North Dakota Advance Directive Form (Medical POA & Living Will)

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The North Dakota Advance Directive confirms preordained selections regarding an individual’s medical treatment(s) in preparation for an unforeseen occurrence that could leave one unable to communicate their choices. Documenting preferences regarding possible health care courses of action is a standard measure to formulate a plan should a medical scenario arise where the principal party cannot speak for themselves. The arrangement allows the declarant to assess their desires concerning life-sustaining treatment and pain management. It also covers an outline of their spiritual or religious beliefs and anatomical gift expectations to better assist a physician in understanding the needs and wants of the patient. The form provides additional space to designate an appointed attorney-in-fact to make decisions not listed within the agreement officially should the principal be deemed incapacitated. Taking steps to complete the advance directive is a smart and effective way to make known one’s wishes in the event of an unanticipated medical development.

Other Versions (9)

AARP (Caring Connections) Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 


Altru Health System Version

Download: Adobe PDF

 

 

 


eForms Version

Download: Adobe PDF, MS Word (.docx)
Information: Adobe PDF

 

 


Five Wishes (Aging with Dignity) Version

Download: Adobe PDF
Information: Adobe PDF

 

 


Honoring Choices Version

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National Resource Center on Psychiatric Advance Directives Version

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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

Related Forms (3)

Advance Directive Wallet Card

Download: Adobe PDF

 

 

 


Durable (Financial) Power of Attorney

Download: Adobe PDF

 

 

 


Physician Orders for Life-Sustaining Treatment (POLST)

Download: Adobe PDF