Free PDF template
New Hampshire Advance Directive
New HampshireNew Hampshire Advance Directive — a 5-page New Hampshire PDF form with 32 fill-in fields for the agent and principal and a notary block.
Guided fields · Sign online · Download your PDF
Start without an account. Using Guide requires payment to download your completed PDF. Online signing requires a subscription or active trial and completed account setup; a single-document purchase does not include signing.
Information you will need
- Agent Name
- Agent Address and Phone
- Alternate Agent Address and Phone
- Alternate Agent Name
- Deny Treatment: Unconscious
- Accept Treatment: Unconscious
- Deny Treatment: Near Death
- Accept Treatment: Near Death
- DNR Order
- Full Authority
- Additional Authority
- Specific Instructions
- Principal Name
- Principal Date of Birth
- Directive Storage
- Persons or Institutions
- Second Witness Address
- Principal Execution Day
- Principal Execution Month
- Principal Execution Year
- Deny Treatment: Nutrition and Hydration
- Principal Signing Day
- Principal Signing Month
- Principal Signing Year
…and 8 more fields in the PDF.
Completed by the agent and the principal and the provider.
The form includes 2 signature lines, a notary acknowledgment, a witness section.
PDF facts
- Format
- File size
- 651 KB
- Pages
- 5
- Version
- 1
Related documents
Other forms you may find useful.
Power Of Attorney
New Hampshire General Financial Power Of Attorney
New HampshireNew Hampshire General Financial Power Of Attorney — a 8-page New Hampshire PDF form with 36 fill-in fields for the principal and agent and a notary block.
Power Of Attorney
New Hampshire Limited Power Of Attorney
New HampshireNew Hampshire Limited Power Of Attorney — a 3-page New Hampshire PDF form with 20 fill-in fields for the principal and agent and a notary block.
Power Of Attorney
New Hampshire Minor Child Power Of Attorney
New HampshireNew Hampshire Minor Child Power Of Attorney — a 2-page New Hampshire PDF form with 32 fill-in fields and a notary block.
Power Of Attorney
New Hampshire Motor Vehicle Power Of Attorney Form Title 5
New HampshireNew Hampshire Motor Vehicle Power Of Attorney Form Title 5 — a 1-page New Hampshire PDF form with 19 fill-in fields.
Power Of Attorney
New Hampshire Real Estate Power Of Attorney
New HampshireNew Hampshire Real Estate Power Of Attorney — a 3-page New Hampshire PDF form with 37 fill-in fields for the agent and principal and a notary block.
Power Of Attorney
New Hampshire Statutory Durable Financial Power Of Attorney
New HampshireNew Hampshire Statutory Durable Financial Power Of Attorney — a 6-page New Hampshire PDF form with 51 fill-in fields for the agent and principal and a notary block.