Last updated on Feb 17, 2026
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This form is a revocation of the wishes and desires set forth in Form CO-P021, a Health Care Directive. This is a statutory form that is provided for in the Colorado Revised Statutes, which allows
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What is revocation health care directive
A revocation health care directive is a legal document that nullifies any previous health care directives, such as living wills or power of attorney for health care, appointing someone else to make medical decisions on one's behalf.
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Who needs revocation health care directive?
Explore how professionals across industries use pdfFiller.
Revocation health care directive is needed by:
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Individuals who have previously created a health care directive and wish to cancel it.
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People wanting to update their health care decisions due to changes in personal circumstances.
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Anyone who wants to ensure their medical wishes are accurately represented without ambiguity.
Revocation Health Care Directive Form Guide
TL;DR: To fill out a revocation health care directive form, start by filling in your information and detailing the date of your original directive's execution. Use clear legal language to denote the revocation and ensure to notify involved parties afterward.
What are health care directives?
Health care directives are legal documents that outline an individual's preferences regarding medical treatment in situations where they are unable to communicate their wishes. These directives play a crucial role in medical decision-making, especially during severe health situations where immediate decisions need to be made. Key terms related to health care directives include the declarant, the individual who makes the directive, and the health care provider, who is responsible for executing the directive.
What is a revocation of a health care directive?
Revocation is the official cancellation of a health care directive. Under Colorado Revised Statutes (CRS) 15-18-109, individuals can revoke a directive at any time, providing a legal basis for modifying or withdrawing previous health care decisions. The consequences of revoking a health care directive include the immediate cessation of the previous directives, leaving medical decisions to the discretion of health care providers unless a new directive is established.
When should a health care directive be revoked?
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For example, if the health condition of the declarant significantly alters, revocation ensures that the directive reflects current preferences.
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If the declarant's values or beliefs change, they may want to revoke the directive to align with their new perspective.
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Not updating a directive when circumstances change may lead to legal complications and disagreements among family members.
How do you complete the revocation form?
Completing the revocation form involves several crucial steps. First, begin by filling out the declarant's information section, ensuring that all personal details are accurate. Next, indicate the date when the original health care directive was executed to show the chronological context. Finally, it is important to include key legal language that clearly states the intent to revoke the directive. This ensures that the revocation is legally recognized.
Is there a sample revocation of health care directive?
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Having a template assists in understanding the required sections, such as declarant information and legal language.
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It is crucial to include clear signature and date fields to validate the revocation.
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Ensure to provide copies of the revocation to all parties involved, including health care providers and family members, so that everyone is informed of the changes.
How can pdfFiller help manage health care documents?
Using pdfFiller, individuals can efficiently access and edit health care forms online, including the revocation health care directive form. The platform offers eSigning capabilities, allowing users to sign documents digitally and securely. Additionally, pdfFiller supports collaboration among teams, making document management seamless and user-friendly.
What are the final steps after revocation?
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Inform your health care provider and any family members about the revocation to prevent any confusion regarding your health care decisions.
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Make sure to keep the revocation document and any related health care documents in a secure location, easily accessible when needed.
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Ensure that your revocation complies with personal and legal needs to avoid potential disputes concerning medical care.
How to fill out the revocation health care directive
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1.Visit pdfFiller's website and create an account or log in if you already have one.
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2.Search for 'revocation health care directive' in the template library.
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3.Select the template and click on 'Fill Now' or 'Edit' to start filling out the document.
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4.Clearly state your full name and any identifying information at the top of the document.
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5.In the designated section, indicate that you are revoking all previous health care directives by checking the appropriate box or including a statement.
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6.Provide details of any previous directives being revoked, including dates and types of documents if applicable.
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7.Ensure you specify who is affected by the revocation, usually yourself, to clarify the scope of the document.
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8.Review all entries for accuracy, ensuring your intent is clearly communicated without ambiguity.
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9.Sign and date the document in the presence of a witness if required by your state law or facility guidelines.
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10.Save the filled document and consider printing multiple copies for your records, and for any health care providers involved.
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