Advance Directive for Health Care Form - Rhode Island

Advance Directive for Health Care Form - Rhode Island

A Rhode Island Advance Directive is a revisable set of written instructions about future medical care that take effect in cases when a patient becomes unable to make decisions for themselves. The purpose of the form is to let an individual plan their medical treatment in advance.

You can download the form through this link or make your own Advance Directive with our online form-building application.

A Rhode Island Advance Directive is defined and regulated by Chapter 23-4.11 - Rights of the Terminally Ill Act. The document must be witnessed by two (2) individuals eighteen (18) years of age or older. The main difference between this form and a Rhode Island Living Will is that a Living Will - also called a "directive to physicians" - is one form of the Advance Health Care Directive. It's more limited in nature and only state a patient's wishes for end-of-life medical care.

ADVERTISEMENT

What Is a Rhode Island 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 form includes two parts in total:

  1. 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.
  2. 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 Rhode Island?

  1. Decide on whether you want to include a Living Will in your Advance Health Care instructions.
  2. If you decided to include a Living Will be specific about such things as CPR, breathing machines, antibiotics, kidney dialysis, tube-feeding, and certain surgical procedures that you are willing to authorize.
  3. Discuss your decisions with your partner or spouse, your doctor, and your attorney.
  4. Elect a decision-maker - a health care proxy or agent. Choose someone you believe will be able to follow your wishes whatever those may be. This will help ensure that your wishes are carried out correctly and in full.
  5. Give a copy of the document to your health care proxy and ask for it to be kept in a safe place. Keep the original in an easy-to-find place. Do not lock it in a safe-deposit box or filing cabinet that only you can access.

Download Advance Directive for Health Care Form - Rhode Island

4.7 of 5 (28 votes)
  • Advance Directive for Health Care Form - Rhode Island

    1

  • Advance Directive for Health Care Form - Rhode Island, Page 2

    2

  • Advance Directive for Health Care Form - Rhode Island, Page 3

    3

  • Advance Directive for Health Care Form - Rhode Island, Page 4

    4

  • Advance Directive for Health Care Form - Rhode Island, Page 5

    5

  • Advance Directive for Health Care Form - Rhode Island, Page 1
  • Advance Directive for Health Care Form - Rhode Island, Page 2
  • Advance Directive for Health Care Form - Rhode Island, Page 3
  • Advance Directive for Health Care Form - Rhode Island, Page 4
  • Advance Directive for Health Care Form - Rhode Island, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT