Form · Advance care · RI

Rhode Island advance directive form

The state's own form, from State of Rhode Island General Assembly (R.I. General Laws). Rivvi links it; we do not host or change it. Not legal advice.

Quick answer

Rhode Island's advance directive form is the Declaration (§ 23-4.11-3 Declaration relating to use of life sustaining procedures), from State of Rhode Island General Assembly (R.I. General Laws). Rhode Island publishes a separate health care agent form: Statutory form of durable power of attorney for health care (§ 23-4.10-2). Open the state form

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The state form

Form: Declaration (§ 23-4.11-3 Declaration relating to use of life sustaining procedures)
Publisher: State of Rhode Island General Assembly (R.I. General Laws)
Law: R.I. Gen. Laws § 23-4.11-3 (Rights of the Terminally Ill Act)
Form link: webserver.rilegislature.gov/Statutes/TITLE23/23-4.11/23-4.11
Health care agent form: Statutory form of durable power of attorney for health care (§ 23-4.10-2)
Signing (per the source): Declaration: signed in the presence of two subscribing witnesses not related by blood or marriage; POA: one notary public or two qualified witnesses
Link checked: October 23, 2026

Questions

Where do I get Rhode Island's advance directive form?

State of Rhode Island General Assembly (R.I. General Laws) publishes it: Declaration (§ 23-4.11-3 Declaration relating to use of life sustaining procedures). The link on this page goes to the state's copy (checked October 23, 2026).

Does Rhode Island have a medical power of attorney form?

Rhode Island publishes a separate health care agent form: Statutory form of durable power of attorney for health care (§ 23-4.10-2).

Does a Rhode Island advance directive need witnesses or a notary?

Per the state source: Declaration: signed in the presence of two subscribing witnesses not related by blood or marriage; POA: one notary public or two qualified witnesses. Read the form's own signing instructions before you sign.