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When considering the various measures that one can take to ensure their wishes are respected even when they can no longer communicate them, the New Hampshire Living Will form emerges as a fundamentally important tool. Designed to provide individuals with the power to make decisions about their own end-of-life care, this legal document allows for the expression of preferences regarding life-sustaining treatments, palliative care, and other medical interventions in the event of a terminal illness or a condition where the individual is unable to make decisions. It is a key component of advance directives in New Hampshire, aimed at protecting an individual's autonomy over medical decisions by outlining specific instructions for healthcare providers to follow. Beyond its immediate medical implications, the form serves as a peace of mind for the person and their loved ones, ensuring that personal beliefs and values are honored. Understanding the perspectives, legalities, and the process to correctly complete and enact a Living Will in New Hampshire requires attention to detail and an appreciation for the nuances of state laws governing advanced healthcare directives.

Sample - New Hampshire Living Will Form

New Hampshire Living Will

This document serves to express the wishes of the undersigned regarding medical treatment in the event that they become unable to communicate their decisions personally. It is crafted in accordance with the New Hampshire Advance Directives Law.

Personal Information

Name: ___________________________

Date of Birth: ___________________________

Address: ___________________________

______________________________________

City: ______________________ State: __________ Zip Code: ____________

Phone Number: ___________________________

1. Appointment of Health Care Agent

In the event I am unable to make or communicate my health care decisions, I hereby designate the following individual as my Health Care Agent:

Name: ___________________________

Relationship: ___________________________

Phone Number: ___________________________

2. General Instructions

I instruct that all health care decisions made on my behalf should be made in accordance with the beliefs and values I personally hold. If my Health Care Agent is unsure about what to decide, it is my wish that they consult with my family and doctors to make a decision that closely aligns with my values.

3. End-of-Life Decisions

If I am ever in a state where recovery is not expected, as confirmed by two physicians, and I am unable to communicate my preferences myself, I wish for the following to be considered:

  1. Do not prolong my life through mechanical ventilation if I am in a permanent vegetative state.
  2. Do not use artificial nutrition and hydration if the efforts to sustain life are futile.
  3. I prefer to receive pain relief and comfort care, even if it may hastide the moment of my death.

4. Additional Instructions

______________________________________________________

______________________________________________________

5. Signatures

By signing below, I affirm that I understand the purpose and effect of this document. I make these directives of my own free will, without any form of pressure or influence from others.

Signature: ___________________________ Date: ___________________________

This Living Will must be witnessed by two individuals who are not related to me, not entitled to any part of my estate, and not directly responsible for my medical care.

Witness 1 Signature: ___________________________ Date: ___________________________

Witness 1 Printed Name: ___________________________

Witness 2 Signature: ___________________________ Date: ___________________________

Witness 2 Printed Name: ___________________________

PDF Form Information

Fact Number Fact Detail
1 The New Hampshire Living Will is legally known as an "Advance Directive".
2 This form allows individuals to outline their preferences for medical treatment if they become unable to communicate or make decisions.
3 It is governed by the New Hampshire Revised Statutes Annotated (RSA) Chapter 137-J.
4 Individuals 18 years or older and of sound mind can create a Living Will in New Hampshire.
5 The document must be signed by the individual (referred to as the principal) in the presence of two witnesses or a notary public.
6 Witnesses to the Living Will cannot be individuals who are related to the principal by blood, marriage, or adoption, financially responsible for the principal’s medical care, or beneficiaries of the principal’s estate.
7 It can include instructions on the use of life-sustaining treatments, such as artificial hydration and nutrition.
8 The Living Will becomes effective only when the principal is determined to be incapacitated and unable to make medical decisions, as certified by a physician.
9 Individuals may revoke or change their Living Will at any time, as long as they are competent.
10 A New Hampshire Living Will does not take precedence over an individual’s orally expressed wishes at any time they are able to communicate them, as per state law.

How to Write New Hampshire Living Will

Filling out a Living Will in New Hampshire is a proactive step towards ensuring that your healthcare preferences are respected, even if you are unable to communicate them yourself. It is a straightforward process, but requires attention to detail to ensure that all relevant sections are completed accurately. By following these steps, you can complete your New Hampshire Living Will efficiently and accurately.

  1. Start by locating a current version of the New Hampshire Living Will form. Ensure it is the most up-to-date version to comply with all current legal requirements.
  2. Fill in your full legal name at the top of the form where it indicates, ensuring accuracy to avoid any potential confusion regarding your identity.
  3. Read each section carefully. The form may contain definitions or explanations that will help clarify what is being asked of you.
  4. When you come to the section regarding the withholding or withdrawal of life-sustaining treatment, consider your preferences carefully. This section outlines circumstances under which you would or would not want medical interventions to prolong your life.
  5. In the sections that inquire about specific treatments, such as artificial nutrition and hydration, indicate your wishes clearly. Your choices here will guide healthcare providers in making decisions if you are unable to communicate.
  6. If the form provides space for additional instructions, take the opportunity to clarify any preferences that might not be directly addressed by the form. Be as detailed as necessary to ensure your wishes are understood.
  7. Review the requirements for witnesses and/or a notary public in New Hampshire. The form must be signed in the presence of these individuals to be legally valid.
  8. Sign and date the form in the designated area at the end, making sure this is done in the presence of the required witnesses or a notary public, depending on New Hampshire's requirements. Your witnesses must also sign, attesting that you were of sound mind and under no undue influence at the time of signing.
  9. After completing and signing the form, make several copies. Keep the original in a safe but accessible place, and provide copies to your healthcare proxy, if you have designated one, close family members, and your primary care physician.
  10. Once your Living Will is properly completed, it becomes a legally binding document that communicates your healthcare preferences. Remember, it is a good practice to review and possibly update your Living Will periodically, especially after any significant life changes. Doing so will ensure that your document reflects your current wishes and remains in compliance with any changes in state law.

Key Details about New Hampshire Living Will

What is a New Hampshire Living Will?

A New Hampshire Living Will is a legal document that allows you to outline your preferences for medical treatment should you become unable to communicate your wishes due to illness or incapacitation. This document typically covers circumstances under which you would want to refuse or receive certain types of life-sustaining treatments.

How do I create a Living Will in New Hampshire?

To create a Living Will in New Hampshire, you must be at least 18 years old and of sound mind. The process involves filling out a form that specifies your wishes regarding medical treatment. It's advisable to consult with a healthcare provider for a better understanding of medical terms. The document needs to be signed in front of two witnesses, who must also sign, affirming that you are competent and not under duress. The witnesses cannot be individuals who have a financial interest in your death.

Can I change my Living Will once it's been made?

Yes, you can change or revoke your Living Will at any time as long as you are still mentally competent. You can make changes by creating a new Living Will or by physically destroying the original document. It's important to communicate any changes to your healthcare provider and ensure they have the most current version of your Living Will.

Is a Living Will the same as a Power of Attorney?

No, a Living Will is not the same as a Power of Attorney. A Living Will specifically addresses your preferences for medical treatment and care in the event you can no longer make decisions for yourself. In contrast, a Power of Attorney for Health Care is a legal document that designates someone else to make healthcare decisions on your behalf if you're incapacitated. Both can be parts of a comprehensive approach to planning for future health care decisions.

Does a New Hampshire Living Will need to be notarized?

No, a New Hampshire Living Will does not need to be notarized. However, it does require the signatures of two witnesses, who must attests to the signer's competence and voluntary action. Making sure these requirements are met is crucial for the document's validity.

Common mistakes

Filling out a Living Will in New Hampshire is a crucial step in planning for the future. However, individuals often make mistakes that can impact the effectiveness of this document. Understanding these mistakes is the first step towards creating a Living Will that accurately reflects an individual's wishes.

  1. Not Seeking Legal Advice: A common mistake is to fill out the form without consulting a legal professional. Legal advice can be invaluable in understanding the implications of your choices and ensuring the form meets all legal requirements in New Hampshire.

  2. Failure to Clearly Specify Wishes: Some individuals do not specify their medical care preferences clearly. This lack of clarity can lead to confusion among family members and healthcare providers, potentially resulting in care that does not align with the person's wishes.

  3. Using Vague Language: Closely related to the above, using vague language instead of being precise about treatment preferences can lead to interpretations that might not respect the individual's true desires.

  4. Not Updating the Document: Living Wills need to reflect an individual's current wishes. Failing to update the document after significant life changes, such as a new diagnosis or a change in marital status, is a frequent mistake.

  5. Omitting Alternate Contact Information: Neglecting to include alternate contact information for individuals who can speak on your behalf if you're unable to communicate can complicate the situation.

  6. Forgetting to Witness and Notarize the Document: In New Hampshire, Living Wills must be witnessed and notarized to be legally valid. Forgetting this crucial step can render the document ineffective.

  7. Ignoring State-Specific Requirements: Each state has its own set of laws regarding Living Wills. Not adhering to New Hampshire's specific requirements can lead to a Living Will that is not legally binding.

  8. Choosing the Wrong Person as an Agent: Designating someone who is not willing or able to make healthcare decisions on your behalf is a serious mistake. It is important to discuss your wishes with the person you choose to ensure they are comfortable with this responsibility.

  9. Lack of Distribution: A Living Will is not helpful if nobody knows it exists or where to find it. Failing to distribute copies to family members, healthcare providers, and your healthcare agent is a crucial oversight.

Avoiding these mistakes can significantly increase the efficacy of a Living Will in New Hampshire. It's about being proactive, clear, and thorough in your approach. Remember, a Living Will is more than just a document; it's a declaration of your wishes regarding medical treatment. Ensuring it is correctly filled out and legally sound is vital for it to serve its intended purpose.

Documents used along the form

When preparing a Living Will in New Hampshire, individuals often find it beneficial to include additional forms and documents that further clarify their wishes regarding medical treatment and end-of-life care. These documents work together to ensure that healthcare providers and loved ones are fully informed about one's preferences in various scenarios, thereby minimizing misunderstandings and ensuring that the individual's desires are respected. Here are four commonly used documents alongside the New Hampshire Living Will form:

  • Durable Power of Attorney for Healthcare: This document appoints someone as your agent to make healthcare decisions on your behalf if you become unable to do so. It goes into effect under the circumstances specified in the document, which typically include incapacity.
  • Do Not Resuscitate (DNR) Order: A DNR order is a medical order that tells healthcare providers not to perform cardiopulmonary resuscitation (CPR) if your breathing stops or if your heart stops beating. It is used to avoid life-extending measures in accordance with your wishes.
  • HIPAA Release Form: The Health Insurance Portability and Accountability Act (HIPAA) release form allows specified individuals to access your medical records. This can be crucial for loved ones or healthcare agents to make informed decisions about your care.
  • Organ and Tissue Donation Form: This form indicates your wish to donate your organs and/or tissues upon your death. It is important for ensuring that your decision is known and can be acted upon without delay.

Together, these documents provide a comprehensive plan for one's healthcare and personal wishes. It is important for individuals to discuss these documents with their healthcare providers, legal advisors, and loved ones to ensure clarity and avoid any potential conflicts. By doing so, they can make their healthcare preferences known and legally binding, thus giving themselves and their families peace of mind.

Similar forms

The New Hampshire Living Will form is closely akin to an Advance Directive. Both serve as legal instruments designed to express an individual's preferences concerning medical treatment and care in circumstances where they are unable to communicate their wishes directly. An Advance Directive is more comprehensive, typically including a Living Will and a Durable Power of Attorney for health care decisions, allowing an appointed person to make decisions on behalf of the individual.

Similarly, a Durable Power of Attorney (POA) for Health Care bears resemblance to the New Hampshire Living Will. It enables an individual to appoint a trusted agent to make health care decisions if they become incapacitated. Unlike a Living Will, which specifically addresses end-of-life care preferences, a Durable POA for Health Care covers a wider range of health decisions and is not limited to life-threatening conditions.

The Healthcare Proxy is another document closely related to the Living Will. It is a type of Durable Power of Attorney for Health Care found in some states, where an individual appoints a proxy to make health care decisions on their behalf. Both the Healthcare Proxy and the Living Will are instrumental in guiding health care providers about a patient's care preferences when they cannot speak for themselves.

A Do Not Resuscitate (DNR) Order shares a specific, critical similarity with the Living Will, as it also addresses a person's wishes regarding life-saving measures. A DNR specifically instructs health care providers not to perform CPR if an individual's breathing or heartbeat stops. It is more narrowly focused than a Living Will, which covers a broader array of end-of-life care preferences.

Physician Orders for Life-Sustaining Treatment (POLST) forms are another variety closely related to Living Wills. These are medical orders that outline a plan of care reflecting the patient's wishes concerning treatment at the end of life. Unlike the broader scope of a Living Will, a POLST is intended for individuals with serious illnesses or at the end of their life, detailing what kinds of medical treatment they want to receive.

The Five Wishes document extends beyond the Living Will by addressing personal, emotional, and spiritual needs in addition to medical and legal wishes. It is designed to help individuals specify their preferences in areas such as comfort care, living arrangements, and how they want to be treated by others. This document encapsulates a holistic approach to end-of-life planning, compared to the more medically focused Living Will.

A Last Will and Testament, while primarily associated with the distribution of property after death, shares a common purpose with the Living Will in terms of documenting an individual's wishes to influence future actions. The Last Will pertains to assets and guardianship rather than health care preferences, yet both documents serve to guide loved ones and professionals in making decisions aligned with the individual’s desires.

An Ethical Will, unlike the legally binding Living Will, is an informal document intended to pass ethical values, beliefs, blessings, and advice to future generations. While it does not hold legal authority or address medical decisions, it complements a Living Will by ensuring a person’s values and life lessons are communicated, offering a holistic view of their final wishes.

The Mental Health Advance Directive, tailored specifically for choices related to mental health treatment, is similar to a Living Will. It allows individuals to outline their preferences for mental health care if they should become unable to make decisions for themselves. By specifying treatment preferences and appointing a decision-maker, it ensures that mental health care aligns with the individual's values and wishes, akin to how a Living Will guides physical health care at the end of life.

Finally, a Trust, specifically a Revocable Living Trust, while most commonly used for managing and distributing a person's assets without the need for probate, shares the forward-looking aspect of a Living Will. Both documents involve planning ahead for circumstances in which the individual may not be able to express their wishes or manage their affairs, aiming to ease the burden on families and ensure wishes are honored.

Dos and Don'ts

When preparing a New Hampshire Living Will, it's crucial to approach the process with care and diligence. This document is a vital part of your healthcare planning, allowing you to articulate your wishes regarding end-of-life care. To ensure your living will is completed correctly and reflects your desires accurately, here are some guidelines to consider:

Things You Should Do:

  1. Review the form thoroughly before you start filling it out. Make sure you understand each section and what information it requires.
  2. Consult with healthcare professionals if you have any questions about medical terms or treatments mentioned in the form. Understanding what each decision entails can help you make informed choices about your care.
  3. Discuss your decisions with your family, close friends, and most importantly, the person you intend to appoint as your healthcare agent. It's essential they understand your preferences and are willing to honor them.
  4. Sign and date the form in the presence of two witnesses or a notary public, as required by New Hampshire law. This step is crucial for the document to be legally valid.

Things You Shouldn't Do:

  1. Fill out the form in a hurry. Take your time to carefully consider each decision and ensure that the choices you make truly reflect your wishes concerning your medical treatment and end-of-life care.
  2. Use unclear or ambiguous language when specifying your healthcare preferences. Clear and concise language will help ensure that your care providers and loved ones understand and respect your wishes.
  3. Forget to update your living will after significant life events, such as marriage, divorce, the birth of a child, or a change in your health status. Regular reviews and updates will keep the document relevant and aligned with your current wishes.
  4. Leave your living will where no one can find it. Share copies with your healthcare agent, family members, and your primary care physician to make sure it's easily accessible when needed.

By following these guidelines, you can create a New Hampshire Living Will that clearly communicates your wishes regarding medical treatment and end-of-life care. Remember, this document is an essential part of ensuring that your healthcare preferences are known and respected in times when you may not be able to speak for yourself.

Misconceptions

When discussing the New Hampshire Living Will form, several misconceptions frequently arise. It's vital to address these misconceptions to ensure that individuals are well-informed about their health care decisions and legal documents. Here are five common misunderstandings:

  • Only the elderly need a Living Will. This is a prevalent misconception. People of all ages can face medical emergencies or conditions where they cannot make decisions for themselves. A Living Will speaks for you when you cannot, regardless of your age.

  • A Living Will is the same as a Last Will and Testament. These are two distinct documents. A Last Will and Testament deals with the distribution of an individual's property after their death. In contrast, a Living Will only applies to healthcare decisions made during a person’s lifetime when they are unable to communicate their wishes themselves.

  • Once you complete a Living Will, it cannot be changed. This is incorrect. Individuals can revise or revoke their Living Will at any time, as long as they are still competent to make these decisions. Changes should reflect new preferences, changing circumstances, or new medical information.

  • If you have a Living Will, doctors will not provide life-saving treatments. A Living Will does not refuse all medical treatment; it specifies what kinds of life-sustaining treatments you would or would not like to receive under certain conditions. Its primary purpose is to uphold your autonomy and ensure that your healthcare preferences are respected, not to refuse all treatment.

  • Living Wills are only for those with terminal illnesses. While individuals with terminal conditions may have more immediate use for a Living Will, these documents are beneficial for anyone who wishes to have control over their future healthcare. Unexpected situations can arise at any time, making it prudent for all capable adults to consider preparing a Living Will.

Understanding these misconceptions about the New Hampshire Living Will form is crucial for making informed healthcare decisions. It empowers individuals to ensure that their healthcare preferences are respected, even when they can no longer communicate their wishes directly. Everyone should consider these factors carefully and seek legal advice to ensure their Living Will effectively reflects their desires.

Key takeaways

When it comes to planning for future healthcare decisions, the New Hampshire Living Will form is an important document. It allows individuals to outline their preferences for end-of-life care in the event that they are unable to communicate their wishes directly. Here are seven key takeaways to understand when filling out and using this form:

  • Understand the purpose: A Living Will is specifically designed to document your wishes regarding medical treatment in situations where you cannot speak for yourself, especially concerning the prolongation of life through artificial means.
  • Eligibility: To fill out a New Hampshire Living Will, you must be of legal age (18 years or older) and mentally competent at the time of creating the document.
  • Detail your medical treatment preferences: Be as specific as possible about your wishes regarding the use of life-sustaining treatment, such as artificial ventilation, feeding tubes, and resuscitation.
  • Consider involving a medical professional: Discussing your Living Will with your doctor can help ensure your instructions are clear and can be medically followed. They can also offer valuable advice on how to articulate your wishes.
  • Choose a health care proxy: Although not always a part of the Living Will itself, appointing a durable power of attorney for health care (a health care proxy) who can make medical decisions on your behalf if you are unable, is strongly recommended.
  • Legally execute the document: For a Living Will to be considered valid in New Hampshire, it must be signed in the presence of two witnesses who are not related to you, stand to inherit anything from you, or are directly responsible for your health care costs.
  • Share your Living Will: Make sure that close family members, your health care proxy, and your doctor(s) have copies of your Living Will. It's important that your wishes are known and easily accessible in the event that they need to be consulted.

Creating a Living Will is a proactive step in managing your future health care. By clearly outlining your preferences, you can alleviate some of the burden on your loved ones during what can be a very difficult time. Remember, a Living Will can be updated at any time to reflect changes in your wishes or circumstances, so review it periodically and communicate any changes to all relevant parties.

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