Alaska Advance Health Care Directive

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Alaska does not allow a medical power of attorney form to be used and instead uses an advance health care directive to designate a health care agent for your medical wishes including end-of-life treatment decisions. The primary reason for this form is to give instructions about your own health care, name another person to make health care decisions for you, and express your wishes regarding the designation of your health care provider.

Part 1

The first part of this document allows you to designate an agent to make health care decisions for you if you do not have the capacity to make your own decisions or even if you are mentally competent, you can still give your agent that power. You may name up to two (2) agents incase your first agent of choice is unable to make those decisions for you.

Your agent will have the power to make to make all health care decisions for you that you could legally do yourself. You may wish to limit the powers/decisions your agent can perform but you do not have to limit the authority of your agent if you wish to rely on their action for all your health care matters.

Part 2

This section of the form allows you to give specific instructions for any aspect of your health care which includes your wishes regarding the provision, withholding, or withdrawal of treatment to keep you alive, including the provision of artificial nutrition and hydration, as well as the provision of pain relief medication.

Other Parts

The rest of the form, including Part 3, Part 4, and Part 5 have to do with making an anatomical gift following your death, decisions about mental health treatment, and a primary physician form that allows to to designate one (1) physician to hold responsibility for your health care.

Witness

After the completion of this form, you need to have it witnessed by giving a signed and completed form to your physician.

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