Revocation of Advance Health Care Directive - Nevada

Nevada · Fillable PDF · Free

Revoke earlier health care instructions or agent authority. Revoke earlier health care instructions or agent authority.

About this Nevada revocation of advance health care directive

You may revoke your Nevada advance health-care directive (power of attorney for health care), an older living will declaration, or just one agent’s authority, at any time while you are able to make your own decisions. A written, notarized revocation delivered to your agent and doctors is the clearest proof. Signing a new health care directive also automatically revokes the old one.

Serving Nevada. Appointments must be handled by Nevada-commissioned notaries.

Important notes from this Nevada packet

A revocation is effective as to a provider once the provider knows of it, so deliver copies promptly. This form does not revoke a financial power of attorney. Use the Nevada Revocation of Power of Attorney for that. Want a new agent instead? Sign a new Nevada Advance Health-Care Directive.

Download Revocation of Advance Health Care Directive - Nevada PDF · 3 pages. No account required.

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Who this form is for

  • Revoke earlier health care instructions or agent authority.

What you'll need

  • Identify what you are revoking Mark your directive, an older living will declaration, or a single agent, and enter the dates.
  • Your packet, any required supporting documents and acceptable identification for the signing.

How to complete it

  1. Identify what you are revoking Mark your directive, an older living will declaration, or a single agent, and enter the dates.
  2. Note any new directive If you signed a new Advance Health-Care Directive, list its date so providers know which document controls.
  3. Sign before a Nevada notary Do not sign ahead of time. Bring a current photo ID. We come to your home, hospital, or care facility.
  4. Deliver copies right away Give copies to your former agent, your doctors, hospital, and care facility, and record each delivery in item 5.
  5. Update the registry If your directive was registered with Nevada’s advance directive registry, update or remove it there.
  6. Keep the original Keep the signed original with your important papers.

Related Nevada forms

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.

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