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Advance Directive Form NOTE: This form is being provided to you as a public service. The attached forms are provided as is and are not the substitute for the advice of an attorney. By providing these
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How to fill out nebraska advance directive form
How to fill out Nebraska advance directive form:
01
Start by obtaining the Nebraska advance directive form. It can typically be found online on the Nebraska Department of Health and Human Services website or obtained from a healthcare provider.
02
Begin by providing your personal information, such as your full name, date of birth, and contact information. Make sure to write legibly and double-check the accuracy of the information.
03
Next, designate a healthcare agent. This person will be responsible for making medical decisions on your behalf if you are unable to do so. Provide their full name, contact information, and indicate your relationship to them.
04
Specify any limitations or additional instructions for your healthcare agent. This could include your preferences regarding specific medical treatments or situations.
05
Indicate your preferences regarding organ donation. You may choose to be an organ donor, not be a donor, or leave the decision to your healthcare agent or family members.
06
Consider including your preferences regarding funeral arrangements or the disposition of your remains. While not legally binding, these instructions can serve as helpful guidance for your loved ones.
07
Sign and date the form in the presence of two witnesses. The witnesses must be at least 19 years old and should not be your healthcare agent or related to you by blood, marriage, or adoption.
08
Finally, distribute copies of the completed advance directive form to your healthcare agent, family members, primary care physician, and keep a copy for your records.
Who needs Nebraska advance directive form:
01
Adults of any age who want to ensure their medical treatment preferences are honored in the event they are unable to make decisions for themselves.
02
Individuals with chronic illnesses or terminal conditions who wish to document their healthcare preferences and designate a healthcare agent.
03
Those who want to provide clarity and guidance to their loved ones and healthcare providers regarding their end-of-life wishes.
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