Fillable Living Will Template for North Dakota State Access Your Form

Fillable Living Will Template for North Dakota State

A North Dakota Living Will form is a legal document that allows a person to outline their preferences regarding medical treatment in the event they become unable to make decisions due to illness or incapacity. This form serves as a guide for healthcare providers and loved ones, ensuring that the person's wishes are respected and followed. For residents of North Dakota looking to establish their healthcare directives, completing this form is a crucial step.

To ensure your healthcare preferences are honored, consider filling out your North Dakota Living Will form today by clicking the button below.

Access Your Form
Outline

Planning for the future includes preparing for medical situations where one might not be able to express their wishes directly. In North Dakota, the Living Will form serves as a crucial legal document that allows individuals to outline their preferences regarding medical treatment and interventions in the event that they become incapacitated. This document is particularly instrumental in guiding family members and healthcare providers to make decisions that align with the individual's desires, thereby relieving them from the heavy burden of making such critical choices without guidance. The Living Will form encompasses decisions about life-sustaining treatments, including the use of medical devices to prolong life, as well as the individual's preferences on tube feeding, resuscitation, and the use of medications for pain relief. It is a powerful testimony of one's wishes, providing clarity and peace of mind to both the individual and their loved ones. Proper completion and execution of this form, under the guidance of legal and healthcare professionals, ensures that the wishes of the individual are respected and legally recognized in North Dakota, making it an indispensable part of healthcare planning and personal well-being.

Document Preview Example

North Dakota Living Will Template

This Living Will is designed to be in compliance with the North Dakota Century Code Chapter 23-06.5, "Life-Sustaining Treatment Decisions." It is a legal document that outlines your preferences for medical treatment in situations where you are unable to communicate your decisions due to illness or incapacity.

Please complete the information below to create your personalized Living Will.

PERSONAL INFORMATION

Full Legal Name: ________________________________

Birth Date: _________________________

Address: ________________________________________

City: ___________________ State: ND Zip: __________

Primary Phone: ____________________

HEALTH CARE DIRECTIVES

In the event that I am unable to make my own health care decisions, I direct the following preferences for the provision, withdrawal, or withholding of treatment. These decisions reflect my values and desires regarding healthcare:

  1. Life-Sustaining Treatment:

    If I am in a terminal condition, or permanently unconscious, and the burdens of treatment would outweigh the expected benefits, I direct that:

    ( ) Life-sustaining treatments should be provided.

    ( ) Life-sustaining treatments should not be provided, and I should be allowed to die naturally with only the administration of medication or the performance of any medical procedure deemed necessary to provide comfort care or to alleviate pain.

  2. Artificial Nutrition and Hydration:

    ( ) I wish to receive artificial nutrition and hydration (feeding tube) if I am unable to take food by mouth, regardless of my condition.

    ( ) I do not wish to receive artificial nutrition and hydration if it is the only means of prolonging life in a terminal condition or permanent unconsciousness.

  3. Additional Instructions:

    Here, you may describe other desires or instructions you have regarding your health care, including preferences about specific treatments, conditions, or situations:

DESIGNATION OF HEALTH CARE AGENT

I designate the following individual as my Health Care Agent who is authorized to make health care decisions on my behalf, should I become unable to make them myself:

Name: ___________________________________________

Relationship: ____________________________________

Primary Phone: ____________________ Secondary Phone: ____________________

Address: ________________________________________

City: ___________________ State: __ Zip: __________

ALTERNATE AGENT

If my primary Health Care Agent is unavailable, unwilling, or unable to act on my behalf, I designate the following individual as my alternate Health Care Agent:

Name: ___________________________________________

Relationship: ____________________________________

Primary Phone: ____________________ Secondary Phone: ____________________

Address: ________________________________________

City: ___________________ State: __ Zip: __________

SIGNATURE

By signing below, I affirm that this Living Will reflects my desires and I understand its contents. I am of sound mind and not under any undue influence.

Signature: ________________________________ Date: _______________

Print Name: _______________________________

WITNESS DECLARATION

This Living Will was signed in my presence by the individual named above, who appears to be of sound mind and not under duress or undue influence. By signing below, I affirm that I am not the individual's attending physician, not related to the individual by blood, marriage, or adoption, and not entitled to any portion of the individual's estate upon their decease.

Witness 1 Signature: _______________________________ Date: _______________

Witness 1 Print Name: _____________________________

Witness 2 Signature: _______________________________ Date: _______________

Witness 2 Print Name: _____________________________

File Details

Fact Name Description
Purpose The North Dakota Living Will form is used for stating your wishes regarding medical treatment in situations where you are unable to make decisions for yourself.
Eligibility Any person who is of sound mind and 18 years of age or older, or a legally emancipated minor, can create a Living Will in North Dakota.
Witness Requirement The Living Will must be signed in the presence of two or more adult witnesses, who must also sign the document, affirming that the declarant is of sound mind and not under duress or undue influence.
Governing Laws The North Dakota Living Will is governed by North Dakota Century Code, Chapter 23-06.5, which outlines Health Care Directives including living wills.

Detailed Instructions for Filling Out North Dakota Living Will

Filling out a Living Will is a significant step in planning for future healthcare decisions. It enables individuals to outline their wishes regarding medical treatment in the event they are unable to communicate those decisions themselves. This document is crucial because it provides guidance to family members and healthcare providers, ensuring that the person's preferences are known and respected. The following steps will guide individuals through the process of completing the North Dakota Living Will form effectively and accurately.

  1. Start by gathering all necessary personal information, including your full legal name, date of birth, and contact information.
  2. Read through the form carefully to familiarize yourself with its sections and requirements. Understanding the form in its entirety will help ensure that all parts are completed correctly.
  3. In the section designated for personal details, fill in your name, date of birth, and address in the spaces provided.
  4. Review the treatment preferences section. This part outlines various medical situations and asks you to specify your wishes should those situations arise. Consider each scenario carefully and indicate your decisions clearly.
  5. Appointment of a healthcare agent is an optional step but highly recommended. If you choose to appoint one, enter the name, relationship, and contact information of the person you are appointing as your healthcare agent. This individual will have the authority to make healthcare decisions on your behalf if you are unable to do so.
  6. Look for any additional instructions or specification sections on the form. Here, you can provide more detailed directives or express any other important treatment preferences not covered elsewhere in the document.
  7. After completing the form, review it thoroughly to ensure all information is accurate and reflects your wishes accurately. Pay special attention to any signatures or witness requirements, as omitting these can result in the document being considered invalid.
  8. Sign and date the form in the presence of the required witnesses or a notary public, depending on the state's requirements. Ensure that all witnessing parties also sign where necessary.
  9. Finally, distribute copies of the signed document to your healthcare agent (if one is appointed), family members, and your primary healthcare provider to ensure that your wishes are easily accessible when needed.

By following these steps carefully, individuals can complete their North Dakota Living Will with confidence. It's important to remember that this document is a reflection of one's wishes concerning medical treatment. Regular review and updates are encouraged as circumstances and preferences change over time. Preparing a Living Will offers peace of mind, not only to the individual but also to their loved ones, by making intentions clear and legally documented.

Your Questions, Answered

What is a Living Will?

A Living Will is a legal document that allows an individual to outline their preferences regarding medical treatment if they become incapacitated and are unable to communicate their decisions. It ensures that a person's healthcare choices are honored, particularly concerning life-sustaining treatment and end-of-life care.

Is a Living Will necessary in North Dakota?

In North Dakota, a Living Will is an important tool for anyone who wishes to have control over their medical treatment in the case of incapacitation. While not mandatory, it provides clarity and peace of mind for both the individual and their loved ones, ensuring that medical treatment aligns with the individual's wishes.

How does one create a Living Will in North Dakota?

To create a Living Will in North Dakota, an individual must complete a Living Will form, clearly stating their healthcare decisions. The form must be signed in the presence of two witnesses or a notary public, who also need to sign the document, affirming the authenticity of the individual’s signature and their sound mind at the time of signing.

Who can serve as a witness for a North Dakota Living Will?

Witnesses to a Living Will in North Dakota must be adults who are not related to the individual by blood, marriage, or adoption. They cannot be beneficiaries of the individual's estate, nor can they have a direct financial responsibility for the individual’s medical care. The aim is to ensure impartiality and prevent conflicts of interest.

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

Yes, an individual can revoke or amend their Living Will at any time, reflecting changes in their healthcare preferences or personal circumstances. Revocation can be done in several ways, including creating a new Living Will, physically destroying the original document, or issuing a written and signed statement expressing the desire to revoke it.

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

If an individual becomes incapacitated without a Living Will in North Dakota, healthcare decisions will typically be made by a court-appointed guardian, or by family members, according to a hierarchy established by state law. However, this process can be emotionally taxing and may not reflect the individual’s actual wishes.

Does a North Dakota Living Will cover organ donation?

A Living Will in North Dakota can include instructions about organ donation but is primarily focused on decisions regarding life-sustaining treatment and end-of-life care. For specific organ donation requests, it is advised to also register with the North Dakota Organ and Tissue Donor Registry.

How is a Living Will different from a Health Care Proxy in North Dakota?

A Living Will is a document stating an individual's preferences for medical treatment, while a Health Care Proxy (also known as a durable power of attorney for health care) designates another person to make healthcare decisions on the individual’s behalf. Both documents are integral parts of advance care planning in North Dakota, addressing different aspects of healthcare decision-making.

Are Living Wills recognized across state lines?

While most states have laws recognizing living wills made in other states, it is possible that specific provisions may not be honored if they conflict with the laws in the state where care is provided. For those who spend significant time in more than one state, it might be beneficial to have a living will that complies with the laws of all relevant states.

Where should a Living Will be kept?

A Living Will should be easily accessible in case of an emergency. Copies should be given to the individual’s healthcare provider, attorney, and a trusted family member or friend. It’s also wise to keep a note in a wallet or purse indicating that one has a Living Will and where it can be found.

Common mistakes

Filling out a North Dakota Living Will form requires careful attention to detail. Many individuals may find this process daunting, leading to mistakes that could significantly impact the document's effectiveness in conveying their wishes regarding healthcare decisions. Common errors occur, and understanding these can help in creating a clearer, more effective document.

  1. Not consulting with healthcare professionals. People often complete their Living Will without seeking advice from healthcare experts. This oversight can result in a document that doesn't fully account for all medical possibilities or terminologies. It's crucial to discuss your wishes and the implications of your decisions with a healthcare provider to ensure your Living Will reflects your intentions accurately.

  2. Forgetting to update the document. Life circumstances and medical advancements change over time, but individuals frequently forget to update their Living Will accordingly. It's important to review and potentially revise this document after major life events, such as marriage, divorce, the diagnosis of a serious illness, or significant changes in health status, to ensure it remains aligned with current wishes and medical treatments available.

  3. Omitting detailed instructions for specific situations. A common mistake is not providing enough detail about one's healthcare preferences for different situations. A Living Will should clearly articulate instructions for various conditions or stages of illness, ensuring that healthcare providers and loved ones understand the person's wishes regarding life-sustaining treatments, pain management, and other interventions.

  4. Failure to discuss the document with family and healthcare proxies. Simply completing the Living Will is not enough. A critical step that is often overlooked is discussing its contents with family members and any named healthcare proxies or powers of attorney. These discussions can help prevent confusion and conflict at difficult times by making sure everyone understands the individual's preferences and the reasons behind them.

  5. Improper or incomplete execution of the form. The Living Will must be filled out correctly to be legally valid. This means adhering to North Dakota's requirements for witnessing or notarization. Mistakes in this area, such as not having the right number of witnesses or using a witness who is not considered legally acceptable (e.g., a beneficiary), can invalidate the document or cause disputes during a critical time.

Being aware of and avoiding these common mistakes can significantly impact the effectiveness of a North Dakota Living Will. It ensures that the document truly reflects the individual's healthcare preferences and is ready to guide loved ones and healthcare professionals through difficult decisions, should the need arise.

Documents used along the form

When preparing a Living Will in North Dakota, it's essential to consider other legal documents that complement your health care wishes. A Living Will specifies what types of medical treatment you want or don't want at the end of your life or if you cannot communicate your decisions. However, to ensure all aspects of your health and assets are managed according to your wishes, several other key documents are often used in conjunction with a Living Will. Each serves a specific purpose and collectively, they provide a comprehensive approach to estate and health care planning.

  • Health Care Power of Attorney: This document allows you to appoint someone you trust to make health care decisions for you if you're unable to do so yourself. Unlike a Living Will, which is limited to end-of-life decisions, a Health Care Power of Attorney covers any medical decision-making when you're incapacitated.
  • Durable Power of Attorney for Finances: This enables you to designate an agent to manage your financial affairs if you become unable to do so. This could include paying bills, managing investments, or making decisions related to your property and assets.
  • Do Not Resuscitate (DNR) Order: A DNR is a medical order signed by a doctor that instructs health care providers not to perform CPR if your breathing or heartbeat stops. This is particularly important if you have a terminal illness or wish to avoid aggressive medical interventions at the end of life.
  • Organ and Tissue Donation Form: While not everyone considers this, specifying your wishes regarding organ and tissue donation can be a part of your end-of-life planning. This form makes your intentions known to family and healthcare providers.
  • Last Will and Testament: Though not directly related to your health care decisions, a Last Will and Testament is crucial for outlining how your assets and estate should be distributed after your death. It can also specify guardianship for any dependents.

In summary, while a North Dakota Living Will is a pivotal document for outlining your medical care preferences, it’s part of a broader set of legal documents that ensure all aspects of your personal and financial matters are addressed. Integrating a Living Will with a Health Care Power of Attorney, Durable Power of Attorney for Finances, DNR order, Organ and Tissue Donation Form, and Last Will and Testament provides a comprehensive plan that respects your health care wishes and manages your estate according to your desires.

Similar forms

The North Dakota Living Will form is similar to several other legal documents that permit individuals to outline their preferences regarding medical care and end-of-life decisions. Though they share common purposes, each document has distinct features and legal applications.

  • Health Care Power of Attorney: This document is similar to a Living Will in that it allows an individual to dictate their healthcare preferences. However, it goes a step further by appointing another person, known as a health care agent or proxy, to make health care decisions on the individual’s behalf if they are unable to communicate their wishes themselves. This document is not only focused on end-of-life decisions but applies to any medical decisions, making it broader in scope than a Living Will.

  • Advance Health Care Directive: This type closely resembles a Living Will but is more comprehensive. An Advance Health Care Directive includes elements of both a Living Will and a Health Care Power of Attorney. It allows an individual to outline specific medical treatments they wish to receive or avoid, and to appoint a healthcare representative. This ensures that a person's health care preferences are honored, both in terms of specific treatments and in appointing an agent to make decisions, combining the specifications of treatment preferences with the delegation of decision-making authority.

  • Durable Power of Attorney for Health Care: Similar to a Health Care Power of Attorney, a Durable Power of Attorney for Health Care designates someone to make health care decisions on an individual's behalf. The key similarity between this document and a Living Will is the focus on healthcare decisions. The major difference, however, lies in the fact that the "durable" aspect of this power of attorney means it remains in effect even if the individual loses mental capacity, not just when they are temporarily unable to make their own decisions.

  • Medical Orders for Life-Sustaining Treatment (MOLST): This document is used primarily by those with serious health conditions, allowing them to outline specific medical treatments they want at the end of life. Like a Living Will, a MOLST informs healthcare providers of an individual's preferences regarding treatments such as resuscitation, mechanical ventilation, and feeding tubes. While it is similar in its focus on end-of-life care, a MOLST is a medical order that applies immediately, unlike a Living Will, which generally takes effect only under certain conditions.

Dos and Don'ts

Certainly, when it comes to drafting your North Dakota Living Will, ensuring that you follow a precise procedure is crucial. This document will serve as a testament to your wishes regarding healthcare and life-sustaining treatments in the event you are unable to communicate them yourself. Here’s a guide to what you should and shouldn't do when filling out the North Dakota Living Will form.

What You Should Do:

  1. Read the form thoroughly before beginning. Understanding every section is crucial to accurately reflect your wishes.

  2. Be specific about your medical treatment preferences. Detail which life-sustaining treatments you would want or not want, such as mechanical ventilation, feeding tubes, or dialysis, in various medical scenarios.

  3. Discuss your wishes with your healthcare provider. They can offer insights into how your decisions might be implemented in a medical context.

  4. Choose a trusted individual as your healthcare agent. This person will represent your healthcare decisions if you're unable to communicate.

  5. Sign and date the form in the presence of two witnesses or a notary public. Their signatures will attest to the authenticity of your living will.

What You Shouldn't Do:

  • Don't leave any room for interpretation. Vague language can lead to confusion about your true healthcare wishes.

  • Don't neglect to inform your family and close friends about your living will. It’s important they understand your decisions and know where the document is stored.

  • Don't forget to review and update your living will periodically. As your health status or wishes change, your living will should reflect these changes.

  • Avoid choosing a healthcare agent who may not be willing or able to carry out your wishes. This could lead to unnecessary stress and complications.

Remember, a Living Will is a powerful document that communicates your health care preferences. Taking the time to carefully consider and accurately fill out your North Dakota Living Will form can ensure that your healthcare decisions are understood and respected, even when you are not able to communicate them yourself.

Misconceptions

When discussing the North Dakota Living Will form, several misconceptions frequently arise. These misunderstandings can lead to confusion and may deter individuals from completing this important document. It is vital to clear up these misconceptions to ensure that everyone understands the purpose and effect of a Living Will in North Dakota.

  • Misconception 1: A lawyer is required to complete a Living Will. Many people believe that they need a lawyer to draft a Living Will. However, in North Dakota, this is not the case. While legal advice can be beneficial, especially for complex estates or medical decisions, the state provides forms that individuals can complete on their own. Clear instructions are provided to help ensure the document is completed correctly.
  • Misconception 2: It only applies if you are terminally ill. There's a common belief that Living Wills only come into effect if someone is terminally ill. Contrary to this belief, a Living Will in North Dakota can also apply in situations where an individual is permanently unconscious or in a similar condition where they are unable to communicate their healthcare wishes, regardless of whether the condition is terminal.
  • Misconception 3: A Living Will is the same as a Last Will and Testament. People often confuse a Living Will with a Last Will and Testament. However, they serve very different purposes. A Living Will pertains to medical treatment preferences in situations where an individual cannot make decisions for themselves, whereas a Last Will and Testament deals with the distribution of an individual's property after their death.
  • Misconception 4: Once completed, it cannot be changed. Some are under the impression that once a Living Will is signed, it is set in stone. This is not accurate. In North Dakota, individuals have the right to revoke or amend their Living Will at any time, as long as they are competent. Changes should be communicated to all relevant parties and updated documents distributed accordingly.
  • Misconception 5: It covers all aspects of end-of-life decisions. Finally, there is a mistaken belief that a Living Will covers all decisions related to end-of-life care. In reality, it only addresses issues related to life-sustaining treatment and the use of artificial life support. Other important considerations, such as organ donation or comfort care preferences, should be documented separately in advance directives or discussed with healthcare providers and family members.

Clearing up these misconceptions encourages more people in North Dakota to take control of their healthcare decisions by preparing a Living Will. Understanding what a Living Will is—and isn't—helps ensure that individuals' wishes are respected, even when they can't communicate them themselves.

Key takeaways

When preparing a North Dakota Living Will, understanding the process and requirements ensures your healthcare wishes are respected and legally recognized. Here are key takeaways to guide you through filling out and utilizing this important document:

  1. The North Dakota Living Will form allows individuals to outline their preferences for medical treatment should they become incapacitated and unable to communicate their decisions.
  2. It is crucial to discuss your wishes with family members and your healthcare provider before completing the form to ensure your directives are clear and feasible.
  3. Legally, you must be at least 18 years old or an emancipated minor to create a Living Will in North Dakota.
  4. The document requires notarization or the signatures of two witnesses to be valid. Witnesses should not be related to you by blood, marriage, or adoption and cannot be beneficiaries of your estate.
  5. Clearly specify which life-sustaining treatments you would like to refuse or receive, keeping in mind conditions like terminal illness, permanent unconsciousness, or other states in which you would not want extraordinary measures to prolong your life.
  6. Remember to appoint a healthcare agent or attorney-in-fact who has the authority to make healthcare decisions on your behalf if you are unable. This should be someone you trust to follow your wishes.
  7. Once completed, copies of your Living Will should be given to your healthcare agent, close family members, and your healthcare providers to ensure your directives are understood and can be accessed when needed.
  8. Review and update your North Dakota Living Will periodically, especially after significant life events like marriage, divorce, the birth of a child, or a change in health status to ensure it always reflects your current wishes.

Filling out a Living Will is a responsible step in healthcare planning, providing peace of mind for you and your loved ones. Ensuring your document is accurately completed and accessible will help healthcare professionals and family members make decisions that align with your values and desires.

Please rate Fillable Living Will Template for North Dakota State Form
4.7
(Superior)
192 Votes

Fill out More Living Will Templates for Different States