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This document contains the following sections:
- Part I: Durable Power of Attorney for Health Care Decisions
- Part II: Instructions for Health Care
- Part III: Anatomical Gift at Death
- Part IV: Mental Health Treatment
- Part V: Primary Physician
Laws
Statutes – Alaska Statutes – Health Care Decisions Act (§ 13.52.010 – 13.52.025)
Definition – “Advance health care directive” means an individual instruction or a durable power of attorney for health care (§ 13-52-390(1)).
Signing Requirements – A licensed notary public or two (2) witnesses must oversee the event to provide a valid record of acceptance of all necessary endorsements (§ 13.52.010(b)).
Revocation – § 13.52.020
Other Versions (6)
- AARP (Caring Connections)
- ANTHC Version
- Five Wishes (Aging with Dignity)
- Lifecare Directives Version
- Prepare for Your Care
- Providence St. Joseph Health
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Alaska Native Tribal Health Consortium Version
Download: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Providence St. Joseph Health Version (also available in Spanish/en Español)
Download: Adobe PDF
Information: Adobe PDF
Additional Resources
- Alaska Law Help – Alaska Advance Health Care Directive
- Alaska Law Help – Completing a Power of Attorney
- Alaska Native Tribal Health Consortium – Advance Care Planning Conservation Guide
- Alaska Native Tribal Health Consortium – Advance Planning Brochure
- Alaska State Medical Association – POLST Patient Guide
- Providence St. Joseph Health – Advance Directive Multimedia Library
- Sitka Community Hospital – Advance Directive
Related Forms (4)
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- Mental Health Care Advance Directive
- POLST Form
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Mental Health Care Advance Directive Form
Download: Adobe PDF
Physician Orders for Life-Sustaining Treatment (POLST) Form
Download: Adobe PDF
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