US-NH · Customized Agreements · State-informed
New Hampshire Living Will / Health Care Declaration
Locke uses the official-form living-will route for New Hampshire: New Hampshire Advance Directive — Living Will. Combined-form agent, proxy, or donation sections stay VOID in this product. This document records treatment wishes only. It does not appoint a healthcare agent and is not New Hampshire POLST.
State-informed coverageNew Hampshire selectedCounty nextAddress when relevant
Pinned New Hampshire record · not a catalog claim
What this New Hampshire instrument is
| Topic | Maintained record |
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| Instrument | New Hampshire Advance Directive — Living Will |
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| Route | Official or statutory form, treatment part only |
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| Healthcare agent | Not appointed by this document. Use the separate Advance Healthcare Directive and Medical Power of Attorney. |
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| Medical order | In New Hampshire, do not represent this Living Will as the separate clinician/EMS medical-order instrument identified here. Separate instrument: New Hampshire POLST. |
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| Execution | Preserve current RSA 137-J execution/witness/notary requirements exactly. |
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| Pregnancy rule | Current law restricts withholding/withdrawal when continued treatment could permit fetal viability/live birth, subject to the state's specific exceptions. |
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| Authority | N.H. RSA 137-J:20 (checked 2026-08-20) |
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Visible coverage maturity · State-informed
What this coverage level means
| Coverage area | Status | What that means |
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| Product availability | Available | Living Will / Health Care Declaration is released for purchase and can begin with New Hampshire selected. |
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| Coverage maturity | State-informed | This document resolves maintained state-family configuration blocks. That is not a claim that every action-specific state or local rule has been reviewed. |
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| State configuration | Maintained | living-will-health-care-declaration:healthcare_directive__NH, version 2.2.0, Healthcare Directive. |
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| County and address | Collected when relevant | These facts narrow the document context but do not prove that every local rule has been identified. |
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| Attorney review | Customer-arranged | Legal advice is not included; counsel of the customer's choice may review the completed document. |
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What Locke collects
Information that shapes this document
- State, county, and address from the jurisdiction-first workflow
- Legal name, current address, and signing date
- Treatment elections required by the selected state's directive model
- Optional values/additional instructions where the selected form allows them
- Whether separate agent or clinician-order documents already exist
What this document covers
Built for the stated scope
- Advance treatment planning before illness or injury
- Standalone treatment instructions without appointing a healthcare agent
- Coordinating written treatment wishes with an existing healthcare proxy
- Recording pregnancy-related and execution rules that vary by state
Configuration record · living-will-health-care-declaration:healthcare_directive__NH · 2.2.0
How the New Hampshire lane enters this draft
Locke selects this document family’s maintained state configuration after the state answer is saved. County, address, and later interview answers narrow any clauses that use those facts.
New Hampshire Advance Directive — Living Will
NEW HAMPSHIRE ADVANCE DIRECTIVE FORM Name (Principal's Name): the information supplied in the interview DOB: the information supplied in the interview Address: the information supplied in the interview I. DURABLE POWER OF ATTORNEY FOR HEALTH CARE NOT COMPLETED. This standalone product uses only the Living Will component permitted by RSA 137-J:20. II. LIVING WILL If I cannot make my own health-care decisions, I provide the following guidance concerning life-sustaining medical treatment. CHOOSE ITEM A OR B. the information supplied in the interviewA. I wish to have all attempts at life-sustaining treatment, within generally accepted health-care standards, to try to extend my life as long as possible, regardless of burdens, costs, or complications.the information supplied in the interview the information supplied in the interviewB. I do NOT wish to have life-sustaining treatment attempted that I would consider excessively burdensome or that would not have a reasonable hope of benefit. I wish to receive only forms of life-sustaining treatment I would not consider excessively burdensome AND that have a reasonable hope of benefit.the information supplied in the interview the information supplied in the interview The following are situations I consider excessively burdensome: the information supplied in the interview1. I do not wish life-sustaining treatment attempted if I am actively dying and treatment would only prolong my dying.the information supplied in the interview the information supplied in the interview2. I do not wish life-sustaining treatment attempted if I become permanently unconscious with no reasonable hope of recovery.the information supplied in the interview the information supplied in the interview3. I do not wish life-sustaining treatment attempted if I have an advanced life-limiting, incurable and progressive condition and the likely risks and burdens would outweigh expected benefits.the information supplied in the interview 4. Other situations I consider excessively burdensome: the information supplied in the interview In these situations, I wish for comfort care only. I understand that stopping or starting treatments to achieve comfort, including medically administered nutrition and hydration, may allow me to die when treatment would be excessively burdensome. the information supplied in the interview III. SIGNATURE I have received, reviewed, and understood the disclosure statement and have completed the Living Will consistent with my wishes. Signed this the information supplied in the interview Principal's Signature: THIS ADVANCE DIRECTIVE MUST BE SIGNED BY TWO WITNESSES OR A NOTARY PUBLIC OR A JUSTICE OF THE PEACE. Witness: Address (city/state): Witness: Address (city/state): STATE OF NEW HAMPSHIRE COUNTY OF The foregoing advance directive was acknowledged before me by the information supplied in the interview. Notary Public / Justice of the Peace: My commission expires:
Separate Medical Order — New Hampshire
In New Hampshire, do not represent this Living Will as the separate clinician/EMS medical-order instrument identified here. Separate medical-order instrument: New Hampshire POLST. This Living Will is not represented as that clinician/EMS medical order.
Locke is a document-assistance platform, not a law firm, and does not provide legal advice. Outputs require professional review; consult counsel of your choice.
Known coverage limit
County, municipal, court, and agency rules may still apply
Requirements may also depend on a New Hampshire county, municipality, city ordinance, rent board, local court, recorder, clerk, licensing authority, zoning district, property location, or another local body. Collecting a county and address does not mean Locke has identified every applicable local rule.
Before purchase
Questions about this state-configured document
Does a New Hampshire living will appoint a healthcare agent?
No. This Locke Direct product is treatment-wishes only. Agent appointment is a separate product.
Is the New Hampshire living will a New Hampshire POLST?
In New Hampshire, do not represent this Living Will as the separate clinician/EMS medical-order instrument identified here.
How do I sign a New Hampshire living will?
Preserve current RSA 137-J execution/witness/notary requirements exactly.
How is the Living Will / Health Care Declaration configured for New Hampshire?
After you select New Hampshire, Locke asks for the county and address, when relevant, and applies the maintained New Hampshire configuration for this document family to your answers.
Is this a guarantee that the Living Will / Health Care Declaration will be valid?
No. Locke assists with document generation and does not guarantee legal validity, enforceability, filing acceptance, or a particular outcome.
When is payment enabled?
You can preview first. Checkout is not enabled until you affirm the required acknowledgment that Locke Direct is not a law firm and does not provide legal advice.