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This document contains the following sections:
- Part I: Power of Attorney for Health Care
- Part II: Living Will Declaration
Laws
Statutes – Nebraska Revised Statutes – Power of Attorney for Health Care (§ 30-3401 – 30-3432) and Nebraska Revised Statutes – Rights of the Terminally Ill Act (§ 20-401 – 20.416)
Definition – “Power of attorney for health care” shall mean a power of attorney executed in accordance with sections § 30-3401 to § 30-3432, which authorizes a designated attorney-in-fact to make health care decisions for the principal when the principal is incapable (§ 30.3402).
Signing Requirements – To confirm the enforceability of the contract, corroboration by either a notary official or two (2) witnesses must be received upon the moment of endorsement. Nebraska state regulation further specifies that the witnessing parties must meet the specifications set forth in the Nebraska Revised Statutes § 30-3405 (§ 30-3404(5)).
Other Versions (9)
- AARP (Caring Connections)
- Avera Health
- Bryan Medical Center
- Five Wishes (Aging with Dignity)
- Kimball Health Services
- Nebraska Catholic Conference
- Nebraska Medicine
- Prepare for Your Care
- Spanish Version
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Kimball Health Services Version
Download: Adobe PDF
Information: Adobe PDF
Nebraska Catholic Conference Version
Download: Adobe PDF
Information: Adobe PDF
Nebraska Medicine Version (also available in Spanish/en Español)
Download: Adobe PDF
Information: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- Boone County Health Center – Advance Directives in Nebraska Guide
- Gold Crest Retirement Center – Advance Directives
- Memorial Community Health – Patient’s Rights to Make Health Care Decisions in NE
- Memorial Health Care Systems – Advance Directives
- Nebraska Department of Health and Human Services – Advance Directives Brochure
- Nebraska Department of Health and Human Services – Mental Health Advance Directive FAQs
- Nebraska Medicine – Set Up a Living Will or Power of Attorney
- Nebraska Organ Recovery – Organ Donation
- Nebraska Total Care – Advance Directives
- University of Nebraska-Lincoln – Advance Directives Guide
- University of Nebraska-Omaha – Living Wills and Advance Directives for Medical Decisions
- Whitmore Law Office – Health Care Directives
Related Forms (5)
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- Emergency Treatment Declaration
- Physician’s DNR Order
- Psychiatric Advance Directive
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Emergency Treatment Declaration (also available for a Minor)
Download: Adobe PDF
Information: Adobe PDF
Physician’s Do-Not-Resuscitate (DNR) Order
Download: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
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