- Jurisdiction
- Maine
- Purpose
- Medical & health care
- Source / form version
- Revised March 2023; seventeen-page fillable packet
- Resource format
- Signing
- Sign and date Part 6 with two witnesses at the same time. The separate DNR section also requires an authorized clinician’s signature.
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Open PDF in a new tab (opens in a new tab)Sources checked: 2026-11-13. General information, not individual legal advice.
Choose the parts that serve your needs
This Maine packet contains an agent appointment, treatment preferences, a primary-provider designation, donation instructions, funeral choices, signatures, and a separate DNR form. You may complete the parts you want, but the advance directive requires the Part 6 signatures. Filling in an agent’s name alone does not complete it.
Set the agent’s role and your treatment wishes
The agent section allows you to describe limitations and when authority should begin. Discuss the choices with the person you select. Treatment instructions can guide an agent or stand separately when no agent is named. If you add or cross out language, follow the packet’s directions for initialing and dating changes so your choices remain clear.
Distinguish the directive from emergency orders
The packet requests two witnesses when you sign Part 6. Its DNR section is a different document for emergency resuscitation and must also be signed by a physician, nurse practitioner, or physician assistant. Do not assume that signing the advance directive alone creates a DNR order. Share the completed directive with your agent, providers, and anyone keeping a copy.
Common questions
Related forms and guides
Sources and verification
- Legal Services for Maine Elders / Maine Hospital Association: source and instructions (opens in a new tab)
- Signing and legal requirements (opens in a new tab)
- Authority and statutory guidance (opens in a new tab)
- Legal Services for Maine Elders / Maine Hospital Association: complete document (opens in a new tab)
HTTP200; seventeen pages; 78 PDF fields. Revised March 2023 visible throughout. Separate clinician-signed DNR requirement retained.
The date above records a source check. It does not certify that a form is suitable for your circumstances or that an attorney has reviewed your document. Read the publisher’s current instructions before use.