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Statute – Rhode Island Rights of the Terminally Ill Act (§ 23-4.11)
Definition – “Declaration” means a witnessed document executed in accordance with the requirements of § 23-4.11-3 or § 23-4.11-3.1 (§ 23-4.11-2).
Signing Requirements – Two (2) witnesses, not related to the principal by blood or marriage, must supervise and sign to substantiate the valid commitment (§ 23-4.11-3).
Revocation – § 23-4.11-4
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Instructions: Adobe PDF
Rhode Island Department of Health Version
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Additional Resources
- Healthcentric Advisors – Information for Patients, Families, and Caregivers
- Lifespan Health System – Living Will: Rhode Island’s Rights of the Terminally Ill Act
- Roman Catholic Diocese of Providence – End-of-Life Decisions Guide
- State of Rhode Island Department of Health – Advance Directives
- State of Rhode Island Department of Health – Medical Orders for Life-Sustaining Treatment (MOLST)
Related Forms (4)
- Advance Directive (Medical POA & Living Will)
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- MOLST Form
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Medical Orders for Life-Sustaining Treatment (MOLST) 
Download: Adobe PDF
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