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Planning for the future, particularly for situations where one might not be able to express their wishes about medical treatments, can be a sobering task. In North Dakota, individuals have the opportunity to clearly articulate their healthcare preferences through a document known as the Living Will form. This form is a legal instrument that allows a person to outline their wishes regarding life-sustaining treatments and end-of-life care, should they become incapacitated. It serves as a guide for family members and healthcare providers, ensuring that the individual's preferences are respected and followed. The North Dakota Living Will is especially crucial in situations where difficult decisions must be made, and it provides a sense of clarity and peace of mind for everyone involved. Beyond specifying desires for medical intervention, the form also allows individuals to designate a health care agent, who will have the authority to make healthcare decisions on their behalf if they are unable to do so. This thoughtful preparation ensures that a person's healthcare choices are honored, making the Living Will an essential component of health care planning in North Dakota.

Sample - North Dakota Living Will Form

North Dakota Living Will

This Living Will is made in accordance with the North Dakota Uniform Health-Care Decisions Act (Chapter 23-06.5 of the North Dakota Century Code). It is a legal document that outlines your wishes regarding medical treatment in the event that you are unable to communicate those wishes yourself.

Please complete the following information:

Full Name: ___________________________________________________

Date of Birth: _______________________________________________

Address: _____________________________________________________

City: ________________________ State: ND Zip: ________________

Health Care Directive

I, _____________________________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below. This declaration reflects my firm and settled commitment to decline life-sustaining treatment that serves only to prolong the process of my dying, if I should be in a terminal condition or in a permanently unconscious state.

1. Terminal Condition

If I am in a terminal condition, I direct that life-sustaining measures that would serve only to prolong the dying process or that I am deemed unable to make my own decisions regarding medical treatment be withheld or withdrawn. My physicians may administer treatment to alleviate pain or to comfort me, but not to delay death.

2. Permanent Unconsciousness

If I am in a state of permanent unconsciousness, such as a persistent vegetative state or irreversible coma, and there is no reasonable expectation of regaining consciousness, I direct that all life-sustaining treatment, including artificially provided food and water, be withheld or withdrawn.

Additional Instructions:

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

Primary Health Care Agent

I designate the following individual as my primary health care agent to make medical decisions for me if I am unable to make those decisions myself:

Name: ________________________________________________________

Relationship: ________________________________________________

Address: _____________________________________________________

Phone Number: _______________________________________________

Alternate Health Care Agent

If my primary health care agent is unable, unwilling, or unavailable to act on my behalf, I designate the following individual as my alternate health care agent:

Name: ________________________________________________________

Relationship: ________________________________________________

Address: _____________________________________________________

Phone Number: _______________________________________________

Signature

By signing below, I affirm that I am of sound mind and I understand the contents of this document. I am aware that this document is legally binding across North Dakota.

Signature: ______________________________________ Date: ______________

Witness (1) Signature: _____________________________ Date: ______________

Witness (2) Signature: _____________________________ Date: ______________

Witness Acknowledgement

The undersigned, being first duly sworn, do hereby declare to the undersigned authority that the principal appears to be of sound mind and under no duress, fraud, or undue influence, and the witnesses are not related to the principal by blood or marriage, and, to the best of the witnesses' knowledge, are not entitled to any part of the estate of the principal upon the death of the principal under a will now existing or by operation of law.

PDF Form Information

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Fact Name Description
Definition A North Dakota Living Will is a legal document that allows individuals to state their wishes regarding medical treatment in the event they become unable to communicate those wishes due to a terminal condition or permanent unconsciousness.
Governing Law The North Dakota Century Code, specifically Chapter 23-06.4, governs the creation and use of Living Wills within the state.
Requirements for Validity For a Living Will to be considered valid in North Dakota, it must be in writing, signed by the declarant or another individual at the declarant’s direction, and witnessed by two adults who are not related to the declarant by blood, marriage, or adoption.
Revocation In North Dakota, an individual may revoke their Living Will at any time, in any manner, without regard to the declarant’s mental or physical condition. The revocation becomes effective once it is communicated to the attending physician.

How to Write North Dakota Living Will

A North Dakota Living Will is a legal document that allows individuals to communicate their preferences about medical treatments and end-of-life care in advance. This document takes effect when individuals can no longer make decisions for themselves due to incapacitation. Filling out a Living Will correctly is paramount to ensuring that your health care preferences are honored. Here are the steps required to complete the North Dakota Living Will form.

  1. First, obtain a current copy of the North Dakota Living Will form. This can usually be found online through North Dakota's Department of Health website or at a local attorney's office.
  2. Start by filling out the top section, which includes your full legal name, date of birth, and full address, including city, state, and zip code.
  3. Read the instructions provided on the form carefully. These will guide you through the process and help ensure that you understand the implications of your choices.
  4. Specify your preferences regarding life-sustaining treatments. This section allows you to choose whether or not you want treatments that could extend your life in situations where recovery is unlikely.
  5. Make decisions about the use of artificial nutrition and hydration (tube feeding). Indicate whether you would want to receive these interventions if you were unable to take food or water by mouth.
  6. Consider whether you have any specific instructions about pain management and comfort care. This could include preferences for or against certain types of pain medication.
  7. Select a health care agent if you wish. This person will make medical decisions on your behalf if you are unable to do so. Provide their full name, relationship to you, and contact information.
  8. Review your choices carefully, ensuring that they accurately reflect your wishes regarding your health care.
  9. Sign and date the form in the presence of two witnesses or a notary public. The witnesses must meet the criteria set forth by North Dakota law, which generally includes being over the age of 18 and not related to you by blood, marriage, or adoption.
  10. Inform your family members, health care providers, and anyone else who might be involved in your care about your Living Will. Provide them with a copy or let them know where a copy can be found.

Completing a Living Will is a proactive step toward ensuring that your health care preferences are known and respected. It provides peace of mind for you and your loved ones by reducing uncertainties and potential conflicts during difficult times. Remember to review your Living Will periodically and update it if your preferences change.

Key Details about North Dakota Living Will

What is a North Dakota Living Will?

A Living Will in North Dakota is a legal document that lets individuals express their wishes regarding medical treatment in situations where they are unable to communicate their decisions due to illness or incapacity. It becomes effective when the person cannot make or communicate healthcare decisions.

Who should have a Living Will in North Dakota?

Any adult who wishes to ensure their healthcare preferences are respected should have a Living Will. It's particularly important for those with strong feelings about certain medical treatments or individuals with serious health conditions.

How can one create a Living Will in North Dakota?

To create a Living Will in North Dakota, the person must complete the specific form for this purpose, which should align with state laws. It requires the individual to clearly outline their healthcare preferences. After filling out the form, it must be signed in the presence of witnesses or a notary public to become legally binding.

Are there any particular requirements for a North Dakota Living Will to be valid?

Yes, the state of North Dakota has specific requirements: The document must be signed by the individual making the Living Will while they are of sound mind. Additionally, this signature must be witnessed by at least two adults who are not related to the person, are not entitled to any part of their estate, and are not directly responsible for their healthcare.

Can a North Dakota Living Will be revoked?

Yes, at any time. The person who created the Living Will can revoke it through a written statement, by orally expressing the intent to revoke it in front of a witness, or by destroying the document. For the revocation to be effective, healthcare providers must be informed.

Does a Living Will differ from a healthcare proxy or power of attorney in North Dakota?

Yes, a Living Will is specifically designed to state your wishes concerning medical treatment when you cannot make decisions yourself. A healthcare proxy or a durable power of attorney for healthcare, on the other hand, designates someone else to make healthcare decisions on your behalf. It's possible to have both; they can complement each other.

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

If you become incapacitated without a Living Will in North Dakota, healthcare decisions will typically be made for you by your closest relatives or a court-appointed guardian. This process might not reflect your personal wishes and can cause stress and conflict among family members.

Can a Living Will address organ donation in North Dakota?

Yes. In North Dakota, you can include your wishes regarding organ donation in your Living Will. This ensures your wishes about organ donation are known and can be followed at the time of your death.

Is it necessary to consult a lawyer to create a Living Will in North Dakota?

While it's not strictly necessary to consult a lawyer to create a Living Will, having professional legal advice can ensure that your document fully reflects your wishes and meets all legal requirements. A lawyer can provide guidance on complex issues and help craft a clear, comprehensive document.

Common mistakes

Filling out a North Dakota Living Will form is a pivotal step in ensuring that your healthcare wishes are known and respected in the event that you are unable to communicate them. However, common errors can undermine the effectiveness of this critical document. Understanding these pitfalls can help avoid confusion and ensure your intentions are clearly communicated.

Here are 10 common mistakes people make when completing a North Dakota Living Will:

  1. Not Reading Instructions Carefully: Many individuals rush through filling out the form without carefully reading the instructions. This oversight can lead to misunderstandings about what each section requires and how to properly express wishes within the legal framework.
  2. Using Vague Language: Ambiguity can render a living will difficult to interpret. It's essential to use clear and concise language to articulate healthcare desires, especially regarding life-sustaining treatments.
  3. Skipping Sections: Occasionally, sections of the form may seem irrelevant or unnecessary to the person filling it out. However, skipping sections can result in incomplete directives, leaving critical decisions up in the air.
  4. Overlooking the Appointment of an Agent: A living will often includes the option to appoint a healthcare agent or proxy. Failing to appoint someone, or not considering the choice carefully, can leave decisions to potentially less familiar or less trusted family members or medical personnel.
  5. Not Discussing Choices with the Appointed Agent: Even after appointing a healthcare agent, some people neglect to discuss their wishes with this individual. Such discussions are crucial for ensuring the agent understands and feels comfortable advocating for the person’s healthcare preferences.
  6. Forgetting to Sign and Date the Form: An unsigned or undated form may not be considered valid. It's a simple but frequently overlooked step that officially validates your living will.
  7. Failing to Have the Document Witnessed: Similar to the above, North Dakota law requires living wills to be witnessed by certain individuals to be legally binding. Not adhering to these requirements can invalidate the document.
  8. Not Providing Copies to Relevant Parties: A living will cannot serve its purpose if healthcare providers and the appointed agent do not have access to it. Failing to distribute copies to relevant parties means your healthcare wishes may not be followed as intended.
  9. Not Reviewing the Document Periodically: As time passes, your healthcare preferences might evolve. Not revisiting and potentially updating your living will periodically can lead to a document that no longer reflects your current wishes.
  10. Assuming the Document Covers All Aspects of End-of-Life Decisions: People often mistakenly believe their living will covers every possible healthcare decision. However, it might not address specific scenarios or treatments not mentioned in the document, highlighting the importance of complementing it with other healthcare directives.

To conclude, a North Dakota Living Will is an empowering tool for communicating healthcare wishes, but it must be filled out with care, clarity, and attention to legal requirements. Avoiding these common mistakes can significantly increase the likelihood that your healthcare preferences are understood and honored, providing peace of mind for both you and your loved ones.

Documents used along the form

When preparing for future healthcare decisions in North Dakota, a Living Will is a critical document that outlines your wishes regarding medical treatment if you become unable to communicate those decisions yourself. However, it's often beneficial to complement a Living Will with other forms and documents to ensure a comprehensive approach to end-of-life planning. Here's a look at some commonly used documents alongside a Living Will in North Dakota.

  • Durable Power of Attorney for Health Care: This document designates a trusted individual to make healthcare decisions on your behalf if you are unable to do so, providing a broader scope of decision-making power than a Living Will.
  • Do Not Resuscitate (DNR) Order: A DNR order tells healthcare providers not to perform CPR if your breathing stops or if your heart stops beating. It is often used by individuals with a terminal illness or those who want to avoid aggressive life-saving interventions.
  • Organ and Tissue Donation Registration: This form allows you to register your consent to become an organ and tissue donor after death. It's an important document for those who want to give the gift of life to others.
  • HIPAA Release Form: This form permits healthcare providers to share your health information with designated individuals, such as family members or the person holding your durable power of attorney for health care.
  • Declaration for Mental Health Treatment: This document specifies your preferences for mental health treatment, including medications, hospitalization, and electroconvulsive therapy, should you be deemed incapable of making these decisions in the future.
  • Living Trust: A living trust is a legal entity created to hold ownership of your assets. It can outline how your assets should be handled during your lifetime and upon your death, potentially avoiding probate.
  • Will: A will allows you to express how you want your property and assets to be distributed after your death. While it doesn't cover healthcare decisions, it's a key component of estate planning.
  • Funeral Planning Declaration: This document lets you outline your wishes for your funeral, burial, or cremation, which can relieve your loved ones from making these decisions during a difficult time.
  • Financial Power of Attorney: This form designates someone to handle your financial affairs if you become incapacitated. It covers decisions about property, financial transactions, and managing your business interests.

Having these documents in place, along with a North Dakota Living Will, ensures that your healthcare preferences and other important decisions are respected and followed. Each document serves a unique purpose, contributing to a well-rounded approach to end-of-life planning. It's advisable to consult with a legal professional to ensure that each document is properly executed and reflects your current wishes accurately.

Similar forms

A living will, a cornerstone of estate planning, shares similarities with several other important legal documents, each designed to ensure one's wishes are respected and carried out in specific circumstances. While the content of the North Dakota Living Will form is not directly provided here, it generally outlines an individual's preferences regarding healthcare treatments in case they cannot communicate these decisions due to incapacitation.

Similar to a living will is the Durable Power of Attorney for Healthcare, a document that appoints someone else to make healthcare decisions on your behalf if you're unable to do so. While a living will specifies the types of medical treatment you desire or want to avoid, a durable power of attorney for healthcare gives a trusted person the authority to make a broad range of health decisions for you, not limited to those you've specifically addressed.

Another related document is the Durable Power of Attorney for finances, which, like its healthcare counterpart, designates someone to handle your financial affairs if you're incapacitated. Though it doesn’t cover health-related decision-making, it plays a crucial role in comprehensive estate planning, ensuring both your health and financial matters are taken care of.

The Advance Healthcare Directive combines the features of a living will and a durable power of attorney for healthcare into one comprehensive document. It allows you to state your medical treatment preferences and also appoints someone to make healthcare decisions on your behalf, covering all bases of health care planning.

A POLST (Physician Orders for Life-Sustaining Treatment) form is another document related to a living will. While a living will expresses your wishes regarding end-of-life care generally, a POLST form translates those wishes into medical orders to be followed by healthcare providers, offering a more immediate application of your preferences.

The Do Not Resuscitate (DNR) order is closely related to a living will, designed for individuals who do not want emergency medical personnel to perform CPR or other life-sustaining treatments if their heart stops or if they stop breathing. This document is more narrowly focused than a living will, applying specifically to emergency situations and resuscitation efforts.

A Medical Orders for Scope of Treatment (MOST) form is similar to a POLST form in that it translates a patient’s preferences regarding treatments into actionable medical orders. It covers a broader scope of treatment preferences, not only life-sustaining treatments, ensuring that healthcare providers respect the patient's wishes across various medical situations.

The Mental Health Advance Directive is a document through which individuals can express their preferences for psychiatric treatment in the event they're unable to make decisions due to a mental health crisis. It's akin to a living will but is specifically tailored to address psychiatric care, demonstrating the importance of planning for all aspects of health.

The Five Wishes document, different from but complementary to a living will, focuses on personal, emotional, and spiritual needs alongside medical wishes. It acts as a comprehensive guide for family and doctors to understand one’s end-of-life care preferences across various dimensions, not just the medical treatments one wants or doesn't want.

Last Will and Testament, though fundamentally focused on asset distribution after death rather than healthcare decisions, is similarly rooted in expressing one's wishes to be upheld after they're no longer able to communicate them. It is an estate planning tool that, like a living will, emphasizes the importance of documenting one's desires to ensure they are respected and followed.

Dos and Don'ts

Filling out a Living Will form in North Dakota is a serious task that requires attention to detail and an understanding of your wishes concerning healthcare in the event that you cannot express them yourself. Below are some guidelines to help you accurately and thoughtfully complete your Living Will form.

Things You Should Do:

  1. Read the form thoroughly before you begin to understand each section and what is required of you.
  2. Consider consulting with a healthcare professional or a lawyer to clarify any medical terms or legal implications.
  3. Clearly specify your wishes regarding life-sustaining treatments, including any circumstances under which you would want to refuse or request these treatments.
  4. Discuss your decisions with close family members or friends to ensure they understand your wishes.
  5. Sign the form in the presence of two witnesses or a notary public, as required by North Dakota law, to validate it.
  6. Keep the original copy of your Living Will in a safe yet accessible place and inform your healthcare proxy, family, or close friends about where it is kept.
  7. Review and update your Living Will periodically, especially after significant life changes, to ensure it still reflects your current wishes.

Things You Shouldn't Do:

  1. Don’t fill out the form in a hurry without fully understanding the implications of your choices.
  2. Don’t use vague language that could be open to interpretation; be as clear and specific as possible.
  3. Don’t leave any sections blank; if a section does not apply, mark it as ‘N/A’ (not applicable).
  4. Don’t forget to communicate your healthcare wishes to your healthcare proxy (if you have appointed one) and your family.
  5. Don’t sign the form without the required witnesses or notary public, as this could make your Living Will invalid.
  6. Don’t rely solely on verbal instructions; make sure all your wishes are clearly documented in the Living Will.
  7. Don’t keep your Living Will hidden; ensure that copies are easily accessible to your healthcare proxy and family members in case they need to advocate for your wishes.

Misconceptions

When discussing the North Dakota Living Will form, several misconceptions can lead to confusion. Addressing these can help individuals make more informed decisions regarding their healthcare planning.

  • A Living Will is the same as a Last Will and Testament: Unlike a Last Will and Testament, which deals with the distribution of an individual's assets after death, a Living Will concerns an individual's preferences for medical treatment in situations where they are unable to make decisions themselves.
  • Only the elderly need a Living Will: People of all ages can face sudden medical emergencies or diagnoses. Anyone over the age of 18 can benefit from having a Living Will in place to ensure their healthcare wishes are known and respected.
  • Creating a Living Will is a time-consuming and expensive process: In North Dakota, creating a Living Will can be a straightforward process. Forms are available that simplify expressing healthcare wishes. While legal advice can be beneficial, it's not always necessary to involve a lawyer.
  • A Living Will becomes effective as soon as it is signed: A Living Will typically only becomes effective under the specific conditions it describes, such as when the individual is terminally ill or permanently unconscious and unable to communicate healthcare decisions.
  • You need a lawyer to create a Living Will: While consulting with a lawyer can provide clarity and ensure your Living Will aligns with your wishes and state laws, North Dakota provides forms designed to be completed without requiring legal assistance.
  • My family can override my Living Will: In North Dakota, a Living Will is legally binding. Healthcare providers and family members are required to follow the wishes outlined in the document, provided those wishes align with local laws and the healthcare institution's policies.
  • Once completed, a Living Will cannot be changed: An individual can revise their Living Will at any time as long as they are mentally competent. It's recommended to review and possibly update the document periodically, especially after significant life events.
  • A Living Will only covers end-of-life decisions: While majorly focused on end-of-life care, a Living Will can also specify preferences for other serious but non-terminal conditions. It can include wishes on the use of certain treatments or procedures that the individual might find unacceptable, regardless of their health outcome.

Key takeaways

Understanding and correctly filling out the North Dakota Living Will form is crucial for ensuring that your healthcare wishes are followed in the event you can't make decisions for yourself. Here are ten key points to keep in mind:

  • Know what a Living Will is: It's a legal document that records your wishes regarding medical treatment if you're unable to communicate due to illness or incapacity.
  • Decide on your healthcare preferences: Before filling out the form, carefully consider your values and what kinds of medical treatment you would or would not want.
  • Choose a healthcare agent wisely: This is someone you trust to make decisions on your behalf, in case you're unable to do so yourself. Make sure they are willing to act in this capacity.
  • Be clear and specific: When documenting your wishes, clarity is key. Avoid ambiguity to ensure your healthcare agent and providers understand your preferences.
  • Consider all scenarios: Think about various medical situations and decide how you would want them handled, such as life support, resuscitation, and pain management.
  • Review the form with a healthcare provider: It's a good idea to discuss your Living Will with a doctor or nurse, to make sure your instructions are medically sound and clearly stated.
  • Sign and witness the form: North Dakota law requires your Living Will to be signed in the presence of two witnesses, who must also sign the document.
  • Do notarize if possible: While not mandatory in North Dakota, having your Living Will notarized adds an extra layer of authenticity and may help in other states.
  • Communicate with your family: Make sure your loved ones and anyone involved in your care knows about your Living Will and understands your wishes.
  • Keep the document accessible: Store your Living Will in a safe place, and consider giving copies to your healthcare agent, family members, and primary physician.

By keeping these key takeaways in mind, you can ensure that your North Dakota Living Will accurately reflects your healthcare preferences, providing peace of mind for you and your loved ones.

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