This form allows you to appoint an individual to make healthcare decisions for you in the event that your condition is incurable and irreversible. In the event that your agent cannot make those decisions, this form provides specific direction to your physician regarding life support treatment.

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DECLARATION (MCA 50-9-103) If I should have an incurable an irreversible condition that, without the administration of life sustaining treatment, will, in the opinion of my attending physician, cause
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Montana statutory equivalent refers to a form or document that is equivalent to the statutory requirements set forth by the state of Montana.
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