The Connecticut advance directive form allows individuals to prepare for palliative and end-of-life care by appointing a health care representative and recording instructions regarding medical treatments. The document addresses life-sustaining treatments such as artificial nutrition, hydration, and respiration, as well as life-saving techniques like CPR. The health care representative is a trusted individual who will become active if the principal is incapacitated and have the right to make health care decisions on their behalf.
Agent’s Duties – § 19a-580e
Signing Requirements (§ 19a-575a) – Two (2) Witnesses
Statutory Form – § 19a-575a
Statute – § 19a-570(1)
“Advance health care directive” or “advance directive” means a writing executed in accordance with the provisions of this chapter, including, but not limited to, a living will, or an appointment of health care representative, or both;
If the principal gives an advance directive to their health care provider, it will be made a part of the declarant’s medical record. The provider is also required to record any oral instructions given by the principal. Furthermore, if the witnesses are requested to acknowledge their signatures before a notary public, they must testify in court if the advance directive is called into question.