Free PDF template
North Dakota Advance Directive
North DakotaNorth Dakota Advance Directive — a 6-page North Dakota PDF form with 49 fill-in fields for the agent and declarant and a notary block.
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Information you will need
- Principal Name
- Agent Name
- Agent Relationship
- Agent Telephone Number
- Alternate Agent Relationship
- Alternate Agent
- Alternate Agent Telephone Number
- Agent Address
- Alternate Agent Address
- Agent Limitations
- Health Care Goals
- Health Care Fears
- Spiritual Beliefs and Traditions
- Beliefs About Life Not Worth Living
- Affecting Family
- Chance of Recovery
- Dying and Unable to Communicate
- Permanently Unconscious
- Dependent on Others
- Pain Relief
- Doctor Selection
- Treatment Location
- Location of Death
- Disposition of Remains
…and 25 more fields in the PDF.
Completed by the agent and the declarant and the principal.
The form includes 6 signature lines, a notary acknowledgment, a witness section.
PDF facts
- Format
- File size
- 568 KB
- Pages
- 6
- Version
- 1
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