eForms Logo

Rhode Island Advance Directive Form

A Rhode Island advance directive is a form used to record a person's medical treatment preferences and select an agent to speak on their behalf if they cannot do so for themselves. The form is a combination of a medical power of attorney and a living will.
PDF

Updated October 08, 2024

5.0 Stars | 7 Ratings
Downloads: 84

Advance Directive Includes

Versions (6)

AARP

Download: PDF

 

 

 

Catholic Church

Download: PDF

 

 

 

Dept. of Health

Download: PDF

 

 

 

Hope Health

Download: PDF

 

 

 

Providence Health Care

Download: PDF

 

 

 

Spanish (Español) Version

Download: PDF

 

 

 

Wallet Cards

Medical staff will commonly look in a patient’s personal belongings in the event of an emergency for a wallet card. This gives information on who is acting as the person’s medical agent and the location of their advance directive.

Complete, print, cut, and fold to place in your wallet.

Laws

Statute – Chapter 23-4.11 (Rights of the Terminally Ill Act), Chapter 23-4.10 (Health Care Power of Attorney)

State Definition – “Advance directive protocol” means a standardized, state-wide method developed for emergency medical services personnel by the department of health and approved by the ambulance service advisory board, of providing palliative care to, and withholding life-sustaining procedures from, a qualified patient.[2]

Sources

  1. § 23-4.10-2
  2. § 23-4.11-2(1)