Free New Hampshire Advance Directive Form (Medical POA & Living Will) | PDF

New Hampshire Advance Directive Form (Medical POA & Living Will)

A New Hampshire Advance Directive is the standardized paperwork to officially recognize defined selections regarding an individual’s medical preferences. The form is provided as a formal conveyance of desires in case health issues arise, leaving the patient unable to communicate their wishes.

Last updated October 28th, 2024

A New Hampshire Advance Directive is the standardized paperwork to officially recognize defined selections regarding an individual’s medical preferences. The form is provided as a formal conveyance of desires in case health issues arise, leaving the patient unable to communicate their wishes.

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This document contains the following sections:

Other Versions (6)

AARP (Caring Connections) Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 


Catholic Diocese of Manchester Version (also available in Spanish/en Español)

Download: Adobe PDF
Information: Adobe PDF

 

 


Five Wishes (Aging with Dignity) Version

Download: Adobe PDF
Information: Adobe PDF

 

 


New Hampshire Foundation for Healthy Communities 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

 

 

 


Well Sense Health Version

Download: Adobe PDF

 

 

 

Additional Resources

Related Forms (4)

Advance Directive Wallet Card

Download: Adobe PDF

 

 

 


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 

 


Portable Do Not Attempt Resuscitation (P-DNR) Order (also available in Spanish/en Español)

Download: Adobe PDF

 

 

 


Provider Orders for Life-Sustaining Treatment (POLST)

Download: Adobe PDF

 

 

 

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