Advance Health Care Directive (Utah)

An online document template for individuals living in Mississippi, allowing them to appoint an agent to make health-care decisions or receive health information on their behalf, or both. This document may also include instructions for certain treatments, such as life-sustaining treatments or end-of-life care.

This template enables individuals living in Hawaii to create written instructions in advance concerning health-care decisions and to appoint an agent to make health-care decisions on their behalf. It may also include specific instructions regarding health-care treatments, such as directives regarding life-sustaining treatments or end-of-life care.

This template outlines the terms and conditions of full-time employment for a physician at a non-profit or for-profit hospital, long term care facility, or health care organization, including a professional medical practice that is part of a hospital or health care system. It covers professional medical services, such as hospital-based physician services, emergency and on-call coverage services, office-based services for a hospital-affiliated clinic or practice, and associated professional medical and administrative duties. Additionally, it addresses the Stark Law and Anti-Kickback Statute (AKS) risks associated with physician employment and compensation, including the 2020 revisions to the Stark and AKS regulations.

This template outlines the requirements for Medicare Advantage Organizations (MAOs) and Medicare Prescription Drug Plans (PDPs) when delegating responsibility to first-tier, downstream, or related (FDR) entities to perform Medicare Part C and D activities. It is based on federal law and guidance from the Centers for Medicare and Medicaid Services (CMS) and is intended to help MAOs and PDPs (also known as plan sponsors) meet their Medicare compliance obligations when overseeing and monitoring FDRs.

This online document template creates an advance health care directive, also known as a living will, in Washington. It enables the declarer to provide instructions for the withholding, withdrawing, or continued administration of life-sustaining treatment in the event of a terminal or irreversible condition.

A Utah-based advance health care directive enables a declarant to state their preferences for health care treatments if they are unable to make decisions themselves, and to appoint an agent to make decisions on their behalf. This directive can also include instructions to withhold or withdraw life-sustaining treatments.

In Nebraska, an online document template is available to allow an individual to appoint a health care agent to make health care decisions and receive health care information on their behalf. This type of advance directive, often referred to as a power of attorney for health care, may also include instructions for specific health care treatments, such as advance directives for life-sustaining treatments or end-of-life care.

A template form for requesting certification of a family member's serious health condition under the Family and Medical Leave Act (FMLA) when an employee needs to take FMLA leave to care for a relative with a serious health condition.