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Statutory Form Durable Power of Attorney for Health Care
WARNING TO PERSON EXECUTING THIS DOCUMENT
This is an important legal document which is authorized by the general laws of this state.
Before executing this document you should know these important facts:
You must be at least eighteen (18) years of age and a resident of the state of Rhode
Island for this document to be legally valid and binding.
This document gives the person you designate as your agent (the attorney in fact)
the power to make health care decisions for you. Your agent must act consistently
with your desires as stated in this document or otherwise made known.
Except as you otherwise specify in this document, this document gives your agent
the power to consent to your doctor not giving treatment or stopping treatment
necessary to keep you alive.
Notwithstanding this document, you have the right to make medical and other
health care decisions for yourself so long as you can give informed consent with
respect to the particular decision. In addition, no treatment may be given to you
over your objection at the time, and health care necessary to keep you alive may not
be stopped or withheld if you object at the time.
This document gives your agent authority to consent, to refuse to consent, or to
withdraw consent to any care, treatment, service, or procedure to maintain,
diagnose, or treat a physical or mental condition. This power is subject to any
statement of your desires and any limitations that you include in this document.
You may state in this document any types of treatment that you do not desire. In
addition, a court can take away the power of your agent to make health care
decisions for you if your agent:
(1) authorizes anything is illegal,
(2) acts contrary to your known desires, or
(3) where your desires are not known, does anything that is clearly contrary
to your best interests.
Unless you specify a specific period, this power will exist until you revoke it. Your
agent’s power and authority ceases upon your death except to inform your family or
next of kin your desire, if any, to be an organ and tissue donor.