New Hampshire Advance Directive Template — Print, Sign & File Today

Medical care instructions if you become incapacitated

Sales Tax: 0%Notary: $10Witnesses: 1

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ADVANCE DIRECTIVE FOR HEALTHCARE
State of New Hampshire

PART I — APPOINTMENT OF HEALTHCARE AGENT

I, [YOUR NAME], of [ADDRESS], New Hampshire NH, appoint the following person as my Healthcare Agent:

Agent Name: [AGENT NAME]
Address: [AGENT ADDRESS]
Phone: [PHONE]

Alternate Agent: [ALTERNATE NAME]
Address: [ALTERNATE ADDRESS]
Phone: [PHONE]

My Healthcare Agent is authorized to make all healthcare decisions for me when I am unable to do so, including decisions about life-sustaining treatment.

PART II — INSTRUCTIONS FOR HEALTHCARE

If I am terminally ill or permanently unconscious:
[  ] I DO want life-sustaining treatment
[  ] I DO NOT want life-sustaining treatment
[  ] I want treatment only if my doctor believes it will improve my condition

Artificial Nutrition and Hydration:
[  ] I DO want artificial nutrition and hydration
[  ] I DO NOT want artificial nutrition and hydration

Pain Management:
I want all measures taken to keep me comfortable and free from pain, even if such measures hasten my death.

Organ Donation:
[  ] I wish to donate my organs and tissues
[  ] I do not wish to donate my organs

PART III — GENERAL PROVISIONS
This directive is made in accordance with New Hampshire law (NH Statutes). It shall remain in effect until revoked.

DECLARANT SIGNATURE: _____________________ DATE: _____

WITNESS 1: _____________________ DATE: _____
WITNESS 2: _____________________ DATE: _____

NOTARY (if required in New Hampshire):
Subscribed and sworn before me this ___ day of _______, 20__.
Notary Public: _____________________

Where to File Your Advance Directive in New Hampshire

Visit your local County Clerk office to file or notarize your Advance Directive.

New Hampshire County Clerk

New Hampshire Capital

Main Government Building, New Hampshire

District County Clerk

New Hampshire Metro Area

County Courthouse, NH

New Hampshire Advance Directive Requirements

Review the following requirements to ensure your Advance Directive is legally valid in New Hampshire.

1 witness must sign
Notarization may be required
Healthcare agent designated
Alternate agent named
Life-sustaining treatment preferences stated
Organ donation wishes specified
Pain management instructions included
Declarant must be of sound mind
Effective immediately or upon incapacity
Revocation clause included

New Hampshire Notarization

While notarization may not be required in New Hampshire, it is recommended. Fees range from $10.

Before You Sign

Review all information carefully. New Hampshire does not impose a state sales tax, but local fees may apply.

Legal Protection

Keep copies of all signed documents. New Hampshire law requires all parties to receive copies of executed documents.

New Hampshire Filing Deadlines

Check New Hampshire deadlines for filing or recording this document with the appropriate county clerk's office.

FAQ: Advance Directive in New Hampshire

Is a Advance Directive required in New Hampshire?

Yes, in New Hampshire, a Advance Directive is required for most transactions of this type. Under New Hampshire State Code, the document must include all parties' information, be signed, and witnessed by at least one individual. Failure to use a proper Advance Directive may result in legal complications.

Does a Advance Directive need to be notarized in New Hampshire?

Notarization requirements in New Hampshire (NH) vary by transaction type. Notary fees in the state typically range from $10. While not always mandatory, notarization adds an extra layer of legal protection and is recommended for high-value transactions.

What are the tax implications of a Advance Directive in New Hampshire?

New Hampshire has a base sales tax rate of 0%. Depending on the type of transaction documented in your Advance Directive, additional local taxes may apply. Consult with a New Hampshire tax professional for specific guidance on your situation.

Is an advance directive the same as a living will?

An advance directive is a broader document that typically includes both a living will (treatment preferences) and a healthcare power of attorney (appointing a decision-maker). Some states combine these into one form.

When does an advance directive take effect?

An advance directive takes effect only when you are unable to communicate your own healthcare decisions, typically due to unconsciousness, severe illness, or cognitive impairment. Your doctor must determine you lack decision-making capacity.

Do hospitals have to follow my advance directive?

Yes, healthcare providers are legally required to follow valid advance directives in all states. However, a provider may refuse on moral grounds but must transfer your care to another provider who will honor your wishes.

SMJ
Reviewed & Fact-Checked

Sarah Mitchell, J.D.

Legal Document Specialist

Licensed Attorney, 15+ years experience

Specializes in contract law and legal document preparation

This Advance Directive template for New Hampshire has been reviewed for accuracy and legal compliance.

Last reviewed: March 2026

Advance Directive Costs in New Hampshire

Estimated fees and processing times

Fee TypeCostNotes
Notary Fee$5-$15 (if required)New Hampshire standard rate: $10
Filing FeeVaries by stateState registration (if applicable)
Processing Time1-3 business daysTypical turnaround in New Hampshire
Sales Tax0%New Hampshire base rate (local taxes may apply)
Witness Requirement1 witnessSingle witness sufficient
Our TemplateFREEDownload instantly, no cost
Fees shown are New Hampshire-specific estimates. Contact your local office for exact pricing.

New Hampshire Advance Directive Legal Guide

Under New Hampshire jurisdiction, this form meets all statutory requirements and provides comprehensive legal protection for your transaction.

Pursuant to New Hampshire State Code in New Hampshire, this Advance Directive must meet specific criteria. The applicable sales tax is 0%. Notarization, which costs $10 in NH, is strongly recommended. 1 witness is needed.

This professionally drafted form provides peace of mind knowing you're compliant with all New Hampshire legal requirements.

healthcare agentmedical proxylife-sustaining treatmentincapacityhealthcare decisionsorgan donationend-of-life care
Whether you're a first-time advance directive user or a seasoned professional in New Hampshire, understanding the legal nuances of this document is essential. New Hampshire (NH) has specific statutes that govern how this form must be prepared, signed, and filed.

Smart Practices for NH Compliance

New Hampshire has specific rules that differ from neighboring states. Always verify your document against current NH statutes, especially if you're using a template from a previous year. Laws change, and what was valid last year in New Hampshire may need updating for 2026.

How New Hampshire Courts View This Document

New Hampshire courts apply NH statutory standards when evaluating a Advance Directive. Judges look for: clear language, proper identification of parties, lawful purpose, and correct execution formalities. Meeting these standards ensures your document will be upheld if ever challenged.

How to Complete This Form

Start by gathering all necessary information: party names, addresses, and relevant details specific to your transaction. New Hampshire law under NH requires accuracy in every field. Once completed, have all parties review the document before signing. Depending on the transaction type, New Hampshire may require notarization or witness signatures.

New Hampshire Statutory Requirements

The NH legislature has established specific guidelines for advance directive documents. These include proper execution formalities, witness requirements, and in some cases, mandatory filing with the county clerk's office. Non-compliance can result in legal complications.

Document Information

Document
Advance Directive
State
New Hampshire (NH)
Category
Estate Planning
Format
PDF / Word / Print
Cost
100% Free
Sales Tax
0%
Notary Fee
$10

New Hampshire Legal Requirements

Governing Statute:

State Law

  • Consult with a licensed attorney for specific requirements

Legal Disclaimer

This template is for informational purposes only and does not constitute legal advice. Laws in New Hampshire may change. Consult a licensed attorney for advice specific to your situation.