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In the event of serious illness or incapacitation, individuals often wish to have a say in their healthcare decisions. The Alaska Living Will form plays a crucial role in ensuring these preferences are honored. This legally binding document allows people to outline their choices regarding medical treatments and life-sustaining measures when they are no longer able to communicate their decisions themselves. By specifying their desires concerning the use of medical interventions to prolong life, individuals can provide clear guidance to healthcare providers and relieve family members from making these difficult choices during stressful times. The form covers various scenarios, including the use of ventilators, feeding tubes, and other life-sustaining treatments, offering peace of mind to both the individual and their loved ones by making sure their healthcare wishes are known and respected.

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Alaska Living Will

This document serves as a Living Will, designed in accordance with the Alaska Advance Health Care Directive Act (Alaska Statutes §13.52.010 - §13.52.260). It is expressly created to communicate the wishes of the undersigned individual regarding medical treatment preferences in situations where they are unable to make decisions due to incapacity or terminal illness.

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Personal Information

Full Name: ___________________________________________________

Date of Birth: ________________________________________________

Address: _____________________________________________________

City: _______________________ State: AK Zip Code: _______________

Phone Number: _______________________________________________

Email Address: _______________________________________________

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Designation of Health Care Agent (Optional)

This portion of the Living Will is optional and allows the designation of a Health Care Agent, who will make health care decisions on your behalf should you become unable to do so. If you choose not to designate a Health Care Agent, you may skip this section.

Health Care Agent's Full Name: __________________________________

Relationship to You: ___________________________________________

Address: _____________________________________________________

City: _______________________ State: AK Zip Code: _______________

Phone Number: _______________________________________________

Alternate Health Care Agent's Full Name: _________________________

Relationship to You: ___________________________________________

Address: _____________________________________________________

City: _______________________ State: AK Zip Code: _______________

Phone Number: _______________________________________________

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Instructions for Health Care

The following directives outline my wishes regarding medical treatment under circumstances where I am no longer capable of making decisions due to incapacitation or terminal illness. These preferences are to guide my Health Care Agent (if designated), family, and health care providers.

  1. I DO want to receive the following life-sustaining treatments if my condition is terminally ill and treatment would only prolong the dying process:
    • Mechanical ventilation/respiration
    • Cardiopulmonary resuscitation (CPR)
    • Artificial nutrition (feeding tubes)
    • Artificial hydration (IV fluids)
    • Any other specific treatments: _______________________________
  2. I DO NOT want to receive any life-sustaining treatments if my condition is terminally ill and treatment would only prolong the dying process.
  3. In the event of a non-terminal condition where I am unable to communicate my preferences, the following are my directives:
    • Preference regarding the use of dialysis
    • Preference regarding the use of ventilation
    • Preference regarding the use of feeding tubes
    • Any other specific preferences: ____________________________

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Signature and Acknowledgment

I understand that I can revoke or change this document at any time. I acknowledge that this Living Will represents my wishes as of the date signed below.

Date: _________________________________________________________

Signature: ____________________________________________________

Witness (Name and Signature): __________________________________

Date: _________________________________________________________

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File Attributes

Fact Description
1. Definition A Living Will in Alaska is a legal document that outlines a person's wishes regarding medical treatment, particularly life-sustaining treatment, in scenarios where they might be unable to communicate their decisions due to severe illness or incapacity.
2. Governing Law The Alaska Statute §13.52 governs Living Wills in the state, under the Alaska Advance Health Care Directive Act.
3. Document Name In Alaska, the Living Will is often referred to as an "Advance Health Care Directive".
4. Agent Appointment An individual can appoint a health care agent in their Living Will to make health care decisions on their behalf if they are incapacitated.
5. Required Signatures The Living Will must be signed by the person creating it (the principal) in the presence of two witnesses or a notary public to be legally valid.
6. Witness Restrictions Witnesses to the Living Will cannot be individuals who are related to the principal by blood, marriage, or adoption, entitled to any portion of the principal’s estate, or directly financially responsible for the principal’s medical care.
7. Revocation The Living Will can be revoked at any time by the principal through a signed and dated written statement, by physically destroying the document, or by orally expressing the intent to revoke it in the presence of a witness.
8. Pregnancy Clause In Alaska, if a pregnant patient has a Living Will, the document's directives may not be followed if it is possible that the fetus could develop to the point of live birth with continued application of life-sustaining measures.
9. Accessibility It is advised to inform family, health care agents, and primary physicians of the document's existence and to provide them with copies to ensure the directives are followed.
10. Complementary Documents While drafting a Living Will, individuals are also encouraged to complete a Durable Power of Attorney for Health Care to appoint an agent to make health care decisions in scenarios not covered by the Living Will.

Guidelines on Filling in Alaska Living Will

Creating a Living Will in Alaska is an essential step for anyone who wishes to document their preferences regarding medical treatment in the event that they are unable to communicate their wishes themselves. This form helps ensure that one's healthcare decisions are known and respected by family members and healthcare providers. Below, you'll find a clear, step-by-step guide to filling out the Alaska Living Will form, making the process straightforward and manageable.

  1. Enter your full legal name at the top of the document where indicated, to affirm that the Living Will is your own.
  2. Date the document to establish when your decisions were made. The date is crucial as it provides a timeline for your wishes.
  3. Specify your preferences for life-sustaining treatment, including resuscitation, mechanical ventilation, and artificial nutrition and hydration. Be clear about what treatments you want or do not want if you have a terminal condition or are in a persistent vegetative state.
  4. Include any additional instructions about other treatments or health care preferences not specifically mentioned in the form. This could relate to pain management or other supportive care you desire.
  5. If you appoint a health care agent, fill in the name, relationship, contact information, and any specific powers or limitations you're granting this person. This agent will have the authority to make health care decisions on your behalf if you're unable to do so.
  6. Sign the form in front of two witnesses or a notary public. The witnesses must be adults, and they cannot be someone who is related to you, entitled to any portion of your estate, your health care provider, or an employee of your health care provider.
  7. Have the witnesses sign the document, certifying that they witnessed your signature and believe you to be of sound mind. If using a notary, have the notary public fill in their section and seal the document.
  8. Make copies of the completed and signed Living Will. Distribute them to your health care agent (if applicable), family members, your doctor, and any health care facilities you frequent, ensuring everyone is aware of your wishes.

After completing the Alaska Living Will form, it's imperative to keep the document in a safe but accessible place. Inform those close to you and any involved in your healthcare about where it is kept. Regularly review and update the document as your health or preferences change, to ensure it always reflects your current wishes. This proactive approach fosters peace of mind for you and your loved ones, knowing that your healthcare decisions are documented and will be respected.

More About Alaska Living Will

What is an Alaska Living Will?

An Alaska Living Will is a legal document that outlines a person's wishes regarding medical treatment in the event they become unable to communicate those decisions themselves. It specifically addresses scenarios where the individual is terminally ill or permanently unconscious. This document plays a crucial role in guiding family members and healthcare providers in making treatment decisions based on the individual's preferences.

Who should have an Alaska Living Will?

Every adult who wishes to have control over their medical treatment in the face of incapacitation should consider having an Alaska Living Will. It is particularly important for those with strong opinions about specific medical interventions or end-of-life care, including the use of life support systems and resuscitation efforts. Having this document in place provides peace of mind to the individual and their loved ones.

How can I create an Alaska Living Will?

Creating an Alaska Living Will involves several steps:

  1. Understanding the legal requirements specific to Alaska, such as the need for witness signatures.
  2. Filling out the Living Will form, clearly stating your healthcare preferences in situations where you cannot make decisions yourself.
  3. Having the document witnessed as required by Alaska law. This often involves two adult witnesses who are not related to you and do not stand to benefit from your estate.
  4. Informing your family and healthcare providers about your Living Will and where it can be found.
It is also advisable to consult with a legal professional to ensure that the document meets all legal standards and accurately reflects your wishes.

Do I need a lawyer to create an Alaska Living Will?

While you do not legally need a lawyer to create an Alaska Living Will, consulting with one can be beneficial. A legal professional can help ensure that your Living Will complies with Alaska law and accurately reflects your health care preferences. They can also provide valuable advice on related issues, such as durable powers of attorney for health care, which appoints someone to make medical decisions on your behalf if you're unable.

Can an Alaska Living Will be revoked or changed?

Yes, an individual can revoke or change their Alaska Living Will at any time. Changes can be made by creating a new Living Will document that reflects the individual's current wishes and complies with Alaska law. To revoke a Living Will, it is often recommended to inform any previous recipients of the document about the revocation, destroy all copies of the previous document, and, if desired, create a new one to replace it.

What happens if I do not have an Alaska Living Will?

If you do not have an Alaska Living Will and become unable to communicate your healthcare preferences, decisions will be made on your behalf by family members or healthcare providers, according to state laws. This can lead to uncertainty and disputes among loved ones regarding what treatments you would have wanted. Creating a Living Will helps ensure that your healthcare decisions are respected, even when you can't express them yourself.

Common mistakes

When it comes to preparing for the future, drafting a Living Will is a crucial step for ensuring your healthcare wishes are followed. In Alaska, as in many places, a Living Will allows individuals to outline their preferences for medical treatment if they become unable to communicate their wishes due to illness or incapacity. However, even with the best intentions, people often make mistakes when filling out their Living Will form. Here are five common errors:

  1. Not being specific enough about medical treatments: Many people simply state they don't want 'extraordinary measures' taken, without specifying what this means to them. Alaska's Living Will form allows for detailed preferences regarding various treatments and conditions, such as resuscitation, mechanical ventilation, and artificial nutrition and hydration. By not being specific, you leave room for interpretation, which can lead to actions that might not align with your true wishes.

  2. Failing to discuss wishes with the healthcare agent: It's not enough to just fill out the form and tuck it away. A crucial step that is often overlooked is having a frank and detailed discussion with the person you've appointed as your healthcare agent. This ensures they understand and are comfortable with enforcing your wishes, providing them with clarity and conviction should they need to make tough decisions on your behalf.

  3. Forgetting to update the document: Lives change, and so might your healthcare wishes. A common mistake is treating a Living Will as a one-and-done deal. However, it’s vital to review and possibly revise the document after major life events like the birth of a child, a marriage, a divorce, or a significant change in health. What was important to you five years ago may not reflect your current desires.

  4. Not having the document witnessed or notarized as required: For a Living Will to be legally valid in Alaska, it must be signed in the presence of two witnesses, who also need to sign the document, or it must be notarized. Skipping this step can render the entire document invalid, meaning your wishes might not be honored when it matters most.

  5. Using ambiguous language: Clarity is key in a Living Will. Ambiguous terms or phrasing can lead to misinterpretation and confusion among family members and healthcare providers. It’s important to use clear and concise language to articulate your wishes, to minimize ambiguity and ensure your directions are followed as you intend.

Filling out a Living Will is a significant step in planning for the future. By avoiding these common mistakes, you can help ensure your healthcare wishes are understood and respected, providing peace of mind for both you and your loved ones.

Documents used along the form

When completing an Alaska Living Will form, individuals are taking a crucial step towards ensuring their health care preferences are recognized and followed. However, this document does not stand alone. To provide a more comprehensive approach to end-of-life planning and ensure that all aspects of a person's wishes are covered, there are several other forms and documents often used in conjunction with a Living Will. These documents work together to offer a clearer picture of an individual's desires and provide legal protection for those decisions.

  • Health Care Power of Attorney: This document complements a Living Will by appointing a specific individual, known as the health care agent, to make health care decisions on behalf of the person in the event they are unable to communicate their wishes. This includes decisions that might not be covered in the Living Will.
  • Advance Health Care Directive: Often encompassing the components of both a Living Will and a Health Care Power of Attorney, an Advance Health Care Directive provides a more detailed expression of an individual's health care preferences and appoints an agent to act on their behalf.
  • Durable Power of Attorney for Finances: While not directly related to health care decisions, this document is vital for comprehensive planning. It designates an individual to handle financial matters, ensuring that bills, property management, and other financial affairs are taken care of, even when the individual is incapacitated.
  • Physician Orders for Life-Sustaining Treatment (POLST): Specifically designed for those with serious illnesses, a POLST form outlines a plan for end-of-life care, including life-sustaining treatments the individual wants or does not want. It is completed by the individual’s physician, nurse practitioner, or physician assistant based on the patient's wishes and medical condition.

Incorporating these documents with an Alaska Living Will can provide a full spectrum of legal directives covering health care decisions, financial management, and specific medical treatments. Together, they ensure that an individual’s wishes are not only known but are also legally recognized and enforceable, giving peace of mind to both the individual and their loved ones. Ensuring these documents are properly completed and kept up-to-date requires attention and, in many cases, legal advice to ensure they comply with Alaska's laws and individual health care systems' policies.

Similar forms

The Alaska Living Will form is similar to Advance Health Care Directives and Durable Powers of Attorney for Health Care in several ways. These documents serve to communicate an individual's wishes regarding medical treatment should they become unable to make decisions for themselves due to illness or incapacity. Each of these documents allows a person to spell out their healthcare preferences and select an agent to speak on their behalf. However, they differ in scope and the specific circumstances under which they become effective.

Firstly, an Advance Health Care Directive is broader than a Living Will. While the Alaska Living Will allows an individual to make decisions about life-sustaining treatments in the event they are in a permanent vegetative state or terminally ill, an Advance Health Care Directive covers these scenarios and more. It lets individuals express preferences on a variety of medical decisions, ranging from the types of treatments they would prefer to accept or refuse, to pain management and organ donation. The directive can also include details about the individual's values and preferences, offering a comprehensive guide to healthcare providers and loved ones about their care.

Secondly, the Durable Power of Attorney for Health Care primarily focuses on appointing another individual, known as a healthcare agent or proxy, to make healthcare decisions on someone's behalf if they are unable to communicate their wishes. While the Alaska Living Will includes the option to name a healthcare agent, the Durable Power of Attorney for Health Care is entirely centered around this designation. It emphasizes the importance of choosing a trusted person to manage healthcare decisions, from routine to life-sustaining treatments, ensuring that the individual's medical care aligns with their values and preferences, even when they cannot voice them directly.

Dos and Don'ts

Filling out the Alaska Living Will form is an important step in ensuring your healthcare preferences are known and respected, should you become unable to communicate them yourself. Here are some guidelines to help you accurately complete the form:

Things You Should Do:
  • Read the instructions carefully before beginning to fill out the form. Understanding each section's requirements will make the process smoother and ensure you don't miss crucial information.
  • Use clear, concise language to describe your healthcare preferences. Avoid using technical medical jargon unless you are certain of its meaning and relevance to your wishes.
  • Consult with a healthcare provider if you have questions about specific medical procedures or treatments mentioned in the form. Their expertise can help clarify options and ensure your decisions are informed.
  • Discuss your decisions with loved ones and healthcare proxies. Sharing your wishes with those close to you and anyone named as a healthcare decision-maker on your behalf can help prevent confusion and conflict later on.
  • Sign and date the form in the presence of the required number of witnesses or a notary public, as mandated by Alaska state law. This step is essential for the document to be legally recognized.
  • Keep the original document in a safe, accessible place, and provide copies to your healthcare proxy, primary care physician, and any other relevant healthcare providers. This ensures your living will is readily available when needed.
Things You Shouldn't Do:
  • Don't leave any sections blank if they are applicable to your situation. If a section does not apply, write "N/A" (not applicable) to indicate that you haven't overlooked it.
  • Don't use vague or ambiguous language when describing your healthcare preferences. Clarity is crucial for ensuring your wishes are understood and followed.
  • Don't overlook updating your living will after significant life changes, such as a diagnosis of a serious illness, marriage, or divorce. These events may alter your healthcare wishes.
  • Don't fail to notify your healthcare proxy and family if you make changes to your living will. Keeping everyone informed prevents surprises and ensures that your current wishes are known.
  • Don't assume everyone knows where your living will is stored. Apart from keeping it in an accessible place, tell your healthcare proxy, close family members, and your doctor where it can be found.
  • Don't forget to review the living will periodically, even if there are no significant changes in your life. Regular reviews ensure it still reflects your wishes accurately.

Misconceptions

Many misconceptions float around the topic of living wills, particularly when it comes to specific forms such as the Alaska Living Will form. It's important to dispel these myths to understand fully how these legal documents function and affect an individual's life and decision-making power. Let's tackle seven common misunderstandings:

  • It's only for the elderly. People often think that living wills are only for older adults, but the reality is that any adult can face situations where they're unable to make healthcare decisions for themselves. Accidents and sudden illnesses don't discriminate by age, making a living will relevant for adults of all ages.
  • You need a lawyer to create one. While legal advice can be beneficial, especially in complex situations, Alaska law does not require a lawyer to draft a living will. Resources are available to help individuals create these documents, ensuring their healthcare preferences are respected without the necessity of legal representation.
  • It covers all types of healthcare decisions. There's a belief that a living will speaks to every possible healthcare scenario. In truth, it is designed to address end-of-life care and decisions about life-sustaining treatment when a person is terminally ill or permanently unconscious. Other types of healthcare directives are needed for broader healthcare planning.
  • It's the same as a healthcare power of attorney. Though both forms are advance healthcare directives, they serve different purposes. A healthcare power of attorney appoints someone to make healthcare decisions on your behalf if you're unable to do so, while a living will lays out specific wishes regarding life-sustaining treatment.
  • Once it's signed, it's permanent. Nothing could be further from the truth. A living will can be revised or revoked at any time, as long as the person making the changes is of sound mind. This flexibility allows individuals to adapt their instructions as their health status or personal wishes evolve.
  • It ensures my wishes will be followed exactly as I've outlined. While living wills are legally binding and healthcare providers generally strive to follow them, real-world situations can complicate adherence. For example, emergency responders might not have immediate access to the document. Discussing your wishes with family members and healthcare providers can help bridge this gap.
  • A living will is only effective in the state where it was signed. This misconception could cause unnecessary worry. Most states, including Alaska, recognize living wills executed in other states as long as they comply with the respective state's laws. However, it's wise to review and update your living will if you move to another state to ensure it aligns with local statutes.

Understanding these misconceptions about the Alaska Living Will form can empower individuals to make informed decisions about their healthcare. It's an important tool for communicating one's wishes and should be considered part of comprehensive health and legal planning.

Key takeaways

When dealing with the Alaska Living Will form, individuals are making important decisions about their healthcare preferences in situations where they might be unable to communicate their wishes. Here are key takeaways to keep in mind:

  1. Understand the purpose: The Alaska Living Will form allows you to express your wishes about medical treatment in the event that you are unable to communicate. It’s a legal document that speaks for you when you can't speak for yourself.

  2. Know the requirements: To make a Living Will in Alaska, you must be at least 18 years of age or older and of sound mind. This means you understand the nature and consequences of your decisions.

  3. Decide on treatments: Carefully consider which life-sustaining treatments you would want or not want. This can include decisions about artificial nutrition, respiration, and other measures to extend life.

  4. Select a health care agent: Although not required, appointing a health care agent or proxy in conjunction with your Living Will can ensure that your medical treatment preferences are honored. This person makes medical decisions on your behalf if you're unable to communicate.

  5. Make it legal: For your Living Will to be valid, it must be signed in the presence of two witnesses, who also need to sign the document. These witnesses should be adults and cannot be individuals who stand to inherit from you or are responsible for your medical bills.

  6. Communicate with family: Discuss your decisions with family members and/or close friends. This ensures that they understand your wishes and can support the enforcement of your Living Will in difficult times.

  7. Distribute copies: Give copies of the signed and completed form to your health care agent (if you have one), family members, and your doctors to make your wishes known. It’s essential that relevant parties have access to this document when needed.

  8. Review periodically: Life changes, such as a new diagnosis, marriage, or the birth of a child, may influence your decisions about care. Review and update your Living Will as needed to reflect your current wishes.

Completing an Alaska Living Will form is a significant step in managing your health care preferences. Careful consideration and discussion with loved ones and medical providers ensure that your wishes are respected and followed. Always keep the original document in a safe but accessible place, and inform key people of where it is stored.

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