Nevada Living Will Template
This Living Will is designed to comply with the Nevada Durable Power of Attorney for Health Care Act. It serves as a directive for the provision, withholding, or withdrawal of life-sustaining treatment and artificially provided nutrition and hydration if you are ever diagnosed with a terminal condition or fall into a persistent vegetative state and can no longer make decisions regarding your health care.
Part I: Principal Information
Full Name: ________________________________
Date of Birth: ____________________________
Address: __________________________________
City: ____________________ State: NV Zip: __________
Primary Phone: ____________________________
Email Address: _____________________________
Part II: Health Care Directives
In the event that I am incapacitated and unable to personally communicate my wishes, I direct that:
- My health care providers and caregivers shall conform to the directions given in this Living Will, even if those directions conflict with other recommendations or standard procedures.
- All my care must aim to maintain my dignity and provide comfort, even if it does not extend my life.
- If I am diagnosed with an irreversible condition that will lead to death within a relatively short time and I am unable to communicate my wishes, I direct that life-sustaining treatment be withheld or withdrawn. This includes artificial respiration, cardiopulmonary resuscitation (CPR), dialysis, surgery, and other invasive procedures.
- If I am in a persistent vegetative state and unlikely to regain consciousness or cognitive function, I request that life-sustaining treatment, including artificially provided nutrition and hydration, be withdrawn, allowing natural death to occur.
- I understand that pain relief and comfort care must be aggressively pursued and provided, even if it hastens my death.
Part III: Signature
To validate this Living Will, my signature along with the date is required below. This document only becomes effective upon my incapacity to make or communicate health care decisions.
Signature: ______________________________ Date: _____________
Part IV: Witness Acknowledgment
This Living Will must be signed in the presence of two witnesses who are not related to the principal by blood, marriage, or adoption, and who are not entitled to any portion of the estate of the principal under any will of the principal or by operation of law as of the date of the signing of this Living Will.
Witness 1 Signature: _____________________________ Date: _____________
Witness 2 Signature: _____________________________ Date: _____________
Important Notice:
This document does not constitute legal advice. Individuals completing this Living Will should consult with an attorney to ensure that their rights and wishes are properly represented and in accordance with Nevada law.