Nebraska Advance Directive Form (Medical POA + Living Will)

A Nebraska advance directive is a set of directives called a living will and medical power of attorney that guide physicians and an individual’s health care agent on how to personalize end-of-life medical care for the individual (called the “principal). These documents take effect once the principal can no longer speak for themselves.

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Signing Requirements – (§ 30-3404§ 20-404) – Two (2) witnesses or a notary public.

State Definitions

  • Declaration (§ 20-403(3)) – Declaration shall mean a writing executed in accordance with the requirements of subsection (1) of section 20-404;
  • Power of Attorney for Health Care (§ 30-3402(11)) – Power of attorney for health care shall mean a power of attorney executed in accordance with sections 30-3401 to 30-3432 which authorizes a designated attorney in fact to make health care decisions for the principal when the principal is incapable.

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Bryan Health

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CHI Health

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