The Rhode Island Advance Directive formalizes a written transcript in an effort to outline one’s wishes for medical care should circumstances occur where they can not voice their own decisions. Legally preparing for worst-case scenarios benefits the principal in establishing the desired course(s) of treatment prior to any potential decline in physical and mental health. The contract’s language allows the declarant to identify preferences related to possible life-sustaining regimens, including tube feeding. The secondary purpose of the registry provides an area to denote the assignment of a designated agent to make health care choices on behalf of the principal. Executing the arrangement will require the attesting of a notary or two (2) allowable witnessing parties confirm the form’s validation.
Laws
Statute – Rhode Island Health Care Power of Attorney (§ 23-4.10) and Rhode Island Rights of the Terminally Ill Act (§ 23-4.11)
Definitions – “Advance directive protocol” means a standardized, state-wide method developed for emergency medical services personnel by the department of health and approved by the ambulance service advisory board, of providing palliative care to, and withholding life-sustaining procedures from, a qualified patient (§ 23-4.11-2(1)).
Signing Requirements – An actively instated notary or two (2) subscribing witnesses, unrelated by blood or marriage, must be present to corroborate the endorsement process to verify its commitment (§ 23-4.10-2).
Revocation – § 23-4.10-3 and § 23-4.11-4
Other Versions (6)
- AARP (Caring Connections)
- eForms
- Five Wishes (Aging with Dignity)
- Hope Health
- Prepare for Your Care
- Roman Catholic Diocese of Providence
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Download: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Hope Health Version (also available in Spanish/en Español)
Download: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Roman Catholic Diocese of Providence Version
Download: Adobe PDF
Instructions: Adobe PDF
Additional Resources
- Healthcentric Advisors – Information for Patients, Families, and Caregivers
- Lifespan Health System – About Advance Directives
- New England Donor Services – Organ Donation FAQ’s
- Roman Catholic Diocese of Providence – End-of-Life Decisions Guide
- State of Rhode Island Department of Health – Advance Directives
- State of Rhode Island Department of Health – Medical Orders for Life-Sustaining Treatment (MOLST)
Related Forms (3)
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Medical Orders for Life-Sustaining Treatment (MOLST)
Download: Adobe PDF
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