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Advance Directive for Health Care Form - Mississippi
A Mississippi Advance Directive for Health Care ensures that an individual's wishes regarding health care are carried out even in situations when they are unable to make them known due to a terminal illness or being unconscious or too ill to communicate. There is a difference between this form and a Living Will in Mississippi. A Living Will is a part of the Advance Health Care Directive paperwork that covers end-of-life treatment and takes effect only in the event of a terminal illness.
Make your own Advance Directive with our form builder or download a pre-made template through the link below.
Advance care planning involves learning about the types of decisions that might need to be made, considering and adjusting those decisions ahead of time, and then letting others - both the individual's family and their health care providers - know about their medical treatment preferences.
A Mississippi Advance Directive is regulated by § 41-41-201 through § 41-41-229 - or the Uniform Health-Care Decisions Act . The document must be signed by two (2) credible individuals or acknowledged before a notary public.
What Is a Mississippi Advance Directive?
An Advance Directive is a document in which an individual states their preferences regarding health care procedures that become effective when they are no longer able to make decisions for themselves. The contents can be updated and changed as often as the individual wishes.
The document includes two parts in total:
- A Living Will - a specific type of Advance Directive which can also be used on its own - is a signed and witnessed document called a "declaration" or "directive" with instructions for an attending physician to withhold or withdraw certain medical interventions once the signer is no longer able to verbally make decisions about medical treatment.
- A Durable Power of Attorney for Health Care - otherwise known as a health care proxy - is a notarized document in which the signer designates an agent to make health-related decisions on their behalf.
How to Write an Advance Directive in Mississippi?
Creating an Advance care directive in Mississippi usually features the following steps:
STEP 1 - Elect a health care proxy - or agent - to make medical decisions on your behalf. Be sure to choose a person willing to respect and follow your wishes
STEP 2 - Write down your wishes regarding any limitations in medical treatment. Specify whether you agree to be on a dialysis machine, extracorporeal membrane oxygenation (ECMO) machine, receive CPR or take antibiotics to treat infections
STEP 3 - Make decisions regarding the possibility of organ and tissue donation and state your preferences regarding burial and the disposition of remains.
STEP 4 - Keep the original signed and certified form, hand a copy out to your agent and ask your doctor to keep a copy of your document with your medical records.
Download Advance Directive for Health Care Form - Mississippi
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