Advance Health Care Directive Alaska

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Advance Health Care Directive Alaska – Will Forms > Alaska Will Forms | Last Will and Testament | Living Will > Health Care Directive Form (Living Will) Alaska Advance

Alaska’s advanced health care directive is a legal document that allows people to make and record their own health care decisions in writing if they are facing a terminal illness or are unable to express their health care choices. his medical team. The director can also use this document to appoint a trusted person, (and substitute if desired), to work with health care providers on their behalf if necessary. Health care representatives will be available to see if the Director’s final wishes are being followed as expressed and witnessed in the document.

Advance Health Care Directive Alaska

Advance Health Care Directive Alaska

Step 2 – Section 1 – Choose a Health Care Agent – ​​Read the definition of information required in this section, and submit:

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If the first agent is unwilling or unable to perform the duties related to this document, the Director may choose two other alternative agents from the following two sections (Optional):

If the Director wants to say specifically what the health care agent can do, he can put that information in the line provided.

At the end of this section, the Director may mark an “X” in the box next to one of the best statements that will indicate the Director’s decision when the health care agent can begin making decisions for him.

Step 2 – Section 2 – Principals can make their own health care decisions in this section. First, the Director must think about what makes his life worth living in his own opinion:

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Step 3 – Section 3 – Anatomical Donation at Death – (Optional) – This section will discuss organ and/or tissue donation – If the Director chooses not to participate, leave this section blank. The director must declare his intention:

Notary – If the Director does not have a witness or prefers to use the services of a notary –

By using this website, you consent to the use of cookies to analyze web traffic and improve your experience on our website. Ok In Alaska an advance directive is a document used by directors to choose final care options and appoint agents to make care decisions. health in their name. . . Also known as a “durable proxy for health care,” the form applies when the principal is unable to speak for himself. The agent will be empowered to act in the manner indicated in the directive.

Advance Health Care Directive Alaska

Signature Requirement (AS 13.52.010) – Two (2) witnesses or notaries. If witnesses are used, at least one (1) witness must not be related by blood or marriage.

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You have the option to make your own health care decisions and appoint someone to make your health care decisions if you are unable. This form will allow you to do one or both. Filling out this form is your choice. You may replace, cross out or add your own words to any part of this guideline. When this form is signed, dated and witnessed, it meets the legal requirements for an Advance Health Care Directive under Alaska law.

If I am unable to make my own health care decisions/choices as determined by my health care team, I trust these people to make health care choices for me. This person is at least 18 years of age and is not a health care provider or health care provider employee (unless related to birth, marriage or adoption).

If the person above is unwilling or unable to speak for me, I appoint the person below as my Alternate Health Care Agent.

To the extent permitted by Alaska law, (except as provided below) my Health Care Agent has the right to:

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4. Make medical choices for me or take legal action to fulfill my medical wishes. This desire is based on the instructions I gave in this form or what I said is important to me.

If there is ever a time when I am seriously ill and unable to make my own choices or decisions about my health care, I want my medical providers and Health Care Agents to respect and follow my written wishes even if they differ. themselves. I know that no matter what my health care options are, I will get the best care possible. If I have a terminal or serious illness, here are the things that are most important to me (most important to you first):

_____ – My longevity is most important to me even if it means I need intensive care and life support.

Advance Health Care Directive Alaska

_____ – Quality of life is more important to me. I want to avoid intensive care and life support.

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If I have a serious injury or an incurable disease, I do not want to live longer if (you can start more than one):

My end-of-life medical preferences are (which is most important to you first):

_____ – If possible, I would like to spend the last days of my life at home or in a home-like environment where family and friends can take care of me.

_____ – If possible, I would like to spend the last days of my life in a hospital or hospital.

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In the last days of my life, these are important things to know (for example, have personal messages, share how to care, play music, people you want to see and / or practice / spiritual reading): [DESCRIBED]

If my heart stops and I stop breathing (the first thing that matters to you):

______ I want CPR. I want to try to resuscitate even if I am sick or injured.

Advance Health Care Directive Alaska

______ I don’t want CPR. If my heart stops or my breathing stops, I want to allow it to die naturally.

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Life support treatment includes medical tests, blood products, surgeries, procedures, machines and/or drugs needed to prolong life.

______ I want to try life support treatment to see if I get better, but I want to stop if I don’t get better or if it clearly increases my suffering.

______ I do not want life support treatment. I want to allow a natural death and medical care to focus only on providing comfort.

If I can’t communicate or talk on my own and can’t eat food or drink liquids safely on my own (what’s most important to you first):

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______ I want to try artificial nutrition for a while to see if I get better, but I want to stop if I don’t improve.

Do not sign an Advance Health Care Directive until you are in front of a witness or a notary public.

I ask that my family, friends, and health care providers and Health Care Agents respect and honor my Advance Health Care Directive to the best of my ability in accordance with the laws of the State of Alaska. This Advance Health Care Directive will be used if/when I am unable to make my own medical decisions or speak for myself. I understand my health care rights and choices, and I sign this Advance Health Care Directive without stress or influence from others. Any Advance Health Care Directives I made before this date are no longer valid.

Advance Health Care Directive Alaska

I, the witness, know the person filling out this Advance Health Care Directive, and I am not that person’s Health Care Agent. The person above has signed this document in my presence, and it appears clearly and without pressure or influence from others.

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On this ____ day of _______________________, in the year 20____, before me, _______________________ (name of notary) appeared _______________________, I know (or prove to my satisfaction) as the person whose name subscribes to this document and is free and clear. it is born

By using this website, you consent to the use of cookies to analyze web traffic and improve your experience on our website. to handle it. final treatment and the decision if it is no longer possible. The form combines the power and living will. A durable power of attorney allows the agent to make decisions on behalf of the principal. A living will includes the principal’s medical wishes, for which the agent is responsible. The agent can make decisions for the principal (even if he is not disabled) as long as the principal includes those wishes in the form.

; The agent’s relationship with the principal does not matter, as long as they are credible. The form allows the principal to appoint one (1) or two (2) alternate agents if the original

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