THE ADVANCE MEDICAL DIRECTIVE FORM BELOW IS THE SUGGESTED FORM FROM § 54.1-2984 OF THE CODE OF VIRGINIA WITH THE FOLLOWING ADDITIONS: Instruction Notes have been included as general legal information. The term “nursing home” has been added to clarify that the definition of “Health Care” includes admission to a nursing home pursuant to § 54.1-2982 of the Code of Virginia. The words “Name/Signature” and “Date” have been included on the last line in Option II: Powers of My Agent, section F and section G to clarify where a physician or licensed clinical psychologist signs when applicable. . | These instruction notes are intended as general information and not intended as legal advice. • Virginia law does not require the use of an attorney in completing a valid Advance Medical Directive (AMD). However, some people may find it helpful to consult with an attorney although not required. • Virginia law does not require AMD documents to be notarized. However, for future inclusion in Virginia’s Advance Health Care Registry, when implemented, documents must be notarized pursuant to Code of Virginia § 54.1-2995. • Option II: Powers of My Agent, section F and section G require a physician or licensed clinical psychologist to attest that the person making the AMD is mentally capable of making and understanding the consequences as stated in their AMD. • “Declarant” is the person who declares and makes his/her wishes known through the AMD. Notary Acknowledgment. Space has been added to the end of the form to have the document notarized if desired |
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