Advance Directive for Health Care Form - Utah

Advance Directive for Health Care Form - Utah

A Utah 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. You can download the form through this link or make your own document with our online form-building application.

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.

As per § 75-2a-101 of the Utah Uniform Probate Code, a Utah Advance Directive requires a single witness and can be either oral or written. There is a difference between this form and a Living Will in Utah. 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.

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What Is a Utah Advance Directive?

An Advance Directive is a legal document by which an individual appoints a proxy to make medical decisions for when they are no longer able to and to administer or withhold treatment and procedures based on their previously stated wishes. Advance Directives include two separate forms:

  • A Living Will (a written statement listing decisions about life-­sustaining procedures in the event of a terminal condition);
  • A durable power of attorney for health care (a document appointing an attorney-in-fact to make medical decisions for the individual).

The attorney-in-fact should meet the following criteria:

  1. The health care proxy - or agent - must meet the state's legal requirements.
  2. The individual's doctor or a member of their medical care team may not be selected as a proxy.
  3. The elected individual should be trusted to be the patient's advocate in any disagreements about their care.

How to Write an Advance Directive in Utah?

Making an Advance Care Directive in Utah 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 - Utah

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