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Thinking about future health care decisions can be daunting, yet planning ahead is a critical step toward ensuring that individuals have a say in their medical treatment, even when they might not be able to communicate their wishes directly. The South Dakota Living Will form serves as a key tool in this planning process, allowing residents of South Dakota to outline their preferences for medical care should they become incapacitated. This document not only guides healthcare providers on whether or not to administer life-sustaining treatments but also relieves family members from the burden of making these difficult decisions during stressful times. Covering a variety of scenarios, from the refusal of specific medical interventions to the conditions under which one would prefer to decline food and water provided through artificial means, the living will ensures that a person's healthcare choices are respected. Moreover, the form is designed to be straightforward, empowering individuals to clearly articulate their healthcare directives without the need for complex legal language.

Sample - South Dakota Living Will Form

South Dakota Living Will

This Living Will is designed to express the wishes of the undersigned regarding medical treatment in the event that they are unable to communicate their preferences. This document is created in accordance with the South Dakota Living Will Statute.

Personal Information

  • Full Name: ___________________________________________
  • Date of Birth: ________________________________________
  • Address: ______________________________________________
  • City: ___________________ State: SD Zip Code: ___________
  • Phone Number: ________________________________________

Living Will Declaration

I, __________________________, being of sound mind, voluntarily make this declaration to refuse medical treatment that only serves to prolong the process of dying or to sustain or extend a condition of permanent unconscious this life-sustaining treatment includes, but is not limited to, mechanical ventilation, artificial nutrition, and hydration, and CPR. In the situation where I am unable to communicate my preferences directly, I wish my instructions here to be honored by my family and medical providers.

Specific Instructions:

  1. If I am in a terminal condition, I direct that life-sustaining treatments be withheld or withdrawn, and that I be permitted to die naturally.
  2. If I am in a state of permanent unconsciousness, I direct the withholding or withdrawal of life-sustaining treatments.
  3. I __________ (do/do not) want artificial nutrition and hydration to be used to prolong my life.
  4. I __________ (do/do not) want to receive pain relief medication, even if it may hasten my death.

Agent Designation (Optional)

If I am unable to make health care decisions for myself, I designate the following person as my health care agent to make medical decisions on my behalf:

  • Agent's Full Name: ___________________________________
  • Relationship: ________________________________________
  • Address: _____________________________________________
  • Phone Number: _______________________________________

Alternate Agent

If my primary agent is unable or unwilling to act, I designate the following person as my alternate agent:

  • Alternate Agent's Full Name: ____________________________
  • Relationship: __________________________________________
  • Address: _______________________________________________
  • Phone Number: _________________________________________

Signatures

This document is signed on this _____ day of ___________, 20____.

__________________________________
Signature of Declarant

__________________________________
Print Name of Declarant

Witnesses

This Living Will must be signed by two witnesses who affirm that the declarant is known to them, appears to be of sound mind, and not under duress, fraud, or undue influence.

__________________________________
Signature of Witness #1

__________________________________
Print Name of Witness #1

__________________________________
Signature of Witness #2

__________________________________
Print Name of Witness #2

This document has been executed in accordance with the laws of the State of South Dakota.

PDF Form Information

Fact Number Description
1 The South Dakota Living Will form is officially known as an Advance Directive for Health Care.
2 This form allows individuals to outline their preferences for medical treatment in the event that they become unable to make decisions for themselves.
3 Under South Dakota Codified Laws (SDCL) §34-12D, the Living Will form is legally recognized and provides a statutory basis for advance health care directives in the state.
4 The document can include decisions regarding the use of life-sustaining treatments, including artificial nutrition and hydration, if a person is in a terminal condition or a state of permanent unconsciousness.
5 It can also appoint a Health Care Power of Attorney, a person selected to make medical decisions on the individual's behalf if they are unable to speak for themselves.
6 To be legally valid, the Living Will must be signed by the declarant (the person the Living Will is about) in the presence of a notary public or two witnesses, according to SDCL §34-12D-2.
7 The individuals chosen as witnesses must not be related to the declarant by blood or marriage, and they cannot stand to benefit financially from the declarant's death.
8 The form does not need to be filed with any state office but should be kept in a safe place where it can be easily accessed if needed.
9 South Dakota allows for the revocation of the Living Will at any time by the declarant through a signed and dated written statement, by physically destroying the document, or by expressing the intent to revoke it in the presence of a witness.

How to Write South Dakota Living Will

Filling out a Living Will in South Dakota is a proactive step individuals can take to ensure their healthcare preferences are honored, even if they can't communicate those preferences themselves. This document allows someone to outline their decisions regarding life-sustaining treatments and end-of-life care. The process requires careful consideration and a few distinct steps to ensure it accurately reflects the person's wishes. Below are the steps needed to fill out the form effectively.

  1. Begin by gathering all necessary personal information, including your full legal name, date of birth, and contact information.
  2. Read through the entire form to familiarize yourself with the sections and the type of decisions you will need to make.
  3. Decide on your preferences for life-sustaining treatment, such as artificial respiration or feeding tubes, in various medical scenarios.
  4. Choose a healthcare agent, someone you trust to make healthcare decisions for you if you're unable to do so. Collect their contact information.
  5. Fill in your personal information in the designated section at the beginning of the form.
  6. Document your treatment preferences in the appropriate sections, clearly indicating what treatments you do or do not want.
  7. Include the contact information for your chosen healthcare agent in the designated area.
  8. Review your decisions and the completed sections of the form to ensure they accurately reflect your wishes.
  9. Sign and date the form in the presence of two witnesses or a notary public, as required by South Dakota law. Ensure the witnesses or notary also sign the form.
  10. Make copies of the signed form. Distribute them to your healthcare agent, family members, and your primary care provider to ensure your wishes are known.

After completing the Living Will form, it's important to revisit it periodically or after any significant life event, such as marriage, divorce, or a change in health status. This ensures the document stays up to date with your current wishes and circumstances. By taking these steps, individuals can have peace of mind knowing they have a plan in place for their healthcare, tailored to their values and preferences.

Key Details about South Dakota Living Will

What is a South Dakota Living Will?

A Living Will, in South Dakota, is a legal document that allows an individual to outline their preferences regarding medical treatment if they are incapacitated and unable to communicate their decisions. This form specifically addresses situations where the person is facing a terminal condition, and it can include instructions on the use of life-sustaining measures, pain relief, and other end-of-life care preferences.

Who should have a Living Will in South Dakota?

Any resident of South Dakota who wishes to have control over their medical treatment in the event they are incapacitated should consider creating a Living Will. It is especially important for those with strong preferences about end-of-life care or those who have been diagnosed with a terminal illness. However, it's recommended for adults of all ages to prepare for unexpected situations.

How does one create a Living Will in South Dakota?

To create a Living Will in South Dakota, an individual must complete a Living Will form, ensuring it reflects their specific wishes regarding medical treatments and interventions. It's crucial to communicate clearly and be explicit about which treatments should or should not be pursued. The form must be signed in the presence of a notary public or two witnesses who are not related by blood, marriage, or entitled to any portion of the person’s estate upon death. Consulting with a healthcare provider or an attorney can also be helpful to understand the implications of the choices made in the document.

Is a South Dakota Living Will the same as a Durable Power of Attorney for Healthcare?

No, a Living Will and a Durable Power of Attorney for Healthcare are not the same. While a Living Will directly outlines specific medical treatments an individual wishes or does not wish to receive, a Durable Power of Attorney for Healthcare appoints someone else (a healthcare proxy) to make medical decisions on the individual's behalf. Often, people have both documents to cover a broad range of medical decision-making scenarios.

What happens if someone in South Dakota does not have a Living Will?

If a South Dakota resident becomes incapacitated without a Living Will, decisions about their medical care will fall to their family, healthcare providers, or in some cases, the courts. This can lead to uncertainty, disagreements, and decisions that may not align with the incapacitated person’s wishes. Having a Living Will in place ensures that one's preferences are known and can be followed.

Can a Living Will in South Dakota be changed or revoked?

Yes, a Living Will in South Dakota can be changed or revoked at any time by the person who created it, as long as they are of sound mind. This can be done by creating a new Living Will that states it revokes all previous ones, destroying the original document, or explicitly stating the revocation in front of a witness. It's important to communicate any changes or revocations to all who were previously informed about the original Living Will, including family members and healthcare providers.

Common mistakes

Living wills are vital documents that communicate your wishes regarding medical treatment in situations where you cannot express them yourself. In South Dakota, filling out a living will form requires careful consideration. However, many people make errors during this process, which can lead to significant issues down the line. Here are ten common mistakes to avoid.

  1. Not following state-specific guidelines: Each state has unique requirements for living wills. South Dakota residents may unknowingly omit crucial steps or add unnecessary information, undermining the document's validity.
  2. Using vague language: Ambiguity can render a living will difficult to enforce. Clear, detailed descriptions of your wishes ensure that healthcare providers can follow your instructions accurately.
  3. Omitting alternate decision-makers: It's crucial to designate an alternate healthcare power of attorney in case your primary choice is unable or unwilling to serve. Failing to do so could leave decisions to someone you wouldn't have chosen.
  4. Ignoring the need for witness signatures: South Dakota law requires your living will to be signed by witnesses to be legally binding. Neglecting this step invalidates the document.
  5. Skipping notarization (if applicable): While not always required, notarizing the document can add an extra layer of validity, especially if it's presented in states with different laws.
  6. Failing to communicate your wishes: Not discussing your living will with your family, healthcare power of attorney, and doctor can lead to confusion and conflict during critical moments.
  7. Forgetting to address a full range of medical situations: A common mistake is only considering terminal illness. It's important to contemplate various scenarios, including irreversible coma or vegetative states.
  8. Leaving the document inaccessible: A living will serves no purpose if it cannot be found or accessed when needed. Make sure that key individuals know where it is stored.
  9. Not updating the document: Life changes, and so might your wishes or your chosen healthcare proxy. Regularly review and update your living will to reflect your current desires.
  10. Misunderstanding the document's scope: Some people mistakenly believe a living will covers all health and financial decision-making. It's crucial to understand that this document is specifically for healthcare directives and consider preparing a separate durable power of attorney for finances.

Avoiding these mistakes can help ensure that your South Dakota living will accurately reflects your wishes and can be effectively executed. It's advisable to seek the guidance of a legal professional when preparing any legal document, including a living will. This ensures that all legal requirements are met and that your document fully captures and communicates your healthcare preferences.

Documents used along the form

When preparing for the future and creating a comprehensive end-of-life care plan, individuals in South Dakota often consider a Living Will as a foundational document. However, to ensure a thorough and effective plan, several other forms and documents should ideally accompany a Living Will. These additional documents help in clarifying wishes and instructions regarding health care and personal matters, providing a more complete legal framework for end-of-life decisions.

  • Durable Power of Attorney for Health Care: This allows a person (the principal) to designate another individual (the agent) to make health care decisions on their behalf if they become unable to do so.
  • Health Care Directive: Similar to a Living Will, this document specifies one's health care preferences but is often more detailed and can include preferences on treatments not covered in a standard Living Will.
  • HIPAA Release Form: This authorization allows designated persons to access the principal’s medical records and discuss their health situation with medical professionals, enhancing the ability of proxies to make informed decisions.
  • Do Not Resuscitate (DNR) Order: A physician's order that prevents health care professionals from performing CPR if a person’s breathing or heart stops. It is typically for individuals with severe health conditions.
  • POLST (Physician Orders for Life-Sustaining Treatment): Similar to a DNR, this medical order documents a person's preferences for end-of-life medical care, including treatment interventions and CPR, based on their current health status.
  • Organ Donor Registration: A form that allows individuals to register their intent to donate organs and tissues after death, which can be included in the state’s registry and also noted in their Living Will or Health Care Directive.
  • Funeral Planning Declaration: This document enables individuals to specify their preferences for funeral arrangements and the handling of their remains.
  • Last Will and Testament: A legal document that outlines how a person’s possessions and assets are to be distributed after death. Though not directly related to health care decisions, it is crucial for comprehensive estate planning.

Each of these documents plays a crucial role in a comprehensive plan, offering clarity and legal authority to individuals’ preferences regarding their health care and personal affairs. When used together, they ensure that a person’s wishes are clearly documented and respected, providing peace of mind to both the individual and their loved ones during difficult times.

Similar forms

A Durable Power of Attorney for Health Care is similar to a South Dakota Living Will in that it allows you to appoint someone to make health care decisions for you if you're unable to do so yourself. While a Living Will specifies your wishes regarding life-sustaining treatments, a Durable Power of Attorney for Health Care gives a trusted individual the authority to make a wide range of health care decisions, not just those about life-sustaining treatment, in accordance with your wishes and preferences.

A Do Not Resuscitate (DNR) Order is another document that shares similarities with a South Dakota Living Will. Both documents guide medical professionals on how to proceed with life-sustaining measures. However, a DNR specifically instructs health care providers not to perform CPR if your breathing stops or if your heart stops beating, which is generally more specific and limited in scope compared to the broader instructions a Living Will might contain about various life-sustaining treatments.

An Organ Donation Form can be considered similar to a Living Will because both involve making decisions about your body in advance. While a Living Will focuses on the treatments you want or do not want at the end of your life, an Organ Donation Form specifies your wishes regarding the donation of your organs and tissues after death. Both documents serve to communicate your health care preferences, albeit in different contexts.

A Last Will and Testament is a document that, like a South Dakota Living Will, deals with planning for future scenarios. However, instead of focusing on medical decisions, a Last Will and Testament outlines how you want your property and personal matters handled after your death. It shares the anticipatory aspect with a Living Will, as both documents help to ensure your wishes are known and respected in critical situations.

A Healthcare Proxy is another document that bears resemblance to a Living Will by allowing you to appoint someone to make health care decisions on your behalf. Similar to a Durable Power of Attorney for Health Care, a Healthcare Proxy is specifically focused on health care decisions. The main difference is that a Living Will provides detailed instructions on your medical treatment preferences, whereas a Healthcare Proxy designates a specific person to make those decisions without detailed guidance from the document itself.

Finally, a POLST (Physician Orders for Life-Sustaining Treatment) is akin to a Living Will in that it communicates your wishes for end-of-life care. Created in collaboration with your healthcare provider, a POLST translates your goals and preferences into medical orders that are to be honored by other healthcare professionals. While a Living Will articulates your wishes in a broad manner, a POLST provides specific medical orders based on those wishes, making it a complementary document to the Living Will.

Dos and Don'ts

Filling out a South Dakota Living Will form requires careful attention to detail and a clear understanding of your wishes for healthcare in situations where you might not be able to express them. Here's a set of dos and don'ts that will guide you through this important process.

Do:
  • Read the entire form carefully before you start filling it out. Understanding every part of the form ensures that you fully comprehend what you're agreeing to and what you are directing.
  • Consider consulting a healthcare professional to understand the medical implications of your choices. This could be your family doctor or a specialist knowledgeable about your health condition.
  • Discuss your decisions with family members or close friends. It's crucial they understand your wishes to support them if needed.
  • Use clear and precise language when describing your healthcare preferences. Ambiguity can lead to interpretation issues later on.
  • Sign and date the form in front of the required number of witnesses, as per South Dakota law. Their signatures are needed for the document to be valid.
  • Keep the original document in a safe but accessible place, and inform key people of where it is. This could include your family, your doctor, or your attorney.
  • Review and update your living will periodically. As your health changes, or as you experience significant life events, your wishes might evolve too.
Don't:
  • Don't fill out the form in a hurry. Take your time to think about each decision you're making.
  • Don't use medical terms or jargon unless you're sure of their meanings. Misinterpretations can lead to unwanted medical treatments.
  • Don't leave any sections incomplete. If a section does not apply to you, write "N/A" (not applicable) to indicate you've reviewed it.
  • Don't forget to notify your healthcare agent (if you've appointed one) and provide them with a copy of the document. They need to be aware of your wishes and agree to uphold them.
  • Don’t keep your living will a secret from those who might need to know about it. Sharing its existence (and its contents, if you're comfortable) can prevent confusion or disputes later on.

Misconceptions

Regarding the South Dakota Living Will form, there exists a fair share of misunderstandings. It's crucial to dispel these misconceptions to ensure individuals are well-informed about their rights and the implications of completing such a document.

  • Only the Elderly Need a Living Will: A common misconception is that living wills are solely for the elderly. However, unexpected medical situations can arise at any age. A living will ensures that a person's healthcare wishes are respected, regardless of their age.

  • It's Too Complicated to Set Up: Many people believe that creating a living will is a complex and time-consuming process. In reality, South Dakota's forms are straightforward and can be completed with minimal legal guidance. It's more about expressing your healthcare wishes in writing.

  • A Living Will and a Last Will and Testament Are the Same: This is a common confusion. A living will dictates your wishes regarding medical treatment if you become incapable of communication. In contrast, a last will and testament deals with the distribution of your estate after your death.

  • Once Completed, It Cannot Be Changed: Life circumstances change, and so can your healthcare wishes. You have the right to revise your living will at any time, as long as you are of sound mind. It's advisable to review it periodically, especially after significant life events.

  • Your Doctor Can Override Your Living Will: Another misconception is that doctors can disregard the directives in your living will if they disagree with them. Legally, healthcare providers must comply with your wishes as expressed in your living will, provided those wishes are consistent with South Dakota law.

Understanding these points can eliminate any hesitations or misunderstandings surrounding the South Dakota Living Will form. It empowers individuals to take proactive steps in managing their healthcare decisions confidently.

Key takeaways

When dealing with the South Dakota Living Will form, individuals must comprehend its purpose and the process. The key takeaways outlined below encompass essential points for effectively filling out and using this form.

  • A Living Will lets you outline your healthcare wishes in case you can't communicate them yourself due to severe illness or incapacity.
  • South Dakota law requires the Living Will to be completed when the individual is of sound mind, ensuring the person's wishes are clearly represented without any undue influence.
  • To be legally binding, the form needs to be signed by the individual creating the Living Will in the presence of two witnesses or a notary public. These witnesses must not be related to you, entitled to any part of your estate, financially responsible for your medical care, or directly involved in your healthcare.
  • It is crucial that you discuss your Living Will and healthcare preferences with your family, close friends, and healthcare providers to ensure your wishes are understood and can be followed.
  • The form allows you to make decisions about the use or non-use of life-sustaining treatment in situations where recovery is not expected. This includes treatments that extend life without necessarily improving health or quality of life.
  • In addition to life-sustaining treatments, you can specify your preferences regarding the use of artificial hydration and nutrition.
  • Once the Living Will is completed and properly signed, it is advisable to register it with the South Dakota Secretary of State or keep it in a known, accessible location, and let key people know where it is.
  • If your wishes or health situation changes, the Living Will should be updated to reflect these changes. To modify your Living Will, you should complete a new form and ensure it is properly witnessed or notarized, replacing the old one.
  • Carrying a wallet card indicating you have a Living Will and where to find it can be helpful in emergency situations.
  • Although not required, consulting with a healthcare attorney can provide clarity and assurance that your Living Will is correctly filled out and conforms to South Dakota laws.
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