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Other Names: Delaware Advance Directive Delaware Advance Healthcare Directive Delaware Medical Directive Delaware Advance Medical Directive Delaware Advance Health Care Directive
Delaware Living Will document preview

What is a Delaware Living Will?

A Delaware Living Will is a legal document that sets forth your preferences related to medical care, such as your refusal of or request for a specific medical treatment or procedure, along with the optional selection of a trusted agent or healthcare decision maker. 
 
The person making a Living Will is known as the "principal," and the person or entity obtaining permission to carry out the principal's wishes is known as the "agent." Suited for Delaware residents, this free Living Will is made for use in Kent County, New Castle County, Sussex County, and in all other counties throughout the state. Each Delaware Living Will form from Rocket Lawyer can be tailored to address your specific circumstances. With this document on hand, your healthcare institutions will have a record of your decisions, and your agent(s) will be able to offer verification that they have the authority to act in your interest.

When to use a Delaware Living Will:

  • You want to make sure your doctor and loved ones know your end-of-life preferences.
  • You're about to draft a comprehensive estate plan.

Sample Delaware Living Will

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ADVANCE HEALTH CARE DIRECTIVE

 

EXPLANATION

 

You have the right to give instructions about your own health care. You also have the right to name someone else to make health-care decisions for you. This form lets you do either or both of these things. It also lets you express your wishes regarding anatomical gifts and the designation of your primary physician. If you use this form, you may complete or modify all or any part of it. You are free to use a different form.

 

This form includes a power of attorney for health care, allowing you to name another individual as agent to make health-care decisions for you if you become incapable of making your own decisions. You may also name an alternate agent to act for you if your first choice is not willing, able, or reasonably available to make decisions for you. Unless related to you, an agent may not have a controlling interest in or be an operator, or employee of a residential long-term health-care institution at which you are receiving care.

 

If you do not have a qualifying condition (terminal illness/injury or permanent unconsciousness), your agent may make all health-care decisions for you except for decisions providing, withholding, or withdrawing a life sustaining procedure. Unless you limit the agent's authority, your agent will have the right to:

 

(a) consent or refuse consent to any care, treatment, service, or procedure to maintain, diagnose, or otherwise affect a physical or mental condition unless it's a life-sustaining procedure or otherwise required by law.

(b) select or discharge health-care providers and health-care institutions;

 

If you have a qualifying condition, your agent may make all health-care decisions for you including but not limited to:

 

(c) The decisions listed in (a) and (b).

(d) Consent or refuse consent to life sustaining procedures, such as, but not limited to, cardiopulmonary resuscitation and orders not to resuscitate.

(e) Direct the providing, withholding, or withdrawal of artificial nutrition and hydration and all other forms of health care.

 

This form lets you give specific instructions about any aspect of your health care. Choices are provided for you to express your wishes regarding the provision, withholding, or withdrawal of treatment to keep you alive, including the provision of artificial nutrition and hydration as well as the provision of pain relief. You may also include additional instructions for other than end-of-life decisions.

 

You may express an intention to donate your bodily organs and tissues following your death.

 

You may designate a physician to have primary responsibility for your health care.

 

After completing this form, sign and date the form at the end. It is required that two other individuals sign as witnesses. Give a copy of the signed and completed form to your physician, to any other health-care providers you may have, to any health-care institution at which you are receiving care, and to any health-care agents you have named. You should talk to the person you have named as agent to make sure that he or she understands your wishes and is willing to take the responsibility.

 

You have the right to revoke this advance health-care directive or replace this form at any time.

 

 

POWER OF ATTORNEY FOR HEALTH CARE

 

Your agent may make any health care decision that you could have made while you had the capacity to make health care decisions. You may appoint an alternate agent to make health care decisions for you if your first agent is not willing, able and reasonably available to make decisions for you. Unless the persons you name as agent and alternate agent are related to you by blood, neither may own, operate or be employed by a residential long-term care institution where you are receiving care. You may cross out any wording you do not want.

 

() DESIGNATION OF AGENT: I designate the following individual as my agent to make health-care decisions for me:

,

Home Phone: Work Phone:

 

() AGENT'S AUTHORITY:

 

() WHEN AGENT'S AUTHORITY BECOMES EFFECTIVE: My agent's authority becomes effective when my primary physician determines I lack the capacity to make my own health-care decisions. As to decisions concerning the providing, withholding and withdrawal of life-sustaining procedures my agent's authority becomes effective when my primary physician determines I lack the capacity to make my own health-care decisions and my primary physician and another physician determine I am in a terminal condition or permanently unconscious.

 

() AGENT'S OBLIGATION: My agent shall make health-care decisions for me in accordance with this power of attorney for health care, any instructions I give in this form, and my other wishes to the extent known to my agent. To the extent my wishes are unknown, my agent shall make health-care decisions for me in accordance with what my agent determines to be in my best interest. In determining my best interest, my agent shall consider my personal values to the extent known to my agent.

 

() NOMINATION OF GUARDIAN: If a guardian of my person needs to be appointed for me by a court, I

 

If you are an adult who is mentally competent, you have the right to accept or refuse medical or surgical treatment, if such refusal is not contrary to existing public health laws. You may give advance instructions for medical or surgical treatment that you want or do not want. These instructions will become effective if you lose the capacity to accept or refuse medical or surgical treatment. You may limit your instructions to take effect only if you are in a specified medical condition. If you give an instruction that you do not want your life prolonged, that instruction will only take effect if you are in a "qualifying condition." A "qualifying condition" is either a terminal condition or permanent unconsciousness.

 

INSTRUCTIONS FOR HEALTH CARE

 

() END-OF-LIFE DECISIONS: If I am in a qualifying condition, I direct that my health-care providers and others involved in my care provide, withhold, or withdraw treatment in accordance with the choice below:

Artificial nutrition through a conduitXArtificial nutrition through a conduit XHydration through a conduitXHydration through a conduit XArtificial nutrition through a conduitXArtificial nutrition through a conduit XHydration through a conduitXHydration through a conduit X

 

() RELIEF FROM PAIN:

my body any needed organs or parts my the physician in attendance at my death the hospital in which I die the following individual: ,

 

If the physician I have designated above is not willing, able or reasonably available to act as my primary physician, I designate the following physician as my primary physician:

,

Phone:

 

() EFFECT OF COPY: A copy of this form has the same effect as the original.

 

() SIGNATURE: Sign and date the form here: I understand the purpose and effect of this document.

 

Date: ___________________________

 

 

 

____________________________________________

Signature

,

 

 

() SIGNATURES OF WITNESSES:

 

Statement of Witnesses

 

SIGNED AND DECLARED by the above-named declarant as and for his/her written declaration under 16 Del. C. Sections 2502, 2503, in our presence, who in his/her presence, at his/her request, and in the presence of each other, have hereunto subscribed our names as witnesses, and state:

 

A. That the declarant is mentally competent.

B. That neither of us:

1. Is related to the declarant by blood, marriage or adoption;

2. Is entitled to any portion of the estate of the declarant under any will of the declarant or codicil thereto then existing nor, at the time of the executing of the advance health care directive, is so entitled by operation of law then existing;

3. Has, at the time of the execution of the advance health-care directive, a present or potential claim against any portion of the estate of the declarant;

4. Has a direct financial responsibility for the declarant's medical care;

5. Has a controlling interest in or is an operator or an employee of a residential long-term health-care institution in which the declarant is a resident; or

6. Is under eighteen years of age.

C. That if the declarant is a resident of a sanitarium, rest home, nursing home, boarding home, or related institution, one of us is, at the time of the execution of the advance health-care directive, a patient advocate or ombudsman designated by the Division of Services for Aging and Adults with Physical Disabilities or the Public Guardian.

 

 

First Witness:

 

 

____________________________________________________

(Signature of Witness)(Date)

 

I am not prohibited by Section 2503 of Title 16 of the Delaware Code from being a witness.

 

 

Second Witness:

 

 

____________________________________________________

(Signature of Witness)(Date)

 

I am not prohibited by Section 2503 of Title 16 of the Delaware Code from being a witness.

 

 

Statement of Patient Advocate or Ombudsman

 

(If the declarant is a patient in a skilled nursing facility, one of the witnesses must be a patient advocate or ombudsman. The following statement is required only if the declarant is a patient in a skilled nursing facility, a health-care facility that provides the following basic services: skilled nursing care and supportive care to patients whose primary need is for availability of skilled nursing care on an extended basis. The patient advocate or ombudsman must sign the "Statement of Witnesses" above AND must also sign the following statement.)

 

I declare that I am a patient advocate or ombudsman as designated by the Division of Services for Aging and Adults with Physical Disabilities or the Public Guardian.

 

 

____________________________________________________

(Signature of patient advocate or ombudsman)(Date)

Delaware Living Will FAQs

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  • How do I write a Living Will in Delaware?

    It is very easy to document your medical preferences using a free Delaware Living Will template from Rocket Lawyer:

    1. Make your Living Will - Provide a few basic details,, and we will do the rest
    2. Send and share it - Review the document with your healthcare agent(s) or ask a legal question
    3. Sign it - Optional or not, witnesses/notarization are ideal

    This method will often end up being much less time-consuming than finding and hiring a traditional lawyer. If needed, you may prepare this Living Will on behalf of an elderly parent, a spouse, or another family member, and then help them sign it once you've drafted it. Please remember that for a Living Will to be accepted as legally valid, the principal must be a mentally competent adult when they sign. If the principal is already incapacitated and unable to make their own decisions, a conservatorship might be necessary. When managing this scenario, it's best to talk to an attorney .

  • Who should have a Living Will?

    Everyone over 18 years old ought to have a Living Will in place. Although it may be challenging to acknowledge, there will likely come a time when you are not able to make your own medical decisions. Here are some common occasions in which you might consider it useful to make or update your Living Will:

    • You are managing a terminal illness
    • You will be hospitalized for a surgical procedure
    • You are planning to live in an adult care facility
    • You are getting older or dealing with ongoing health issues

    Regardless of whether this Delaware Living Will has been created in response to a recent change in your health or as part of a long-term plan, witnesses and/or notarization are strongly recommended for protecting this document and/or your agent if their privileges are doubted by a third party.

  • Should I work with an attorney for my Living Will in Delaware?

    Making a Living Will is usually simple to do; however, you or your agent could still have legal questions. Hiring an attorney to proofread your Delaware Living Will may be fairly time-consuming. An easier way to get a second pair of eyes on your document is via Rocket Lawyer attorney services. With a Premium membership, you can have your documents reviewed by an attorney with relevant experience. As always, Rocket Lawyer is here for you.

  • On average, how much would it usually cost me to make a Living Will in Delaware?

    The fees associated with meeting and hiring a legal provider to write a Living Will could be anywhere between two hundred and one thousand dollars. Different from other Living Will template providers that you might come across, Rocket Lawyer provides members up to a 40% discount when hiring a lawyer, so an attorney from our network can act on your behalf if you ever need support.

  • Will I need to take additional actions after I have drafted a Delaware Living Will?

    With a Premium membership, you will be able to make edits, download it in PDF format or as a Word document, or print it out. When you are ready to complete your Delaware Living Will form, it needs to be signed. Be sure that your agent(s) and care providers receive a copy of your fully executed document.

  • Does a Living Will need to be notarized or witnessed in Delaware?

    The requirements and restrictions are different by state; however, in Delaware, your document must be signed by two witnesses. The witnesses to your form should not be anyone who is responsible for your healthcare costs or who is affiliated with the healthcare facility that is providing your care. They should also not be your family members (including your spouse), heirs, or any other beneficiaries. As a basic rule, witnesses must not be under the age of 18, and no witness should also be named as your healthcare agent.

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