Free Nevada Living Will Form | PDF

Nevada Living Will Form

A Nevada Living Will presents a structured account transcribing one’s choices concerning healthcare treatment options. The form allows a principal party to register their preferences on various medical scenarios to create a record for physicians should the patient become incapacitated.

Last updated October 29th, 2024

A Nevada Living Will presents a structured account transcribing one’s choices concerning healthcare treatment options. The form allows a principal party to register their preferences on various medical scenarios to create a record for physicians should the patient become incapacitated.

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Registering a Living Will in NV

All living will documents must then be secured with the state’s Nevada Lockbox, an online system designed to accept and store the legal commitment.

Step 1 – Complete the Living Will Form

The declaring party can fill the legal agreement as they see fit, initialing and signing where necessary. The document will then need to be signed before two (2) acceptable witnesses, and they must also provide signatures to substantiate the event.

Step 2 – Complete the Advance Registration Agreement Form

Fill the Advance Directive Registration Agreement form with all requested information. Endorsements from the principal and the person who prepared the document (if applicable) must be applied where indicated.

Step 3 – Submit All Forms to the Secretary of State

Once the living will and registration agreement are finalized, they can be submitted in one of the following manners:

By Mail:
Nevada Lockbox
c/o Nevada Secretary of State Barbara K. Cegavske
2250 Las Vegas Blvd. North, Suite 400
North Las Vegas, NV 89030

OR

By Fax:

(775) 684-7177

After sending the forms, they will be received and reviewed for approval. Acceptance from the state will effectively instate and register the legal understanding.

Other Versions

Nevada Living Will – Version 1

Download: Adobe PDF

 

 

 


Spanish Version

Download: Adobe PDF

 

 

 

Additional Resources

Related Forms (7)

Advance Directive (Medical POA & Living Will)

Download: Adobe PDF

 

 

 


Advance Directive for Psychiatric Care

Download: Adobe PDF

 

 

 


Advance Directive Registration Agreement

Download: Adobe PDF

 

 

 


Advance Directive Wallet Card

Download: Adobe PDF

 

 

 


Durable (Financial) Power of Attorney

Download: Adobe PDF

 

 

 


Do-Not-Resuscitation (DNR) Identification Application – Adult Form (also available for a Minor)

Download: Adobe PDF
Instructions: Adobe PDF

 

 


Provider Order for Life-Sustaining Treatment (POLST) (also available in Spanish/en Español)

Download: Adobe PDF

 

 

 

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