Laws
Definition – “Declaration” means a writing executed in accordance with the requirements of § 449A.433 (§ 162A.730).
Signing Requirements – Two (2) eligible witnessing parties must be made available on location at the moment of the document’s execution. Alternatively, at the principal’s discretion, notarization of the form by a licensed official can be performed instead of approved witnesses (§ 162A.790-2).
Revocation – § 162A.820
Registering a Medical Power of Attorney in NV
Nevada Lockbox is Nevada’s governmental electronic database used to establish and safeguard medical powers of attorney, living wills, advanced directives, and POLST. Each of these forms must be delivered to the state for approval with the necessary registration paperwork to put the arrangement(s) into effect.
Step 1 – Complete the Medical Power of Attorney Form
Enter the information requested within the medical POA on the principal, designated agent, alternate agents, duration, and limitations. Supply endorsements in the provided spaces with the aid of either a notary or two (2) acceptable witnessing parties.
Step 2 – Complete the Advance Registration Agreement Form
Download the Advance Directive Registration Agreement form and fill out the paperwork as directed. Sign in the specified areas and attach the form to the medical POA.
Step 3 – Submit All Forms to the Secretary of State
Once all the documents are finalized, prepare them for submission by employing one of the following methods:
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
The secretary of state’s office may take up to ten (10) full business days to accept and upload the agreement to the system. A wallet card will be issued to the principal by mail, along with instructions for online access to the document(s).
Other Versions (4)
Carson Tahoe Regional Health Care Version
Download: Adobe PDF
Nevada Aging and Disability Services Division Version
Download: Adobe PDF
South Lyon Medical Center Version
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Additional Resources
- Deciding Tomorrow Today Nevada – Advance Directives Toolkit
- FreedomCare Nevada – What are the Medical Power of Attorney Laws in NV?
- Jay R. Larsen, Esq. – Nevada Power of Attorney
- Nevada Secretary of State – About Advance Directive Registry
- Nevada Secretary of State – File Advance Directive
- Nevada Secretary of State – Guide to Filing with the NV Living Will Lockbox
- State Bar of Nevada – Power of Attorney Forms Informational Brochure
Related Forms (7)
- Advance Directive for (Medical POA & Living Will)
- Advance Directive for Psychiatric Care
- Advance Directive Registration Agreement
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- DNR Identification Application
- POLST Form
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Advance Directive for Psychiatric Care
Download: Adobe PDF
Advance Directive Registration Agreement
Download: Adobe PDF
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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