Nevada · Fillable PDF · 3 pages · Free
HIPAA Authorization - Nevada
Allow chosen people to receive specified medical information.
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Advance Health Care Directive - Nevada
Nevada · Fillable PDF · Free
Name your health care agent and record treatment wishes. Name your health care agent and record treatment wishes.
About this Nevada advance health care directive
This is Nevada’s official advance health-care directive, in effect since January 1, 2024. It lets you name an agent to make health care decisions if you cannot, state your wishes about life-sustaining treatment and your priorities, give optional special powers, nominate a guardian, and make an organ donation decision. You may complete all or any part of it.
Serving Nevada. Appointments must be handled by Nevada-commissioned notaries.
Important notes from this Nevada packet
Signing a new health care power of attorney automatically revokes any earlier one (NRS 162A.820). Directives signed before 2024 on Nevada’s older form generally remain valid. You may update to this form at any time. For financial matters, use the Nevada Statutory Form Power of Attorney.
Download Advance Health Care Directive - Nevada PDF · 7 pages. No account required.
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Who this form is for
- Name your health care agent and record treatment wishes.
What you'll need
- Name your agent and an alternate (Part 1) Choose people you trust and talk with them first. You may also limit your agent’s authority.
- Your packet, any required supporting documents and acceptable identification for the signing.
How to complete it
- Name your agent and an alternate (Part 1) Choose people you trust and talk with them first. You may also limit your agent’s authority.
- State your treatment wishes and priorities (Part 2) Mark or initial the choices that fit your wishes about life-sustaining treatment, tube feeding, and pain care, and what matters most to you.
- Optional powers, guidance, and guardian (Part 3) Mark any special powers you want to give, whether your agent may see your health information at any time, and who should be your guardian if needed.
- Make your organ donation choice (Part 4) Mark whether you wish to donate and for what purposes, or leave it blank.
- Sign before a notary or two witnesses (Part 5) Nevada law allows either. Your agent cannot be a witness, and nursing home staff cannot witness for a resident. Many hospitals prefer notarization. Do not sign ahead of time. We come to your home, hospital, or care facility.
- Share copies Give copies to your agent, alternate agent, doctor, and hospital. You may also register it with Nevada’s advance directive registry.
Related Nevada forms
Nevada · Fillable PDF · 3 pages · Free
Revocation of Advance Health Care Directive - Nevada
Revoke earlier health care instructions or agent authority.
View Revocation of Advance Health Care Directive - Nevada · Download Revocation of Advance Health Care Directive - Nevada
These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.