Free PDF template
New Mexico Advance Directive
New MexicoNew Mexico Advance Directive — a 5-page New Mexico PDF form with 52 fill-in fields for the agent and provider.
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Information you will need
- Agent Name
- Agent Street
- Agent City
- Agent State
- Agent ZIP Code
- Agent Home Phone
- Agent Work Phone
- Alternate Agent Name
- Alternate Agent Street
- Alternate Agent City
- Alternate Agent State
- Alternate Agent ZIP Code
- Alternate Agent Home Phone
- Alternate Agent Work Phone
- Agent Authority
- Not to Prolong Life
- Prolong Life
- Reject Artificial Nutrition
- Accept Artificial Nutrition
- Accept Artificial Hydration
- Organ Donation
- Pain Relief
- Specific Organ Donation
- Refuse Artificial Hydration
…and 28 more fields in the PDF.
Completed by the agent and the provider.
The form includes 1 signature line, a witness section.
PDF facts
- Format
- File size
- 528 KB
- Pages
- 5
- Version
- 1
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