Jump Links
In North Dakota, individuals have the opportunity to express their healthcare preferences through a Living Will, an essential legal document that outlines one's wishes regarding medical treatment in situations where they may be unable to communicate their decisions. This form allows individuals to specify their desires concerning life-sustaining measures, such as resuscitation and artificial nutrition, in the event of terminal illness or irreversible conditions. By completing a Living Will, individuals can ensure that their healthcare providers and loved ones are aware of their preferences, thereby reducing the burden on family members during difficult times. The process of creating a Living Will involves careful consideration of personal values and beliefs about end-of-life care. Importantly, the form must be signed and dated in the presence of witnesses to be legally valid, ensuring that the individual's wishes are respected and upheld. Understanding the implications of this document is crucial for anyone seeking to make informed decisions about their medical care in advance.
Sample - North Dakota Living Will Form
North Dakota Living Will Template
This North Dakota Living Will Template is designed to help residents of North Dakota create a living will that clearly expresses their wishes regarding medical treatment in the event they are unable to communicate those wishes themselves. It is crafted in accordance with the North Dakota Century Code §23-06.5, which governs advance directives and living wills in the state.
To create your living will, fill in the blanks with the required information. It's recommended that you consult with a legal professional to ensure that your document fully reflects your wishes and complies with North Dakota law.
Personal Information
Full Name: ___________________________________________
Date of Birth: ________________________________________
Address: _____________________________________________
City: _________________________________________________
State: North Dakota
Zip Code: ____________________________________________
Declaration
I, ______________________ (full name), born on __________________ (date of birth), residing at _____________________________________________ (address) in the city of ____________________, North Dakota, being of sound mind, hereby voluntarily make known my wishes concerning my medical care, appoint a healthcare agent, and provide instructions for healthcare decisions should I become incapable of making healthcare decisions for myself.
Healthcare Agent
In the event that I am unable to make my own healthcare decisions, I designate the following individual as my healthcare agent:
Name: ___________________________________________
Relationship: _____________________________________
Phone Number: ____________________________________
Alternate Phone Number: ___________________________
This healthcare agent will have the authority to make all healthcare decisions for me, including decisions about refusing or withdrawing life-sustaining treatment, in accordance with North Dakota law and the guidelines I have provided in this living will.
Life-Sustaining Treatment
I direct that my healthcare providers and healthcare agent follow the instructions below concerning the initiation, continuation, withholding, or withdrawal of life-sustaining treatment:
- If I am in a terminal condition, , life-sustaining treatment that only prolongs the moment of my death.
- If I am in a persistent vegetative state, , life-sustaining treatment.
- If I am in a condition of permanent unconsciousness, , life-sustaining treatment.
Additional Instructions
You may add any specific wishes or instructions concerning your health care in the space below:
Signature
By my signature below, I affirm that I am a resident of North Dakota, over the age of eighteen years, and fully understand the contents of this document. I am not under any duress or undue influence to make this living will. This document expresses my legal and binding wishes regarding my health care.
Date: ___________________________________
Signature: ______________________________
Witness Section
This document was signed in my presence on the date above by ________________________ (name of declarant). The declarant appears to be of sound mind and not under duress, fraud, or undue influence.
Name of Witness: _______________________________
Address of Witness: _____________________________
Signature of Witness: ____________________________
Date: ___________________________________________
PDF Overview
| Fact Name | Description |
|---|---|
| Purpose | A North Dakota Living Will outlines an individual's wishes regarding medical treatment in case they become unable to communicate their preferences. |
| Governing Law | The North Dakota Living Will is governed by North Dakota Century Code, Chapter 23-06.5. |
| Eligibility | Any adult resident of North Dakota can create a Living Will to ensure their healthcare preferences are respected. |
| Signature Requirements | The document must be signed by the individual and witnessed by at least two individuals who are not related by blood or marriage. |
| Revocation | A Living Will can be revoked at any time by the individual, either verbally or in writing, ensuring their autonomy over healthcare decisions. |
Other Popular North Dakota Forms
Vehicle Bill of Sale North Dakota - Encourages a clear understanding between the parties involved by laying out the agreement in simple terms.
Last Will and Testament Vs Living Will - Creating this document is a proactive step towards responsible financial planning and safeguarding one's financial legacy.
Understanding the importance of the Florida Do Not Resuscitate Order form is crucial for making informed healthcare decisions; this legal document not only provides clarity during emergency medical situations but also respects the individual's wishes. For those seeking more information about this form, resources such as All Florida Forms can be invaluable in navigating the process.
North Dakota Homeschool Association - In many areas, the letter provides legal protection for parents, clarifying their educational choice and safeguarding against truancy claims.