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Statutes – Title 18-C, Article 5, Part 8: Uniform Health Care Decisions Act (§ 5-801 – § 5-817)
Definition – “Advance health care directive” means an individual instruction from, or a power of attorney for health care by, an individual with capacity (§ 5-802(1)).
Statutory Form – § 5-805
Signing Requirements – Acknowledgment of Two (2) Witnesses (§ 5-803(2))
Revocation – § 5-804
Other Versions (5)
Download: Adobe PDF
Instructions: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- Adult Mental Health Services – Mental Health Advance Directives Guide
- Central Maine Healthcare – Advance Care Planning Checklist
- Disability Rights Center – Planning for Mental Health Care
- Downeast Surgery Center – Taking Charge of Your Health Care
- Maine Hospice Council – Informative POLST Rollout Letter
- Maine Hospital Association – Facts About Health Care Advance Directives
- Northern Light Mercy Hospital – Advance Directive Information
Related Forms (6)
- Advance Directive for Mental Health Care
- Advance Directive Wallet Cards
- Do-Not-Resuscitate (DNR) Directive
- Durable (Financial) Power of Attorney
- EMS Comfort Care/Do-Not-Resuscitate Order
- Physicians Orders for Life-Sustaining Treatment (POLST) Form
Advance Directive for Mental Health Care
Download: Adobe PDF, MS Word (.docx)
Guide: Adobe PDF
Advance Directive Wallet Cards
Download: Adobe PDF
Do-Not-Resuscitate (DNR) Directive
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
EMS Comfort Care/Do-Not-Resuscitate Order
Download: Adobe PDF
Instructions: Adobe PDF
Physicians Orders for Life-Sustaining Treatment (POLST) Form
Download: Adobe PDF
Release Form: Adobe PDF
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