The Arkansas Living Will expresses a declarant’s wishes concerning potential circumstances where the individual is incapacitated and unable to voice their health care desires. Users of the form can clarify what quality of life they deem acceptable, what treatments they want to be carried out (if they are in an unresponsive state), and whether or not they wish to be an organ donor. This is all concluded with the principal’s signature to ensure agreement with the terms of the written instrument.
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