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Nebraska Advance Directive Form

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Updated August 11, 2025

A Nebraska advance directive is a health planning document that lets a person choose someone else to handle medical decisions on their behalf (known as an "agent"). The document allows someone to outline their healthcare goals and let the agent, commonly a spouse or family member, make decisions in the event they become incapacitated.

Versions (4)

AARP

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Avera Health

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Nebraska State Unit on Aging

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Spanish (Español) Version

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Registration

Nebraska does not have an advance directive registry.

Revocation

Regardless of their physical or mental condition, the declarant can revoke their advance directive at any time and in any manner.[3]

State Definition

Nebraska law refers to advance directives as “declarations.”

“Declaration” means a writing executed in accordance with the requirements of subsection (1) of section 20-404.[4]

Statutory Form

A statutory form for advance directives is available under Nebraska law, but its use is not legally required.[5]

Sample

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Sources

  1. NE Code § 30-3404(5)
  2. NE Code § 20-404(1)
  3. NE Code § 20-406(1)
  4. NE Code § 20-403(3)
  5. NE Code § 20-404(2)