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Lifetime Documents

"Someone’s sitting in the shade today because someone planted a tree a long time ago."

Warren Buffett
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Advance Directive

Empower someone of your choosing to make medical decisions for you if you’re ever unable to make your own. If you choose to, you can also communicate your wishes about whether you’d want to stay on life support, be an organ donor, or receive experimental treatments. If you don’t choose someone then your doctor may choose one of your next of kin.

Your Advance Directive goes into effect if two medical professionals determine that you’re incapacitated in accordance with New Hampshire law. Your Agent will not have any authority unless and until you become incapacitated, and if you regain capacity then your Agent will no longer be able to make your medical decisions.

Durable Power of Attorney

Empower an Agent of your choosing to help you manage your finances either immediately or if you’re ever unable to manage them yourself. You can choose exactly how much or how little authority you’d like your Agent to have. If you don’t choose someone then the probate court may choose someone for you.

“Durable” means that your Agent will have whatever authority you give them for an indefinite period of time and will still have the authority you give them even if you become incapacitated.

Guardian Nomination

Provides guidance to the Court about who you want to make your medical and/or financial decisions if you can’t make your own. Your Guardian Nomination will only be used if the Court finds that you need a Guardian. You may need a Guardian if there’s something wrong with your Advance Directive and/or Durable Power of Attorney, or if you didn’t give your Agent enough authority in one of these documents, or if it’s in your best interest to take away your ability to make your own decisions.

Last Directive

A completely optional document that allows you to specify who has authority to make arrangements for your funeral, burial, and/or interment. If you have prepaid for arrangements during your lifetime, then this person would make sure that those arrangements are carried out.

Frequently Asked Questions

Is an Advance Directive the same thing as a Living Will? Is it the same as a Healthcare Power of Attorney?
There are two parts to an Advance Directive. In the first part you can specify who you’d like to be your Agent that will make medical decisions for you if you’re ever unable to make your own. The second part of an Advance Directive is a Living Will, where you may specify if you’d like to stay on life support in different circumstances. Your Agent will use any directions you give in your Living Will to know what medical decisions to make for you. However, neither your Agent nor your doctor are legally required to follow the directions you provide in your Living Will.

An Advance Directive is the same thing as a Healthcare Power of Attorney. While the document is officially called an Advance Directive by New Hampshire law, sometimes you’ll hear people refer to it as a Healthcare Power of Attorney.
Is a Durable Power of Attorney the same as a Financial Power of Attorney?

Yes, a Durable Power of Attorney is the same thing as a Financial Power of Attorney. While the document is officially called a Durable Power of Attorney by New Hampshire law, sometimes you’ll hear people refer to it as a Healthcare Power of Attorney.

What happens if all the people I name as my Agent in my Advance Directive won’t or can’t be my Agent?
In this circumstance, New Hampshire law RSA § 137-J:35 allows your medical provider to contact your other relatives and/or close friends to try to find someone who will agree to make your decisions for you. If your health care provider finds someone that agrees to make your decisions, then this person will become your “Surrogate.” Your Surrogate has all the same powers as a person you make your Agent in your Advance Directive.

You can specify in your Advance Directive that you don’t want a Surrogate to make your decisions and you can limit the authority that your Surrogate has. If you don’t authorize a Surrogate to make your decisions for you then you may need a Guardianship.
What happens if I don't have an Advance Directive or Durable Power of Attorney? What is Guardianship?
If you don’t have an Advance Directive and you’re unable to make your own medical decisions, then New Hampshire law RSA § 137-J:35 allows your medical provider to contact your other relatives and/or close friends to try to find someone who will agree to make your decisions for you. If your health care provider finds someone that agrees to make your decisions, then this person will become your “Surrogate.” Your Surrogate has all the same powers as a person you make your Agent in your Advance Directive. Your Surrogate will only have this authority for 180 days.

If you still can’t make your own decisions after 180 days, then you’ll most likely need Guardianship. Guardianship is a court process where a judge decides who will be appointed to be your Guardian to make your medical decisions for you. If you have a Guardian Nomination document then the judge must appoint the person you nominate, unless the judge decides that the person you nominated isn’t able to carry out the duties of a Guardian in the specific circumstances of your case.
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