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South Dakota Living Will Declaration Form

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The South Dakota living will declaration is a legal document that allows a one to make their own decisions with regard to how they would like to have their medical treatment directed and honored when they reach the end of their life and are no longer able to make decisions on their own. If you are uncertain as to how this document works, you may wish to consult with a qualified attorney. This document may be revoked at any time as long as the declarant is competent to do so.

Definition – § 34-12D-1(2)

Laws – Chapter 34-12D (Living Wills)

Medical Power of Attorney – A form that gives representation rights over a person for the handling of their health care decisions if the patient is not able.

How to Write

Step 1 – Begin by downloading the document and reviewing the vital information contained within the first section of the document

Step 2 – Addressing, family, caregivers and physicians – (Establishment of Declarant/Principal)

  • Enter the name of the declarant/principal
  • Selections of Life Sustaining Treatment – Read the information and selections
  • Declarant may read and select their options, if the options available are not what their true wishes are, enter their wishes in the lines provided on the form
  • Artificial nutrition and hydration – The declarant must read the brief statement and initial their selection as to whether they would or would not like to  have artificial nutrition and hydration

Step 3 – Signatures – After the declarant has completed the document it’s important that they enter their information to include their signature

  • Continue the declaration by entering the date of the execution of the document and signatures of both the declarant and the witnesses in mm/dd/yyyy format at the top of the 3d page
  • Declarant Information- 
  • Enter your signature
  • Enter your physical address
  • Enter your date of birth
  • Enter your printed or typed name
  • In entering the witnesses signatures, you must read the brief statement just prior to providing signatures – If in agreement –

Witness 1 – 

  • Enter Signature
  • Enter Physical Address

Witness 2 – 

  • Enter Signature
  • Enter Physical Address

Step 4 – Notarization – As the notary has witnessed all signatures, he/she will complete the remainder of the document and authenticate with the state seal.


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