Create Document
Adobe PDF
Laws
Statute – South Dakota Health Care Consent Procedures ( § 34-12C-1 – § 34-12C-9) and South Dakota Living Wills ( § 34-12D-1 – § 34-12D-29)
Definitions – “A principal may designate any other person as the principal’s attorney-in-fact or agent for health care decisions, and the attorney-in-fact shall have the authority to make any health care decision at any time during which the principal lacks capacity” (§ 59-7-2.1).
Signing Requirements – To lawfully enforce the contents of the arrangement, the document must be signed in the presence of a notary official and two suitable witnessing parties per the South Dakota Codified Laws § 34-12D-2.
Revocation – (§ 34-12D-18)
Other Versions (6)
- AARP (Caring Connections)
- eForms Version
- Five Wishes (Aging with Dignity)
- Honoring Choices
- Prepare for Your Care
- Regional Health
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Download: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- Avera Health – Advance Directives & End-of-Life Planning
- Avera Health – Personal Choices: Issues Surrounding Health Care Decisions
- Monument Health – Advance Directives
- Prairie Lakes Healthcare System – Health Care Planning Guide
- Prairie Lakes Healthcare System – Advance Medical Directives
- Sanford Health – Planning for Health Care Decisions Packet
- South Dakota Association of Healthcare Organizations – Advance Directives & Medical Orders
- South Dakota Attorney General – Durable Power of Attorney for Health Care
- South Dakota Department of Health – Advance Directives Brochure
- South Dakota Department of Health – Medical Orders for Scope of Treatment (MOST)
- South Dakota Department of Public Safety – Organ Donor Registry
- South Dakota State University – Advance Care Planning for Rural Families
- State Bar of South Dakota – Planning for Health Care Decisions
Related Forms (5)
- Advance Directive Wallet Card
- Do Not Recusitate (DNR) Form
- Durable (Financial) Power of Attorney Form
- MOST Form
- Power of Attorney for Mental Health
Download: Adobe PDF
Do Not Resuscitate (DNR) Order 
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Medical Orders for Scope of Treatment (MOST) 
(also available in Spanish/en Español)
Download: Adobe PDF
Information: Adobe PDF
Power of Attorney for Mental Health Treatment
Download: Adobe PDF
Comments