Nevada Advance Directive Form (Medical POA + Living Will)

A Nevada advance directive is a multi-part document that allows medical providers to provide individualized end-of-life medical care. The document also designates a health care agent to govern a patient’s medical decisions once they become unable to speak for themselves. The directives are completed by a patient (referred to as the Principal) and copies may be recorded at local health organizations and given to family and medical agents in case they are needed for future use.

Spanish (Español) VersionAdobe PDF

What’s Included?


Signing Requirements (NRS 162A.790NRS 449A.439) – Two (2) Witnesses.

State Definitions

  • Advance Health Care Directive (NRS 449A.703) – “Advance directive” means an advance directive for health care. The term includes:
    • A declaration governing the withholding or withdrawal of life-sustaining treatment as set forth in NRS 449A.400 to 449A.481, inclusive;
    • A durable power of attorney for health care as set forth in NRS 162A.700 to 162A.870, inclusive;
    • An advance directive for psychiatric care as set forth in NRS 449A.600 to 449A.645, inclusive;
    • A do-not-resuscitate order as defined in NRS 450B.420; and
    • A Provider Order for Life-Sustaining Treatment form as defined in NRS 449A.542.
  • “Provider Order for Life-Sustaining Treatment form” or “POLST form” (NRS 449A.542) – “Provider Order for Life-Sustaining Treatment form” or “POLST form” means the form prescribed pursuant to NRS 449A.548 that:
    • Records the wishes of the patient; and
    • Directs a provider of health care regarding the provision of life-resuscitating treatment and life-sustaining treatment.

Versions (4)

Cancer Coalition

Download: Adobe PDF





Caring Connections

Download: Adobe PDF


Download: Adobe PDF





blankRenown Health

Download: Adobe PDF