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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.
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Versions (6)

AARP

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Catholic Church

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Dept. of Health

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Hope Health

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Providence Health Care

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Spanish (Español) Version

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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

StatuteChapter 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]