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This document contains the following sections:
- Part I: Durable Power of Attorney for Health Care
- Part II: Health Care Directive (Living Will)
- Part III: General Provisions
Laws
Statutes – Durable Power of Attorney for Health Care Act (§ 404.800 – § 404.872); Declarations, Life Support (§ 459.010 – § 459.055)
Definition – “Advance health care directive”, a power of attorney for health care or a declaration signed or authorized by an adult, containing the person’s direction concerning a health care decision (§ 459.250(1)(2)).
Signing Requirements – If the document contains a declaration regarding the withholding or withdrawal of death-prolonging procedures, then the principal must receive the acknowledgment of two (2) witnesses at the time of signing (§ 459.015(1)(4)). Although there is no statute concerning the acknowledgment of the principal’s signature when executing a durable power of attorney for health care, most advance directives will insist that they sign in the presence of a notary public to truly validate the form.
Other Versions (14)
- AARP
- Barnes-Jewish Hospital
- Center for Practical Bioethics
- Citizens Memorial Hospital
- CoxHealth
- Five Wishes (Aging with Dignity)
- Freeman Health System
- Mercy Health System
- Missouri Attorney General
- Missouri Bar
- My Living Voice
- Prepare for Your Care
- Southeast Health
- Spanish/Español
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Instructions: Adobe PDF
Barnes-Jewish Hospital Version
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Center for Practical Bioethics Version
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Citizens Memorial Hospital Version
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Five Wishes (Aging with Dignity) Version
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Information: Adobe PDF
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In Spanish: Adobe PDF
Missouri Attorney General Version
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In Spanish: Adobe PDF
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Download: Adobe PDF
Additional Resources
- Center for Practical Bioethics – Advance Directive Witnessing Rules
- Center for Practical Bioethics – Caring Conversations Workbook (for Young Adults)
- Center for Practical Bioethics – TPOPP Form (for Educational Purposes Only)
- Center for Practical Bioethics – TPOPP Guide for Health Care Providers
- Center for Practical Bioethics – TPOPP Information for Patients
- Department of Health and Senior Services – Advance Directives Information
- Mercy Health System – Advance Directive Glossary of Terms
- Mercy Health System – Advance Directives FAQ
- Mercy Health System – Advance Directives Summary
- Missouri Attorney General – Life Choices Booklet
- Missouri Attorney General – Life Planning Worksheet
- Pathways to Convergence – Catholic Perspective on Palliative Care
- Southeast Health – Advance Directives: What You Need to Know
Related Forms (5)
- Advance Directive Wallet Cards
- Durable (Financial) Power of Attorney
- HIPAA Privacy Authorization Form
- Organ & Tissue Donor Registry Enrollment Application
- Outside the Hospital Do-Not-Resuscitate (OHDNR) Order Form
Advance Directive Wallet Cards
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
HIPAA Privacy Authorization Form
Download: Adobe PDF
In Spanish: Adobe PDF
Organ & Tissue Donor Registry Enrollment Application
Download: Adobe PDF
Outside the Hospital Do-Not-Resuscitate (OHDNR) Order Form
Download: Adobe PDF
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