New Mexico Living Will Form | Medical Power of Attorney

In New Mexico they condense the living will and medical power of attorney into what is known as an advance health care directive according to Section 24-7A. It provides the `Principal`with the freedom to choose what medical treatment. It also lets the principal nominate an agent to carry out the wishes of the patient with regards to their health care treatment. The document can be made effective once it is complete or at a later time, is a formal declaration and is legally binding but can be revoked if the principal wishes. The document is used if the patient becomes so ill that they can no longer communicate, for example due to brain damage. The  document requires either two witnesses or a notary. Should the patient be found to be pregnant the document is no longer legally binding.

How to Write

Durable Power Of Attorney For Health Care

The principal must enter their details.

  • Name of principal.
  • County.

 

1. Designation Of Agent

The agent`s and alternative agent`s details must be entered.

  • Name.
  • Address.
  • Telephone number.

 

2. Agent`s Authority

The principal must enter any exceptions to the authority they give their agent over their medical health care.

 

3) When Agent`s Authority Becomes Effective

The principal must select when the agent`s authority becomes effective.

A) Initial to make power of attorney immediately effective.

B) Initial to make power of attorney effective at such a time when the principal becomes incapacitated.

 

Part 2: Instructions For Health Care

7) End Of Life Decisions

The principal must denote their wishes regarding prolonging of life.

  • a) Initial to prolong life.
  • b) Initial not to prolong life.

 

8) Artificial Hydration And Nutrition

If the principal has chosen NOT to prolong life they must initial the relevant boxes regarding the receipt of artificial hydration and nutrition.

  • Initial not to receive artificial nutrition.
  • Initial to receive artificial nutrition,
  • Initial not to receive artificial hydration.
  • Initial to receive artificial hydration.

 

9) Relief From Pain

The principal must enter any exceptions regarding granting permission for the receipt of pain reducing treatments and general personal care.

 

10)  Anatomical Gifts

The principal must denote their wishes regarding the offering of an anatomical gift by initialing one suitable option.

  • Initial to donate any required anatomical donation.
  • Initial to donate specified anatomical donation.
  • Initial to refuse to make an anatomical donation.
  • Initial to allow the agent authority over making an anatomical donation from the patient after their death.

 

11) Other Wishes

The principal must enter the details of any other wishes they have regarding their medical health care.

 

Part 3: Primary Physician

3) Designation Of Primary Physician

The details of the primary physician and an alternative primary physician must be entered.

  • Name.
  • Address.
  • ZIP code.
  • Telephone number.

15) Signatures

The principal`s and the witnesses details must e entered.

  • Principal`s signature.
  • Principal`s name.
  • Principal`s address.
  • Principal`s ZIP code.
  • Principal`s telephone number.
  • Witnesses signature.
  • Witnesses name.
  • Witnesses address.
  • Witnesses ZIP code.