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OTHER NAMES Hawaii Living Will Hawaii Advance Healthcare Directive Hawaii Medical Directive Hawaii Advance Medical Directive Hawaii Advance Health Care Directive

What is a Hawaii Advance Directive?

A Hawaii Advance Directive is a legal document that lays out your preferences regarding health care, such as your request for or refusal of a certain medical treatment, and/or appointment of a trusted healthcare decision maker. 
 
The person making an Advance Directive is called the "principal," while the person or organization obtaining authority to carry out the principal's wishes is known as the "agent." Designed for Hawaii residents, this free Advance Directive is made for use in Hawaii County, Maui County, Honolulu County, and in every other part of the state. Any Hawaii Advance Directive from Rocket Lawyer can be customized for your particular situation. As a result of having this legal document, your healthcare institutions will have a point of reference for your decisions, and your representative(s) will be able to offer confirmation that they have been given the authority to make choices for you.

When to use a Hawaii Advance Directive:

  • You're making sure your loved ones aren't put in the position of making important end-of-life healthcare decisions for you.
  • You're about to draft a complete estate plan, and want to make sure life-sustaining treatments are covered.

Sample Hawaii Advance Directive

The terms in your document will update based on the information you provide

This document has been customized over 13.4K times
Legally binding and enforceable
Complies with relevant laws
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LIVING WILL

and

HEALTH CARE POWER OF ATTORNEY

DECLARATION

and

HEALTH CARE POWER OF ATTORNEY

(LIVING WILL)

(HEALTH CARE PROXY)

(LIVING WILL AND HEALTH CARE PROXY)

DECLARATION

and

HEALTH CARE PROXY

LIVING WILL

and

MEDICAL DURABLE POWER OF ATTORNEY

DOCUMENT CONCERNING WITHHOLDING OR WITHDRAWAL OF LIFE-SUPPORT SYSTEMS

HEALTH CARE INSTRUCTIONS

DOCUMENT CONCERNING THE APPOINTMENT OF A HEALTH CARE REPRESENTATIVE FOR HEALTH CARE DECISIONS

OF

DECLARATION

and

HEALTH CARE POWER OF ATTORNEY

LIVING WILL

and

DESIGNATION OF HEALTH CARE SURROGATE

DECLARATION

and

STATUTORY FORM

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

A LIVING WILL

A Directive to Withhold or to Provide Treatment

and

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

LIVING WILL DECLARATION

and

COMBINED DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND HEALTH CARE REPRESENTATIVE APPOINTMENT

DECLARATION

and

DESIGNATION OF ADVOCATE FOR HEALTH CARE DECISIONS

HEALTH CARE POWER OF ATTORNEY

DECLARATION OF A DESIRE FOR A NATURAL DEATH

and

HEALTH CARE POWER OF ATTORNEY

HEALTH CARE DIRECTIVE

and

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

ADVANCE HEALTH-CARE DIRECTIVE

INSTRUCTIONS FOR HEALTH CARE

and

HEALTH CARE POWER OF ATTORNEY

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

DECLARATION

HEALTH CARE PROXY OF

ADVANCE DIRECTIVE OF

LIVING WILL DECLARATION

and

HEALTH CARE POWER OF ATTORNEY

ADVANCE CARE PLAN

HEALTH CARE POWER OF ATTORNEY

LIVING WILL

ADVANCE DIRECTIVE

and

MEDICAL POWER OF ATTORNEY

HEALTH CARE DIRECTIVE

and

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

DECLARATION TO PHYSICIANS

(WISCONSIN LIVING WILL)

and

HEALTH CARE POWER OF ATTORNEY

LIVING WILL

AND

MEDICAL POWER OF ATTORNEY

 

I. LIVING WILLI. ADVANCE DIRECTIVEI. DECLARATIONI. DOCUMENT CONCERNING WITHHOLDING OR WITHDRAWAL OF LIFE SUPPORT SYSTEMSI. A LIVING WILL - A DIRECTIVE TO WITHHOLD OR TO PROVIDE TREATMENTI. LIVING WILL DECLARATIONI. HEALTH CARE INSTRUCTIONSI. DECLARATION OF A DESIRE FOR A NATURAL DEATHI. HEALTH CARE DIRECTIVEI. DECLARATION TO PHYSICIANS (WISCONSIN LIVING WILL)Declaration made this ______ day of ____________________, _____. I, , willfully and voluntarily make known my desire that my dying not be artificially prolonged under the circumstances set forth below, and I do hereby declare:This is an important legal document known as an advance directive. It is designed to help you communicate your wishes about medical treatment at some time in the future when you are unable to make your wishes known because of illness or injury. These wishes are usually based on personal values. In particular, you may want to consider what burdens or hardships of treatment you would be willing to accept for a particular amount of benefit obtained if you were seriously ill. You are encouraged to discuss your values and wishes with your family or chosen spokesperson, as well as your physician. Your physician, other health care providers, or medical institution may provide you with various resources to assist you in completing your advance directive. Brief definitions are listed below and may aid you in your discussions and advance planning. Initial the treatment choices that best reflect your personal preferences. Provide a copy of your directive to your physician, usual hospital, and family or spokesperson. Consider a periodic review of this document. By periodic review, you can best assure that the directive reflects your preferences. I, , being of sound mind, willfully and voluntarily make this Declaration for my care to be followed if I become unable to express my desires directly as a consequence of physical or mental incapacity or disability, regardless of whether this is caused by illness, accident, or other injury. This document is intended to direct all persons who are involved with my care including my relatives, physicians or personal representatives which I have appointed, or which hereafter may be appointed by the courts.
even if my attending or treating physician and another consulting physician have determined that there is no reasonable medical probability of my recovery from such condition, I direct that life-prolonging procedures be continued to prolong my life as long as possible within the limits of generally accepted health care standards.

__________ (initial) I have a terminal condition

__________ (initial) or I have an irreversible condition

__________ (initial) or I am in a persistent vegetative state

AND if my attending or treating physician and another consulting physician have determined that there is no reasonable medical probability of my recovery from such condition, I direct that life-prolonging procedures be withheld or withdrawn when the application of such procedures would serve only to prolong artificially the process of dying, and that I be permitted to die naturally with only the administration of medication or the performance of any medical procedure deemed necessary to provide me with comfort care or to alleviate pain.

 

TO RECEIVE artificially administered nutrition and hydration (food and fluids).NOT TO RECEIVE artificially administered nutrition and hydration (food and fluids) procedures, except as deemed necessary to provide me with comfort care.However, if at any point it is determined that it is not possible that the fetus could develop to the point of live birth with continued application of life-prolonging procedures, it is my preference that this document be given effect at that point. If life-prolonging procedures will be physically harmful or unreasonably painful to me in a manner that cannot be alleviated by medication, I request that my desire for personal physical comfort be given consideration in determining whether this document shall be effective if I am pregnant. I have discussed these decisions with my physician and have also completed a Physician Orders for Scope of Treatment (POST) from that contains directions that may be more specific than, but are compatible with, this Directive. I hereby approve of those orders and incorporate them herein as if fully set forth. I have not completed a Physician Orders for Scope of Treatment (POST) form. If a POST form is later signed by my physician, then this living will shall be deemed modified to be compatible with the terms of the POST form.

 

I designate , who may be reached at , as my Primary Physician.

 

 

 

 

 

 

 

 

including but NOT including . unless I initial the following line:

 

(YOU MUST DATE AND SIGN THIS LIVING WILL AND DESIGNATION

(YOU MUST DATE AND SIGN THIS DESIGNATION

IN THE PRESENCE OF TWO WITNESSES)

I affirm that this Living Will and Designation is not being made as a condition of treatment or admission to a health care facility. I have read and understand the contents of this document and the effect of this grant of powers to my . I am emotionally and mentally competent to make this declaration.

I affirm that this Designation is not being made as a condition of treatment or admission to a health care facility. I have read and understand the contents of this document and the effect of this grant of powers to my . I am emotionally and mentally competent to make this declaration.

 

I designate , who may be reached at , as my Primary Physician.

We, the undersigned witnesses, state that in the presence of each other and we have witnessed the signing of this living will by . Further, at least one of us is not a spouse or blood relative of .

We, the undersigned witnesses, state that in the presence of each other and we have witnessed the signing of this Living Will and Designation by . I have not been appointed as 's or Alternate . At least one witness is not 's spouse nor blood relative.

I have not been appointed as 's or Alternate . At least one witness is not 's spouse nor blood relative.

 

Date: ______________________________

 

Date: ______________________________

The foregoing instrument was acknowledged before me this _____ day of ____________________, ______ by , who is personally known to me or who has produced ________________________________ as identification.

Before me, a Notary Public (or justice of the peace) in and for said county, personally appeared the above named , ________________________________, and ________________________________, who acknowledged that they did sign the foregoing instrument, and that the same is their free act and deed. In testimony whereof, I have hereunto subscribed my name at ________________________________, this _____ day of ____________________, ______.

This instrument was acknowledged before me on this _____ day of ____________________, ______ by .

On this _____ day of ____________________, ______, before me personally appeared , to me known to be the person described in and who executed the foregoing instrument, and acknowledged that he/she executed same as his/her free act and deed.

On this _____ day of ____________________, ______, before me, ________________________________, personally appeared , known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same as for the purposes therein contained.

In witness whereof, I hereunto set my hand and official seal.

 

_________________________________

My commission expires _____________

You should sign this document in the presence of a notary public. You should sign this document in the presence of two witnesses who then sign the document in your presence and in each other's presence. You should sign this document in the presence of a notary public and two witnesses who then sign the document in your presence and in each other's presence.

(your Agent)

You should discuss the document and your wishes with any person you want to designate as an Agent before doing so to assure they agree to act on your behalf.

 

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Hawaii Advance Directive FAQs

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  • How do I write an Advance Health-Care Directive in Hawaii?

    It is very easy to document your medical preferences with a free Hawaii Advance Directive template from Rocket Lawyer:

    1. Make the document - Provide a few basic details, and we will do the rest
    2. Send and share it - Discuss the document with your healthcare agent or ask a lawyer
    3. Sign it and make it legal - Optional or not, witnesses/notarization are a best practice

    This solution, in most cases, would be notably less expensive and less time-consuming than finding and working with a conventional attorney. If needed, you can prepare this Advance Directive on behalf of an elderly parent, a spouse, or another relative, and then have that person sign once you've drafted it. Please remember that for an Advance Directive to be valid, the principal must be mentally competent when they sign. In the event that the principal has already been declared incompetent, a court-appointed conservatorship could be necessary. When managing this situation, it's best for you to work with a lawyer .

  • Do I need to have an Advance Directive?

    If you are over 18 years old, you should have an Advance Healthcare Directive (both a Living Will and a Healthcare Power of Attorney). Although it's painful to acknowledge, there could come a day when you cannot make medical decisions on your own. Here are some typical circumstances where you may consider it useful to make or update your Advance Directive:

    • You expect to be in the hospital for a surgical procedure
    • You are getting older or have declining health
    • You've been given a terminal diagnosis
    • You are planning to live in a residential care facility

    Whether this Hawaii Advance Directive has been created as a result of a change in your health or as part of a forward-looking plan, notarization and witnesses will often help to protect your agent if anyone disputes their privileges and authority. In Hawaii, you'll want to note that Advance Directives are not legally binding when the principal is pregnant.

  • Do I need a lawyer for my Advance Directive in Hawaii?

    Making an Advance Directive is typically easy to do; however, you or your agent(s) may still need legal advice. Seeking out an attorney to proofread your Hawaii Advance Directive might be fairly time-intensive. An easier and more cost-effective alternative would be to request help from Rocket Lawyer attorney services. With a Premium membership, you can get your documents looked at by an experienced attorney. As always, you can rest assured that Rocket Lawyer will be here to support you.

  • How much might it traditionally cost to make an Advance Directive in Hawaii?

    The cost of hiring an attorney to draft an Advance Directive might total anywhere from $200 to $1,000, depending on where you are located. Rocket Lawyer is not your average Advance Directive template provider. With our service, anyone under a Rocket Lawyer Premium membership can take advantage of up to 40% in savings when hiring an Rocket Lawyer network attorney.

  • Are there any next steps that I should take after I make my Hawaii Advance Directive?

    After completing this Advance Directive on Rocket Lawyer, you can see it on any device, anytime. You are encouraged to engage with it in any of these ways: making edits, downloading it, printing it out, and signing it. Attached to each Hawaii Advance Directive, there will be a checklist of directions that you will need to finalize the document. You should ensure that your agent(s) and care providers receive a copy of your fully executed document.

  • Does an Advance Directive need to be notarized or witnessed in Hawaii?

    The specifications will be different in each state; however, in Hawaii, your Advance Directive needs to be acknowledged by a notary public or signed by two witnesses. Witnesses must not be your healthcare provider or an employee of your healthcare provider's facility. At least one of the witnesses should be someone who is not your relative, spouse, adoptee, heir, or any other beneficiary. As a basic principle, witnesses must be over 18 years old, and none of them should simultaneously be acting as your agent.

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