Content Overview
In New Hampshire, the Living Will form serves as a vital tool for individuals wishing to outline their healthcare preferences in the event they become unable to communicate their wishes. This legal document allows people to express their desires regarding medical treatments and interventions, particularly in situations involving terminal illness or irreversible conditions. By completing a Living Will, individuals can specify their choices about life-sustaining measures, such as resuscitation efforts, artificial nutrition, and hydration. Additionally, the form provides a way to designate a healthcare proxy, someone trusted to make decisions on their behalf if they are incapacitated. Understanding the nuances of this form can empower individuals to take control of their healthcare decisions and ensure that their values and wishes are honored, even when they cannot voice them directly. In a state where personal autonomy is highly valued, the Living Will represents an important step toward making informed choices about one’s end-of-life care.
New Hampshire Living Will Sample
New Hampshire Living Will
This Living Will is made in accordance with the New Hampshire Advance Directives Laws (RSA 137-J). It is a legal document that outlines the principal's healthcare preferences in situations where they are unable to communicate their decisions due to incapacity or illness. By completing this document, the principal ensures that their medical treatment preferences are known and can be followed by healthcare providers.
Principal's Information
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Address: ___________________________________________________________
City: _________________________ State: NH Zip Code: __________________
Healthcare Directives
This section allows you to specify your preferences regarding the medical treatment you wish to receive or decline in the event that you are unable to make those decisions yourself. Please indicate your choices clearly.
- Life-sustaining treatment:
- If I am in a terminal condition, I wish to (receive/decline) life-sustaining treatment that could extend my life, including but not limited to artificial respiration, cardiopulmonary resuscitation (CPR), and artificial nutrition and hydration.
- Pain relief:
- I wish to receive medication or other intervention to relieve pain, even if it hastens my death, to the extent permitted by law.
Designation of Health Care Agent
This section allows you to designate a health care agent who will make healthcare decisions on your behalf in case you are unable to do so. This agent must act in accordance with your wishes as stated in this living will.
Health Care Agent's Full Name: _______________________________________
Relationship to Principal: ___________________________________________
Primary Phone: _____________________________________________________
Alternate Phone: ___________________________________________________
Signatures
This living will must be signed in the presence of two witnesses, who must also sign and print their names and addresses. Neither witness should be the health care agent or a health care provider.
Principal's Signature: _______________________ Date: _________________
Witness #1 Signature: _______________________ Date: _________________
Print Name: ________________________________________________________
Address: ___________________________________________________________
Witness #2 Signature: _______________________ Date: _________________
Print Name: ________________________________________________________
Address: ___________________________________________________________
By signing this document, I affirm that I understand its contents and that I am creating this living will voluntarily to ensure my wishes are followed.
PDF Specs
| Fact Name | Details |
|---|---|
| Definition | A Living Will is a legal document that outlines a person's wishes regarding medical treatment in situations where they are unable to communicate their preferences. |
| Governing Law | The New Hampshire Living Will is governed by New Hampshire Revised Statutes Annotated (RSA) 137-J. |
| Eligibility | Any adult who is at least 18 years old can create a Living Will in New Hampshire. |
| Content Requirements | The document must clearly state the individual's wishes regarding life-sustaining treatment, including specific medical interventions to be withheld or withdrawn. |
| Witness Requirement | In New Hampshire, a Living Will must be signed in the presence of two witnesses who are not related to the individual or beneficiaries of their estate. |
| Revocation | A Living Will can be revoked at any time by the individual, either verbally or in writing, without any formalities. |
| Durable Power of Attorney | Individuals can also create a Durable Power of Attorney for Health Care, which allows someone to make medical decisions on their behalf if they are unable to do so. |
| Healthcare Provider Obligations | Healthcare providers are required to honor the directives outlined in a Living Will, as long as they are aware of its existence. |
| Storage Recommendations | It is advisable to keep the Living Will in a safe place and provide copies to family members, healthcare providers, and legal representatives. |
| Legal Assistance | While individuals can create a Living Will on their own, seeking legal assistance can help ensure that the document meets all legal requirements and accurately reflects one's wishes. |
Other Common New Hampshire Templates
Hold Harmless and Indemnity Agreement - With a Hold Harmless Agreement, a contractor or participant acknowledges they're taking on certain risks, thus protecting you from future lawsuits.
For anyone looking to navigate the motorcycle buying process in California, understanding the California Motorcycle Bill of Sale is essential. This form serves as an official record, ensuring that both parties are clear about the terms of the transaction. To obtain a reliable and legally compliant document, you can refer to resources like TopTemplates.info for guidance.
Acknowledgement Certificate Notary - Notary Acknowledgement forms are essential in legal transactions that require certified confirmation of a party’s signature.
New Hampshire Rental Application - This form serves as the first step in the leasing process, allowing property owners or managers to screen applicants to ensure they meet the criteria for tenancy.