New Hampshire Advance Directive

People in New Hampshire may create a healthcare power of attorney as well as a living will using a New Hampshire Advance Directive, which is a legal procedure. Someone can appoint a representative to handle their medical needs if they are unable to do it themselves due to sickness or injury. These documents are often filled out by the elderly and people who are suffering from medical issues.

New Hampshire advance directive

New Hampshire Advance Directive

Laws and guidelines to adhere to

Section 137-J of the Code of Civil Procedure (Written Directives for Medical Decision Making for Adults Without Capacity to Make Health Care Decisions)

Requirements needed to complete the signing process

(137-J:14) When dealing with this circumstance, the employment of a notary public or two (2) witnesses is also an option.

The definition of the state – (137-J:2(I)) –  every time the word "advance directive" is spoken, it is normally in the context of appointing a person to make medical choices on behalf of someone who no longer has the mental ability. When it comes to making choices regarding medical treatment, living wills and durable powers of attorney for health care are both referred to as "advance directives."

Writing a New Hampshire advance directive

Section I contains a Power of Attorney for Health-Care Purposes.

(1) Make a note of the name of the principal

A New Hampshire patient's name must be included on this form, and this patient will be referred to as the Principal or Declarant throughout this document. To achieve our goals, this form will be processed as if it were filled out by a New Hampshire patient or a New Hampshire principal.

(2) Principal Date of Birth In New Hampshire.

(3) Agents working on behalf of the Principal in the realm of healthcare services. Using this directive as the vehicle, an Attorney-in-Fact or Health Care Agent of your choosing in the state of New Hampshire will be able to transmit your instructions to medical professionals following your wishes. Firstly, the Party you pick must be registered in the database before it may be eligible to use this ability. When selecting a Party in Charge of your medical care, choose someone you can put your faith in to make tough treatment choices on your behalf if you fall unconscious or are otherwise unable of communicating your wishes.

(4) The following is a list of the New Hampshire Health Care Agents and their contact information. Please provide the contact information for the New Hampshire Health Care Agent in the proper boxes.

(5) Backup Health Care Agents from New Hampshire. If you become unable to make decisions for yourself, your New Hampshire Health Care Agent will be in charge of making such decisions on your behalf. It is critical to change your New Hampshire Health Care Agent as soon as you realize that they are not up to the job. Prepare a backup list if your first choice is unable to serve due to unforeseen circumstances.

A. Treatment aimed at extending one's life

(6) Refusal to provide a patient with life-sustaining care. During the process, you will be asked to sign a document that will include the choices you want your Agent to make on your behalf if you are about to die. Medical providers in New Hampshire have the ability to discontinue life-sustaining treatments if they are instructed to do so by your New Hampshire Agent or representative.

(7) Giving artificial life support to those who are dying. If you're reaching the end of your life, you should be able to seek for or approve life-sustaining care from your New Hampshire Health Care Representative.

(8) Refusing to offer life support to a patient who is in a vegetative state. After being in a vegetative state for a lengthy period, some of your body's vital functions may likely need assistance. It will be necessary for you to sign a form before the New Hampshire Health Care Agent may deny or request that life support be turned off. If you do not want your Health Care Agent to tell New Hampshire doctors not to continue providing you with life support as long as you are still vegetative, leave this language out.

(9) Accepting Life-Support while in a coma is a difficult decision.  It's a tough choice to decide whether or not to offer care for an unconscious person. You have given him or her the power to authorize or seek life-sustaining treatment on your behalf if you are in a persistent vegetative state (PVS) and you sign this form.

B. Medicated feeding and hydration administered by a medical professional

(10) It is the patient's unwillingness to accept medication-related nourishment or Water. In certain cases, the ability to swallow food and liquids may be lost without regard to whether or not you are on the verge of death or have been in a vegetative state for a prolonged amount of time. Even if a patient is cognizant, he or she can choke on a feeding tube. When the first word in this section is initialed, it indicates that you do not want your New Hampshire Agent to be fed and hydrated by a tube or IV.

(11) Acceptance of Medical Nutrients and Water for Administration- The first and most important thing to do is read Statement B if you want the New Hampshire Health Care Agent or Medical Attorney-in-Fact to be able to provide you with artificial nutrition and water as needed to prevent hunger or dehydration.

C. Explicitly Defining Your Instructions

(12) Obtain help from the Department of Natural Resources by submitting a request. Initial the first sentence in Section C before signing it so that the Do Not Resuscitate Order may be carried out by the Medical Attorney-in-Fact in the state of New Hampshire on your behalf.

(13) The act of delegating all of the most important obligations to other persons- If you submit your initials in the second sentence, a Medical Attorney-in-Fact or a Health Care Agent has complete right to act on your behalf in this state, and they will do so.

(14) The Powers and Duties of a New Hampshire Agent/Representative- Rather than you, a New Hampshire Medical Attorney-in-Fact may be responsible for overseeing your medical treatment. A common use for this technique in the treatment of serious neurological disorders such as dementia, schizophrenia, and various kinds of psychosis, among others. If you sign the third statement, the Attorney-in-Fact for the State of New Hampshire will be granted this amount of power.

(15) Instructions And Limitations On Principal Power. Patients in New Hampshire have the option of communicating directly with their Health Care Agent and any medical specialists who will be examining this information if they so want. If you're presented with a tough question, this may prove to be useful information. Whenever you have any questions or concerns regarding your transaction, you should contact the department stated in the fourth sentence.

(16) This Page Must Be Identified.

(17) The Submittal of the Present Directive

There has been an initiation of the procedural procedure. For the sake of completeness and security, including a list of all places where the original instruction and any copies created will be kept. Following a description of the original's location, a list of the parties and locations to whom the original will be reproduced should be supplied. 


(18) On this day, the document was signed by the principal of New Hampshire.

(19) Principal Signature of New Hampshire. For this information to be sent, the New Hampshire Principal must sign this form in the presence of two witnesses or a Notary Public. He or she must provide this signature on the day he or she originally designated as the signing date.

Verification of Witnesses is an option.

(20) Witnesses' signatures and addresses are recorded. Two adults New Hampshire witnesses must sign this directive and give their addresses as evidence that they saw you sign it while you were fully cognizant of your choice for it to be considered legally binding.

You have the option of using a public notary if you so want.

(21) According to the legislation, a notarized signature is necessary. You have the option of having a Notary Public confirm your signature via the notarization procedure if you so want (explained below). It is necessary to be a Notary Public who is licensed in the state of New Hampshire to use the notarization part of the Secretary of State's website.

(22) Double-check the third page to ensure that it is correct.

Section II last will

(23) The document's creation date.   If you're nearing the end of your life, go to the next area and then circle the date on which you made your medical care decisions in that section.

(24) Name of the declarant in the state of New Hampshire

It is necessary to provide your complete name before claiming this portion of the guideline as personal medical advice. If you are creating the paperwork on behalf of someone else, you must provide the patient's complete name on this page as well. We'll assume that you're the patient or the principal in New Hampshire for this section.

(25) A healthcare practitioner provides nutrition and hydration to the patient. For the equation to be valid, one of the two variables A or B must be set to its original value. Doctors who are nearing the end of their careers in the state of New Hampshire are subject to two pieces of legislation that stipulate when patients in terminal condition should cease receiving artificial nourishment and/or hydration, respectively. Please initial the first statement and then the second statement for New Hampshire Physicians to know whether you are happy with receiving nutrition and fluids via a tube, intravenous drip, or other artificial therapies.

(26) Determine which page is the fourth.

(27) The signature and the date of signing in the state of New Hampshire

Additionally, this document contains a date stamp from the state of New Hampshire. Once you've typed the current date, you should sign your name next to it.

Contributions from witnesses

(28) Both the signatures and the addresses of witnesses, both signed and date-stamped, must be included. A copy of this document must be handed to each witness who signs the document in front of you, and the original signed document must be retained by the signatory. To finalize the transaction, both parties must sign the agreement and supply their mailing addresses to one another.

A Notary Public or a Justice Of The Peace might be used as an alternative to a notary.

(29) Notary Public. Once you've signed this paper, take it to a notary public so that it may be notarized (under his or her direction). Following the completion of the notarization procedure, the notarized papers will be returned to the New Hampshire Notary Public.

Download our free New Hampshire advance directive in an instant to create a legally binding document.

Download our free New Hampshire advance directive in an instant to create a legally binding document.

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