Homepage Attorney-Verified Arkansas Living Will Template
Article Guide

In the realm of elder care and end-of-life planning, the Arkansas Living Will form emerges as a critical document designed to uphold the autonomy and personal healthcare wishes of individuals. Anchored in the value of self-determination, this legal instrument allows individuals to outline their preferences regarding medical treatment in scenarios where they are unable to communicate decisions due to incapacitation. Functioning under the laws of Arkansas, the Living Will encompasses decisions about life-sustaining treatment, including but not limited to the use of ventilation, resuscitation, and artificial hydration and nutrition. By providing a structured avenue for individuals to convey their healthcare directives in advance, the form plays a pivotal role in both guiding healthcare providers and alleviating the decision-making burden from family members during emotionally charged moments. This document not only reflects an individual's healthcare preferences but also ensures that these preferences are honored, thereby embodying a vital aspect of patient rights and ethical medical practice in Arkansas.

Sample - Arkansas Living Will Form

Arkansas Living Will Template

This Living Will is designed to comply with the Arkansas Rights of the Terminally Ill or Permanently Unconscious Act. It allows you to express your wishes about medical treatment in the event that you cannot communicate your decisions due to illness or incapacity. Completion of this document affirms your right to accept or refuse medical care and to make your wishes known to your family, friends, and healthcare providers.

Part I: Personal Information

  • Full Name: ___________________________________________________
  • Date of Birth: ________________________________________________
  • Address: _____________________________________________________
  • City, State, Zip Code: _________________________________________
  • Phone Number: ________________________________________________

Part II: Declaration

I, ________________________ [insert your name], being of sound mind, willfully, and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, and I declare:

  1. If at any time I should have an incurable and irreversible condition that has been diagnosed by two (2) physicians and where the application of life-sustaining treatment would serve only to artificially prolong the dying process, I direct that such treatment be withheld or withdrawn, and that I be permitted to die naturally.
  2. If I am in a permanent vegetative state or terminally ill and unable to communicate my wishes, I prefer to receive only treatment that is necessary for my comfort and the alleviation of pain.
  3. I understand the full import of this declaration and I am emotionally and mentally competent to make this decision.

Part III: Signatures

This document must be signed by the declarant in the presence of two (2) witnesses, who also need to sign the document.

__________________________________
Signature of Declarant
Date: ______________________________

Witness 1: ___________________________________
Date: ______________________________

Witness 2: ___________________________________
Date: ______________________________

Part IV: Notarization (Optional)

This Living Will does not require notarization to be legally valid in Arkansas. However, notarization can help authenticate the document if its validity is ever challenged.

Notary Public: ________________________________________
Date: _________________________________________________

State of Arkansas)
County of _______________________)

On this day, ________________________, before me, ________________________________________ (name of notary), personally appeared ____________________________ (name/s of individual/s), known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained.

In witness whereof, I hereunto set my hand and official seal.

__________________________________
Notary Seal

PDF Form Information

The Living Will may be revoked at any time by the declarant, irrespective of their physical or mental condition, through various methods including a written revocation, oral statement, or destruction of the document.
Fact Description
Purpose of the Arkansas Living Will Allows an individual to outline their wishes regarding medical treatment in circumstances where they are unable to communicate their decisions themselves.
Governing Law The Arkansas Rights of the Terminally Ill or Permanently Unconscious Act, codified at Ark. Code Ann. §§ 20-17-201 to 20-17-217, governs the creation and execution of Living Wills in Arkansas.
Requirements for Validity To be considered valid, the form must be signed by the declarant in the presence of two witnesses, who must also sign the document. Neither witness can be the person appointed as the healthcare agent.
Revocation

How to Write Arkansas Living Will

A Living Will is a vital document that allows individuals to outline their wishes regarding medical treatment in the event they are unable to communicate their decisions due to illness or incapacity. In Arkansas, filling out a Living Will form is a straightforward process that empowers you to specify the kind of life-sustaining treatments you would or would not want to receive. It’s a proactive step toward ensuring your healthcare preferences are known and respected. Below are the steps to fill out the Arkansas Living Will form, designed to guide you through each part of the form clearly and efficiently.

  1. Begin by entering your full legal name at the top of the document to identify yourself as the principal creating the Living Will.
  2. In the section provided, specify your primary healthcare decisions regarding life-sustaining treatments, including the use of mechanical ventilation, tube feeding, and other medical interventions. Indicate whether you wish to receive such treatments, decline them, or limit their duration.
  3. Address the issue of pain relief medication. Clarify if you would like to receive medication to alleviate pain or discomfort, even if it could potentially hasten your death.
  4. If applicable, appoint a Healthcare Proxy or Agent. This should be someone you trust to make healthcare decisions on your behalf if you’re unable to do so. Include their full name, relationship to you, and contact information.
  5. Some sections may require you to make selections by checking boxes. Carefully read each statement and mark your preferences accordingly.
  6. Review the document thoroughly to ensure all information is accurate and reflects your wishes. Remember, this document will only come into effect under the circumstances you’ve specified, when you cannot communicate your healthcare preferences yourself.
  7. Sign and date the Living Will in the presence of two witnesses or a notary public. Your witnesses must not be related to you by blood or marriage and should not stand to benefit from your estate.
  8. After completing and signing the form, distribute copies to key individuals, including your healthcare proxy (if you’ve appointed one), family members, and your primary care physician to ensure your wishes are known and can be followed.
  9. By completing the Arkansas Living Will form, you’re taking a significant step in managing your future healthcare. This document will serve as a clear guide for your loved ones and healthcare providers in difficult times, ensuring your healthcare preferences are respected. Remember to store it in a safe but accessible place and inform those close to you where it can be found.

Key Details about Arkansas Living Will

What is a Living Will form in Arkansas?

A Living Will form in Arkansas is a legal document that allows individuals to outline their wishes regarding medical treatment and interventions if they become incapacitated and unable to communicate those decisions themselves. It typically includes preferences on life-sustaining treatments, artificial hydration, and nutrition.

Who should have a Living Will?

Any adult individual who wishes to make their health care preferences known in advance should consider completing a Living Will. It is particularly important for those facing surgery, with a chronic illness, or with strong feelings about certain medical treatments.

How can I create a Living Will in Arkansas?

Creating a Living Will in Arkansas involves drafting a document that specifies your health care wishes. This document needs to meet state-specific requirements, such as being signed in the presence of witnesses or a notary. Templates or services by legal professionals can help ensure that the document is valid.

Do I need a lawyer to make a Living Will in Arkansas?

No, you do not need a lawyer to make a Living Will in Arkansas, but consulting with one can help ensure that the document accurately reflects your wishes and meets all legal requirements.

Can I change my Living Will?

Yes, you can change your Living Will at any time. To do so, you should create a new document that reflects your current wishes and comply with Arkansas law regarding the revocation of the previous document.

What happens if I don't have a Living Will?

If you do not have a Living Will, decisions about your medical care will be left to your family members or, if unavailable, to medical professionals. This may result in treatments being carried out or withheld contrary to what you might have wanted.

Is a Living Will the same as a Last Will and Testament?

No, a Living Will is not the same as a Last Will and Testament. A Living Will concerns decisions about healthcare and medical treatments when you are incapacitated, while a Last Will and Testament addresses the distribution of your property after your death.

Do healthcare providers in Arkansas have to follow my Living Will?

Yes, healthcare providers in Arkansas are generally required to follow the wishes outlined in a valid Living Will, provided that the medical scenarios it addresses are currently applying to the patient's situation.

How does a Living Will affect my family?

A Living Will can help prevent disagreements among family members by making your healthcare preferences clear. It also relieves your loved ones from the burden of making difficult decisions on your behalf.

Can my Living Will include conditions for mental health treatment?

Yes, you can include preferences regarding mental health treatment in your Living Will. However, the specificity and enforceability of such requests can vary, so it may be wise to consult a professional when drafting these portions of your document.

Common mistakes

When filling out the Arkansas Living Will form, individuals often overlook critical steps or make mistakes that can significantly impact the document's validity or effectiveness. Understanding these common errors can help you avoid them, ensuring that your living will reflects your wishes accurately and can be upheld without issue.

  1. Not providing clear instructions: One mistake is leaving too much room for interpretation in your instructions. Your living will should be specific about your healthcare choices, especially regarding life-sustaining treatment and end-of-life care.
  2. Failing to update the document: Another error is not updating the living will to reflect your current wishes or changes in your health condition. You should review and possibly revise your living will regularly or after significant life events.
  3. Using ambiguous language: People often use vague terms that can confuse healthcare providers or family members. It's crucial to use clear and straightforward language to convey your wishes.
  4. Not discussing your wishes with your family: A common mistake is not talking about your living will with your family members. This discussion can help prevent conflicts or confusion when the document needs to be used.
  5. Forgetting to sign and date the document: An unsigned or undated living will is not valid. Make sure to sign your living will in the presence of the required witnesses or a notary, according to Arkansas law.
  6. Not appointing a durable power of attorney for healthcare: While not required, not appointing a healthcare proxy can leave decisions up to doctors or family members who may not know your wishes.
  7. Ignoring state requirements: Each state has different rules for living wills. Failing to comply with Arkansas's specific requirements can render the document invalid.
  8. Not having the document witnessed or notarized correctly: Depending on the state's requirements, your living will might need to be notarized or signed by witnesses. Ignoring this step jeopardizes its legitimacy.
  9. Keeping the document in an inaccessible location: A living will is of no use if nobody can find it when it's needed. Ensure it's stored in a safe but accessible place and that your loved ones know where to find it.
  10. Lack of coordination with other legal documents: Your living will should be consistent with other legal documents like your healthcare proxy or durable power of attorney. Conflicting documents can lead to confusion and legal challenges.

Avoiding these mistakes requires careful attention to detail and an understanding of your rights and responsibilities under Arkansas law. By ensuring your living will is clear, up to date, and properly executed, you can feel more secure about your future healthcare. Remember, it’s okay to seek professional help if you’re unsure about the process. An accurate and enforceable living will can provide peace of mind to you and your loved ones.

Documents used along the form

When preparing an Arkansas Living Will, individuals often find it beneficial to also complete additional forms and documents to ensure a comprehensive approach to their healthcare and personal matters. A Living Will is crucial for specifying your healthcare wishes, but it does not cover every aspect of your health or personal affairs. Below is a list of documents that are commonly used alongside an Arkansas Living Will to provide a more complete legal and personal safeguard.

  • Durable Power of Attorney for Health Care: This document appoints someone you trust to make healthcare decisions on your behalf if you're unable to do so. It complements a Living Will by designating a decision-maker for situations not covered in the Living Will.
  • General Durable Power of Attorney: This legal form grants a person (agent) authority to manage your financial and legal affairs, such as handling banking transactions or signing legal documents, during times you cannot do so yourself.
  • Do Not Resuscitate (DNR) Order: A medical order that tells healthcare providers not to perform CPR if your breathing stops or if your heart stops beating. It's designed for people with severe illnesses or those at the end of life.
  • Organ Donor Registry Form: Enrolling in the Arkansas organ donor registry or completing a form that declares your intent to donate your organs and tissues can save lives after your death.
  • HIPAA Authorization Form: This form allows designated individuals access to your medical records, facilitating the decision-making process for your healthcare proxy and family members.
  • Declaration for Mental Health Treatment: Similar to a Living Will, but specifically addresses decisions about mental health treatment, such as medications, counseling, or hospitalization, should you become unable to make these decisions yourself.
  • Funeral and Burial Instructions: A document outlining your preferences for your funeral service and burial or cremation. This can be a comfort to your loved ones by ensuring your final wishes are fulfilled.
  • Last Will and Testament: Specifies how your estate will be distributed after your death. It is essential for asset distribution and can also appoint guardians for any minor children.
  • Personal Property Memorandum: Often attached to a Last Will, this document allows for the distribution of tangible personal property not otherwise specifically covered in the Will, such as jewelry, furniture, or collectibles.
  • Letter of Intent: A non-binding document outlining your wishes regarding the distribution of your estate, the care of minor children, or other personal matters. It provides guidance to your heirs and can accompany your Last Will and Testament.

While a Living Will is central to expressing your healthcare desires, the documents listed above play critical roles in ensuring all aspects of your health, personal affairs, and estate are managed according to your wishes. Individuals are encouraged to consult with a legal professional to determine which documents are necessary for their specific situation and to ensure all forms are correctly completed and legally binding. Together, these documents can provide comprehensive protection and peace of mind for both you and your loved ones.

Similar forms

The Arkansas Living Will form is similar to a Medical Power of Attorney, in that both documents allow individuals to make decisions about their health care in advance. While a Living Will specifies one's preferences regarding medical treatment and life-sustaining measures in the event they are unable to communicate, a Medical Power of Attorney appoints another person to make healthcare decisions on their behalf. Both aim to ensure that the individual's health care wishes are respected.

Comparable to the Living Will is the Advance Health Care Directive, an instrument that combines aspects of a Living Will and a Medical Power of Attorney. It outlines the types of medical treatments one would or would not want to receive in certain situations and designates an agent to make health care decisions if the individual cannot. This document is a comprehensive approach to planning for future health care.

Similar in purpose to the Arkansas Living Will form is the Do Not Resuscitate (DNR) Order. This document specifically directs medical staff not to perform CPR if an individual's breathing stops or if the heart stops beating. Unlike the broader directives of a Living Will, a DNR focuses solely on the absence of resuscitative efforts in emergency situations.

A Health Care Proxy, much like the Medical Power of Attorney, allows an individual to designate someone else to make health care decisions on their behalf. The difference typically lies in the terminology and specific provisions that may vary by state. Both documents ensure that someone trusted can make medical decisions according to the incapacitated person's wishes.

The Five Wishes Document goes beyond the typical Living Will by addressing personal, emotional, and spiritual needs alongside medical wishes. It guides individuals through a comprehensive contemplation of their end-of-life care, combining elements found in a Living Will and a Health Care Proxy, but with a broader perspective on comfort, dignity, and family needs.

Similar to a Living Will, a POLST (Physician Orders for Life-Sustaining Treatment) form provides specific instructions for health care personnel regarding the treatment of serious illness or near the end of life. While the Living Will expresses wishes in a broader sense, the POLST translates those wishes into medical orders to be followed by health care providers.

A Durable Power of Attorney for Health Care is akin to the Medical Power of Attorney, allowing someone to make all health care decisions, not just those related to life-sustaining treatments, on another's behalf. It remains in effect even if the individual becomes incapacitated and complements a Living Will by covering decisions outside of those related to end-of-life care.

The Last Will and Testament, though primarily focused on the distribution of an individual's estate after death, shares a foundational similarity with a Living Will: both are prepared in advance to guide others in respecting the individual's wishes. While the former deals with property and guardianship, the latter concerns the person's preferences for medical treatments and end-of-life care.

Lastly, the HIPAA Authorization Form, while not a directive on health care decisions, is related to the process of executing a Living Will by ensuring that designated individuals can access one's private health information to make informed decisions. This form permits health care providers to discuss the individual's medical condition and treatment options with those the individual has authorized, thereby supporting the execution of wishes stated in a Living Will.

Dos and Don'ts

When preparing to fill out the Arkansas Living Will form, it's crucial to approach this document with a clear understanding and careful consideration. The choices made in this document will guide your healthcare providers about your preferences in situations where you might not be able to communicate your wishes directly. Here are several guidelines that can help ensure your Living Will accurately reflects your desires:

  • Do read the entire form before you start filling it out. Understanding the scope and implications of the document is crucial for making informed decisions.
  • Do consult with a healthcare provider or a legal professional if you have questions about the medical or legal terminology used within the form. Their insights can provide valuable clarity.
  • Do consider discussing your decisions with close family members or friends. It can be beneficial for your loved ones to understand your wishes and the reasoning behind them.
  • Do be as specific as possible about your medical care preferences. Clear instructions can greatly assist healthcare providers in honoring your wishes.
  • Don't leave any sections blank unless you are certain they do not apply to your situation. If unsure, seek advice before skipping over parts of the form.
  • Don't rush through the process. Take your time to reflect on each section and ensure that your responses truly represent your wishes.
  • Don't use informal language or abbreviations. The form must be understandable to healthcare professionals who might not be familiar with your personal jargon.
  • Don't forget to have the form witnessed or notarized if required by state law. This step is crucial for ensuring the document's legal validity.

By following these guidelines, you can help ensure that your Arkansas Living Will form is filled out accurately and effectively, thereby providing you with peace of mind and ensuring that your healthcare wishes are known and respected.

Misconceptions

When it comes to making end-of-life decisions, having a living will in place is a crucial step in ensuring that your healthcare preferences are respected and followed. The Arkansas Living Will form is a legal document that allows individuals to specify their wishes about medical treatment if they are unable to communicate these preferences themselves due to incapacity. However, there are several misconceptions about the Arkansas Living Will form that need clarification.

  • Misconception 1: A Living Will and a Last Will and Testament are the Same Thing
    Many people confuse living wills with last wills and testaments, but they serve very different purposes. A living will, also known as an advance directive, focuses on healthcare decisions towards the end of life. In contrast, a last will and testament deals with the distribution of a person's estate after they pass away. They are two distinct documents meant to address different aspects of planning.
  • Misconception 2: Having a Living Will Means You Will Not Receive Any Medical Treatment
    There is a common fear that specifying wishes in a living will might lead to being denied necessary medical treatment. However, this is not the case. A living will outlines your preferences for treatment under specific conditions, such as if you are in a persistent vegetative state or have a terminal condition. It can specify whether you want all treatment options pursued, or under what circumstances you would prefer not to have treatments that only prolong the dying process.
  • Misconception 3: Only Elderly People Need a Living Will
    Another misconception is that only senior citizens should worry about drafting a living will. In reality, any adult can face situations where they are unable to make their healthcare decisions due to accidents or sudden illness. Having a living will is a wise decision for any adult to ensure their healthcare preferences are known and considered, irrespective of their age.
  • Misconception 4: You Need a Lawyer to Create a Living Will
    While legal advice can be invaluable, especially in complex situations, it is not always necessary to have a lawyer draft your living will. Arkansas provides resources and forms for creating a valid living will. These documents need to be completed according to the state's requirements, including being witnessed correctly, instead of requiring a lawyer's involvement. However, consulting with a lawyer can provide clarity and ensure that your living will accurately reflects your wishes and meets all legal requirements.

Key takeaways

When considering the creation of a Living Will in Arkansas, it's important to keep in mind several key takeaways to ensure the document is filled out correctly and reflects your wishes. Below are 10 crucial points about filling out and using the Arkansas Living Will form:

  1. Understand what a Living Will is: A Living Will is a legal document that outlines your preferences for medical treatment if you become unable to make decisions for yourself due to incapacity.
  2. Know the requirements: In Arkansas, you must be at least 18 years old to create a Living Will. You also need to be of sound mind at the time of its creation.
  3. Choosing a health care agent is optional: Although not required, you can appoint a health care agent in your Living Will who will make medical decisions according to your wishes.
  4. Witnesses are necessary: Your Living Will must be signed in the presence of two qualified witnesses who are not related to you by blood or marriage and who do not stand to benefit from your estate.
  5. Be specific about treatments: Clearly state your wishes regarding specific medical treatments, such as life support, resuscitation, and artificial nutrition and hydration.
  6. Consider discussing with a doctor: Consulting with a healthcare professional can help ensure that your wishes are based upon a clear understanding of potential medical situations.
  7. Notify family and doctors: Make sure your family members and healthcare providers are aware of your Living Will and understand your preferences.
  8. Keep it accessible: Store your Living Will in a place where it can be easily accessed in an emergency. It's also wise to have copies in the possession of your healthcare agent or family members.
  9. Review and update regularly: Life circumstances and medical opinions can change. Review and potentially update your Living Will periodically to ensure it still reflects your current wishes.
  10. Know it can be revoked: You can revoke your Living Will at any time as long as you are of sound mind, either by creating a new one or through a written notice stating your intention to revoke it.

Creating a Living Will is a forward-thinking step that can bring peace of mind to you and your loved ones. Taking these key takeaways into account will help ensure that your healthcare wishes are known and respected in Arkansas.

Please rate Attorney-Verified Arkansas Living Will Template Form
4.77
Top-notch
182 Votes