Laws
Definitions – § 20-17-202
Signing Requirements – Must be either notarized or witnessed by at least two (2) witnessing individuals (§ 20-17-202(3)).
Revocation – § 20-17-204
Other Versions (3)
Arkansas Bar Association Version
Download: Adobe PDF
Jefferson Regional Medical Center Version
Download: Adobe PDF
University of Arkansas for Medical Sciences Version
Download: Adobe PDF
Additional Resources
- Arkansas Dept. of Health – POLST Information
- Arkansas Law Help – Living Wills
- Baptist Health – Living Will and Advanced Directive
- University of Arkansas for Medical Sciences – Advance Medical Directives
Related Forms (7)
- Acceptance of Surrogate
- Advance Directive
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- EMS DNR Form
- Medical Power of Attorney
- POLST Form
Download: Adobe PDF
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
Download: Adobe PDF
Physician Orders for Life-Sustaining Treatment (POLST)
Download: Adobe PDF
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