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The Nebraska Living Will summarizes an individual’s preferences concerning specified medical treatment options within a written register. The form is a standard measure to prepare a framework of desired actions as a precaution for possible health care outcomes. Filing the form aids physicians in understanding how the patent would like to proceed in various situations should they be physically or mentally unable to voice their requests.
Laws
Statute – Nebraska Revised Statutes – Rights of the Terminally Ill Act (§ 20-401 – 20.416)
Definition – “Declaration” shall mean a writing executed in accordance with the requirements of subsection (1) of section § 20-404 (§ 20-403(3)).
Signing Requirements – Confirmation from either two (2) acceptable witnesses or one (1) licensed notary is needed to finalize the obligations created by the agreement (§ 20-404(1)).
Revocation – § 20-406
Other Versions
Everplans Version
Download: Adobe PDF
Spanish Version
Download: Adobe PDF
Additional Resources
- Boone County Health Center – Advance Directives in Nebraska Guide
- Gold Crest Retirement Center – Advance Directives
- Memorial Community Health – Patient’s Rights to Make Health Care Decisions in NE
- Nebraska Medicine – Set Up a Living Will or Power of Attorney
- Nebraska Organ Recovery – Organ Donation
- University of Nebraska-Omaha – Living Wills and Advance Directives for Medical Decisions
Related Forms (6)
- Advance Directive (Medical POA & Living Will)
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- Emergency Treatment Declaration
- Physician’s DNR Order
- Psychiatric Advance Directive
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Emergency Treatment Declaration (also available for a Minor)
Download: Adobe PDF
Information: Adobe PDF
Physician’s Do-Not-Resuscitate (DNR) Order
Download: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
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