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This document contains the following sections:
- Part I: Appointment of Health Care Agent
- Part II: Health Care Instructions
- Part III: Anatomical Gifts
Laws
Definition – “Health care directive” means a written instrument that complies with this chapter and includes one or more health care instructions, a power of attorney for health care, or both (§ 23-06.5-02(5)).
Signing Requirements – This document is classified as enforceable upon execution by the declarant, assigned agent, and either a notary or two (2) subscribing witnesses (§ 23-06.5-05).
Revocation – § 23-06.5-07
Other Versions (9)
- AARP (Caring Connections)
- Altru Health
- eForms Version
- Five Wishes (Aging with Dignity)
- Honoring Choices
- NRC-PAD Version
- ND Catholic Conference
- ND Medical Assoc.
- Prepare for Your Care
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF, MS Word (.docx)
Information: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
National Resource Center on Psychiatric Advance Directives Version
Download: Adobe PDF
North Dakota Catholic Conference Version
Download: Adobe PDF
North Dakota Medical Association Version
Download: Adobe PDF
Information: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Additional Resources
- Hospice Red River Valley – Advance Care Planning
- Honoring Choices ND – FAQ: North Dakota POLST
- North Dakota Catholic Conference – Guide to Health Care Directives
- Sakakawea Medical Center – Advance Directives Guide
Related Forms (3)
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Physician Orders for Life-Sustaining Treatment (POLST)
Download: Adobe PDF
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