Durable Power Of Attorney For Healthcare Decisions printable pdf download

The following is the form of a “Durable Power of Attorney for Health Care Decisions” provided

for under Nevada Statutes:

DURABLE POWER OF ATTORNEY FOR HEALTHCARE DECISIONS

WARNING TO PERSON EXECUTING THIS DOCUMENT

This is an important legal document. It creates a Durable Power of Attorney for HealthCare.

Before executing this document, you should know these important facts:

1. This document gives the person you designate as you Attorney-in-Fact the power to make

health care decisions for you. This power is subject to any limitations or statement of

your desires that you include in this document. The power to make health care decisions

for you may include consent, refusal of consent, or withdrawal of consent to any care,

treatment, service, or procedure to maintain, diagnose, or treat a physical or mental

condition. You may state in this document any types of treatment or placements that you

do not desire.

2. The person you designate in this document has a duty to act consistent with your desires

as stated in this document or otherwise made known or, if your desires are unknown, to

act in your best interests.

3. Except as you specify a shorter period in this document, the Power of the person you

designate to make health care decisions for you may include the power to consent to your

doctor not giving treatment or stopping treatment which would keep you alive.

4. Unless you specify a shorter period in this document, this Power will exist indefinitely

from the date you execute this document and if you are unable to make health care

decisions for yourself, this power will continue to exist until the time when you become

able to make health care decisions for yourself.

5. Notwithstanding this document, you have the right to make medical and other health care

decisions for yourself so long as you can give informed consent with respect to the

particular decision. In addition, no treatment may be given to you over your objection,

and health care necessary to keep you alive may not be stopped if you object.

6. You have the right to revoke the appointment of the person designated in this document

to make health care decisions for you by notifying that person of the revocation orally or

in writing.

7. You have the right to revoke the authority granted to the person designated in this

document to make health care decisions for you by notifying the medical physician,

hospital, or other provider of health care orally or in writing.

8. The person designated in this document to make health care decisions for you has the

right to examine your medical records and to consent to their disclosure unless you limit

this right in this document.

9. This document revokes any prior Durable Power of Attorney for HealthCare.

10. If there is anything in this document that you do not understand, you should ask a lawyer

to explain it to you.

Durable Power Of Attorney For Healthcare Decisions