New Mexico Elderly Power of Attorney Directive
This document serves as an optional advance health-care directive for naming an agent to make health-care decisions. It outlines the authority, limitations, and instructions for health care providers. Ideal for individuals preparing for future health care choices.
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How do I fill this out?
To fill out this form, begin by carefully reading each section. Follow the instructions provided to complete the agent designation and health care preferences. Be sure to initial and sign where required.

How to fill out the New Mexico Elderly Power of Attorney Directive?
1
Read through each section carefully.
2
Designate your primary and alternate agents for health-care decisions.
3
Specify your health-care instructions and wishes.
4
Sign and date the document.
5
Store the completed form in a safe yet accessible place.
Who needs the New Mexico Elderly Power of Attorney Directive?
1
Older adults who wish to plan for healthcare decisions.
2
Individuals diagnosed with terminal conditions who want to specify care preferences.
3
People who want to ensure their healthcare choices are honored if they become incapacitated.
4
Family members looking to understand how to support a loved one's healthcare wishes.
5
Caregivers needing documentation to make official healthcare choices.
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What are the instructions for submitting this form?
To submit this form, please email it to lrep@nmbar.org, or fax it to (505) 797-6074. You may also mail it to the State Bar of New Mexico at Post Office Box 92860, Albuquerque, New Mexico 87199-2860. Ensure your form is fully completed with all necessary signatures before submission.
What are the important dates for this form in 2024 and 2025?
This form is essential for immediate use and can be reviewed regularly to meet changing healthcare needs. Ensure it is updated as needed, particularly at the beginning of each new year or after significant life events. Please consult a legal professional for any changes in legislation that might affect its validity.

What is the purpose of this form?
The purpose of this form is to empower individuals to make informed decisions about their health care in advance. It allows them to appoint a trusted person to act on their behalf when they are unable to do so. Ensuring specific wishes regarding life-sustaining treatment are understood and honored can bring peace of mind to both the individual and their loved ones.

Tell me about this form and its components and fields line-by-line.

- 1. Designate Agent: Choose your primary and alternate agents for healthcare decisions.
- 2. Healthcare Instructions: Provide specific directives related to your health care preferences.
- 3. Signature Section: Where you sign to affirm your choices.
What happens if I fail to submit this form?
Failure to submit this form may result in healthcare decisions being made without your personal preferences considered. Relying on state laws could lead to decisions you may not agree with.
- Unclear Decisions: Without this form, there may be ambiguity in your healthcare wishes.
- Involvement of Unknown Agents: Healthcare providers may need to appoint someone unfamiliar to make decisions.
- Potential for Discrepancy: Your direct wishes may conflict with standard medical protocols.
How do I know when to use this form?

- 1. Preparing for Health Changes: When anticipating major health issues requiring decisions.
- 2. End-of-Life Planning: To express wishes regarding end-of-life care.
- 3. Assigning Responsibility: To designate someone you trust to make healthcare decisions.
Frequently Asked Questions
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Can I save my edited file?
Yes, after editing, you can download your updated PDF for your records.
How can I share the PDF after editing?
Generate a shareable link for the edited PDF or download it to share via email.
Is there a way to include specific instructions?
You can add any additional wishes directly in the provided text fields.
What happens if I change my mind about my agent?
You can always edit the document to modify the designated agent or add alternatives.
How can the healthcare agent access my medical records?
The form grants explicit authority to your designated agent to obtain and review your medical information.
What happens if I don't fill out this form?
Without this form, healthcare decisions may be made by default state laws or medical professionals without your personal input.
Are there templates available for this form?
This document serves as a template itself and can be modified according to your needs.
Is there a limit to what I can specify in this form?
You have the freedom to include as much detail as you wish regarding your healthcare preferences.
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