Previews are subject to the Disclaimer located on the main forms page, and also linked at the bottom of all search results.

The declaration is communicated to the attending physician; The declarant is determined by the attending physician to be in a terminal condition; and The declarant is unable to make treatment decisions.

Rhode Island Statutory Equivalent of Living Will or Declaration

This form is part of a form package!

What is this form?

What’s included in this form

Related forms

When this form is needed

Intended users of this form

How to prepare this document

Notarization requirements for this form

Get your form ready online

Avoid these common issues

Benefits of completing this form online

Legal use & context

Quick recap

Looking for another form?

Viewed forms

Form popularity

Explore more forms

Trusted and secure by over 3 million people of the world’s leading companies

Rhode Island Statutory Equivalent of Living Will or Declaration

This form is part of a form package!

What is this form?

What’s included in this form

Related forms

When this form is needed

Intended users of this form

How to prepare this document

Notarization requirements for this form

Get your form ready online

Avoid these common issues

Benefits of completing this form online

Legal use & context

Quick recap

Looking for another form?

Viewed forms

Form popularity

Rhode Island Statutory Equivalent of Living Will or Declaration Related Searches

Explore more forms

Trusted and secure by over 3 million people of the world’s leading companies