An advance directive is a legally binding document that gives instructions for your healthcare in the event that you are no longer able to make or communicate those decisions yourself. Laws and instructions differ by state. Learn more about the basics of advance directives and advance care planning.
Below you will find the advance directive template for Arkansas.
Instructions for Downloading the Advance Directive Template
- Opening a PDF requires a file viewer such as Adobe Acrobat Reader or MacOS Preview.
- If you already have this software installed on your computer, click on your state to proceed.
- Due to formatting and printing requirements, for some states a blank page will appear in the Acrobat Reader as the first page. This does not mean the document has not loaded correctly.
- Use the reader’s navigational toolbar to go to the next page.
- Once completed, save and print the form, or store it digitally. If using paper, you should scan the form and save it everywhere you can – including your phone – and distribute them to your inner circle, your physician, and anyone else you think should have it.
What happens if you do not have an Advance Directive in Arkansas and are unable to speak for yourself
The healthcare provider identifies a surrogate:
A surrogate must be an adult who has
- Exhibited special care and concern for the principal
- Is familiar with the principal’s personal values
- is reasonably available, and
- is willing to serve
The healthcare provider is directed to consider the proposed surrogate’s
- Ability to make decisions in accordance with the principal’s known wishes or best interests
- Frequency of contact with the principal before and during the incapacitating illness,
- Demonstrated care and concern.
The healthcare provider may consider
- Availability to visit
- Availability to fully participate
The healthcare provider may proceed in the following order of preference:
- A spouse, unless legally separated
- An adult child
- A parent
- An adult sibling
- Any other relative
- Any other person who satisfies the requirements to serve as a surrogate
If there is no available surrogate, the healthcare provider shall make the decision after consultation with an institutional ethics committee or a second physician
The principal healthcare provider or an employee of the healthcare provider are ineligible to serve as a surrogate (subject to an exception for a designated relative).
From AR Code §20-6-105
Note that in many states, there are separate requirements related to minors, specific types of treatment (such as mental healthcare or medical research), or for pregnant women. These more specific provisions are beyond the scope of this information. Some states will also allow for an oral designation of an agent. The purpose of this information is to help you plan ahead for when you may not be able to make a decision for yourself, so it does not address oral designations.
