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Laws
Statutes – Arkansas Code – Arkansas Healthcare Decisions Act (§ 20-6-101 – 20-6-118)
Definitions – “Advance directive” means an individual instruction or a written statement that anticipates and directs the provision of health care for an individual, including without limitation a living will or a durable power of attorney for health care (§ 20-6-102(1)).
Signing Requirements – The principal’s signature must take place in front of a notary public or two (2) qualifying witnesses (§ 20-6-103(c)(1)) and § 20-17-202(a)(3)).
Revocation – § 20-6-104
Other Versions (9)
- AARP (Caring Connections)
- Arkansas Bar Assoc.
- Arkansas Law Help
- Baptist Health
- BRMC Version
- Five Wishes (Aging with Dignity)
- JRMC Version
- Prepare for Your Care
- UA for Medical Sciences Version
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Arkansas Bar Association Version
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Baxter Regional Medical Center Version
Download: Adobe PDF
Information: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Jefferson Regional Medical Center Version
Download: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
University of Arkansas for Medical Sciences Version
Download: Adobe PDF
Information: Adobe PDF
Additional Resources
- Arkansas Dept. of Health – POLST Information
- Arkansas Hospice – Advanced Care Plans
- Baptist Health – Living Will and Advanced Directive
- Christus Health – Advance Care Planning
- Donate Life Arkansas – Become a Donor
- Jefferson Regional Medical Center – Health Care Choices Guide
- University of Arkansas for Medical Sciences – Advance Medical Directives
Related Forms (5)
- Acceptance of Surrogate
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- EMS DNR Form
- POLST Form
Download: Adobe PDF
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Emergency Medical Services Do-Not-Resuscitate Order
Download: Adobe PDF
Physician Orders for Life-Sustaining Treatment (POLST)
Download: Adobe PDF
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