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Montana Advance Directive Form

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A Montana advance directive is a document that lets a person designate a health care agent to make decisions on their behalf and to outline special directions for treatment. The form only becomes available for use after the patient has been confirmed to be incapacitated. In such an event, the agent selected would be able to make health care decisions for the patient in accordance with their defined medical wishes.

Advance Directive Includes

Table of Contents

Laws

Statute – Title 53, Chapter 21 (Mental Health Care Advance Directives)

Signing Requirements (§ 53-21-1304(2)(d)) – Two (2) witnesses and a notary public.

State Definition (§ 53-21-1302(3)) – “Directive” means a mental health care advance directive or any part of a mental health care advance directive.

Versions (6)


Bozeman Health

Download: Adobe PDF

 

 

 


Montana Attorney General

Download: Adobe PDF

 

 

 


Montana Peer Network

Download: Adobe PDF

 

 

 


Montana Disability Rights

Download: Adobe PDF

 

 

 


Spanish (Español) Version

Download: Adobe PDF

 

 

 


St. Peter’s Health

Download: Adobe PDF

 

 

Registry

After an individual completes an advance directive it is recommended to be registered with the declaration registry (§ 50-9-501). This can be completed by filling-in the Consumer Registration Agreement (Spanish (Español) Version) and send to the following address:

Office of Consumer Protection P.O. Box 201410 Helena, MT 59620-1410

After approximately 2-3 weeks the Office of Consumer Protection will send back the form along with wallet cards and other supplements. This is a 100% free service provided by the State of Montana.

How to Write

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Step 1 –

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