The Montana Advance Directive secures one’s preferences regarding health care decisions in case of future impairment due to medical complications. Declarants may record their own wishes concerning life-sustaining treatments as well as assign another individual the ability to make judgment calls on their behalf. This is effectuated by providing the identity of the health care representative, a list of directions regarding the desired protocol, and the signatures of the principal and two (2) witnesses. After completion, individuals may register this document into the state’s online database to ensure their wishes are followed (scroll down to the “How to File” section for more information).
This document contains:
- Living Will
- Medical Power of Attorney
Visit the Donate Life Montana Website for details on how to become an organ/tissue donor.
Laws
Statutes – Title 50, Chapter 9, Part 1: Montana Rights of the Terminally Ill Act
Definition – “Declaration” means a document executed in accordance with the requirements of Section 103 (§ 50-9-102(5)).
Statutory Forms – Living Will (50-9-103(2)), Medical POA (50-9-103(3))
Signing Requirements – Acknowledgment of Two (2) Witnesses (§ 50-9-103(1))
Revocation – Revocation of Declaration (§ 50-9-104), Health Care Power of Attorney Not Revoked Until Notice (§ 72-5-502)
Other Versions (7)
- AARP
- Everplans
- Five Wishes (Aging with Dignity)
- Montana State University
- Prepare for Your Care
- Spanish/Español Version
- St. Peter’s Health
Download: Adobe PDF
Instructions: Adobe PDF
Download: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Montana State University Version
Download: Adobe PDF
Download: Adobe PDF
In Spanish: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
How to File
The Office of Consumer Protection maintains an End-of-Life Registry (pursuant to § 50-9-501) that can be accessed online so that residents of the state can file their advance directives into a local database. The agency provides the following two (2) documents:
- Consumer Registration Agreement – A form submitted by individuals who have completed an advance directive so that its contents can be archived.
- Health Care Provider Registration Agreement – Medical professionals wishing to view patients’ advance directives must execute a copy of this form to gain access to the registry.
Additional Resources
- Benefis Health System – Your Healthcare Preferences: Advance Care Planning
- Montana Board of Medical Examiners – POLST Guidance for Medical Professionals
- Montana Legal Services Association – How to Use the My Choices Advance Directive
- Montana State University – Body Donation Program
- Montana State University – End-of-Life Registry Guide
- Montana State University – Rights of the Terminally Ill Act
- Montana State University – What Are Your Rights Over Your Remains?
- My Choices – Advance Directive, Living Will, and POLST Information
- SCL Health – Advance Care Planning in Montana
Related Forms (10)
- Consumer Registration Agreement
- Durable (Financial) Power of Attorney
- End of Life Worksheet
- Health Care Provider Registration Agreement
- HIPAA Authorization (Form HPS-401)
- Mental Health Care Advance Directive
- Organ Donation Form
- POLST Bracelet & Necklace Order Form
- Provider Orders for Life‐Sustaining Treatment (POLST) Form
- Revocation of Medical Power of Attorney
Consumer Registration Agreement (for Advance Directive)
Download: Adobe PDF
In Spanish: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Download: Adobe PDF
Health Care Provider Registration Agreement (for Access to Registry)
Download: Adobe PDF
HIPAA Authorization (Form HPS-401)
Download: Adobe PDF
Mental Health Care Advance Directive
Download: Adobe PDF
Instructions: Adobe PDF
Laws: 53-21-1301 – 53-21-1335
Download: Adobe PDF
POLST Bracelet & Necklace Order Form
Download: Adobe PDF
Provider Orders for Life‐Sustaining Treatment (POLST) Form
Download: Adobe PDF
Instructions: Adobe PDF
Revocation of Medical Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Comments