Nebraska Advance Directive Form

Create Document

A Nebraska advance directive is a two-part medical planning document that lists a person’s preferences regarding life-sustaining treatments and names a health care agent. The appointment of the health care agent is made through the power of attorney section, and the directions for physicians are provided through a living will (called a “declaration” in Nebraska).

Nebraska Advance Directive Form

A Nebraska advance directive is a two-part medical planning document that lists a person’s preferences regarding life-sustaining treatments and names a health care agent. The appointment of the health care agent is made through the power of attorney section, and the directions for physicians are provided through a living will (called a “declaration” in Nebraska).

Create Document
PDF
PDF

Last updated May 8th, 2024

Document Preview

A Nebraska advance directive is a two-part medical planning document that lists a person’s preferences regarding life-sustaining treatments and names a health care agent. The appointment of the health care agent is made through the power of attorney section, and the directions for physicians are provided through a living will (called a “declaration” in Nebraska).

Downloads: 175
  1. Home »
  2. Power of Attorney »
  3. Nebraska »
  4. Advance Directive

Signing Requirements

Nebraska advanced directives must be signed by two witnesses or signed and acknowledged by a notary public.[1]

Only one witness may be the administrator or employee of the principal’s health care provider, and an employee of the principal’s life/health insurance provider cannot serve as a witness.[2]

The witnesses for the health care power of attorney section cannot be in the principal’s immediate family or be their heir, romantic partner, or attorney-in-fact.

Advance Directive (Preview)

Nebraska Advance Directive

Revocation

The principal can revoke their advance directive at any time by communicating their intent to cancel it. Upon receiving communication of the revocation, the attending health care provider will enter it into the principal’s medical record.[3]
The principal must be mentally competent to revoke a medical power of attorney.

Sources