Form for a patients right to appoint a non-family member

Hey Yal,

Its been a minute since my last update due to months of having my site down due to some hospitals getting upset that I was writing about my visits to their facilities as a patient advocate. I found that you can appoint anyone to come to your bedside and help you through it with the following letter. If you have any questions or concerns please reach out.

NRS 449A.109  Specific rights: Designation of persons authorized to visit patient in facility.

1.  If, as a result of the incapacitation of a patient or the inability of a patient to communicate, the patient of a medical facility or facility for the dependent who is 18 years of age or older is unable to inform the staff of the facility of the persons whom the patient authorizes to visit the patient at the facility, the facility shall allow visitation rights to any person designated by the patient in a letter, form or other document authorizing visitation executed in accordance with subsection 2. The visitation rights required by this subsection must be:

(a) Provided in accordance with the visitation policies of the facility; and

(b) The same visitation rights that are provided to a member of the patient’s family who is legally related to the patient.

2.  A person 18 years of age or older wishing to designate a person for the purposes of establishing visitation rights in a medical facility or facility for the dependent may execute a letter, form or other document authorizing visitation in substantially the following form:

(Date)…………………………….

I, …………………………., (patient who is designating another person as having visitation rights of the patient) do hereby designate ___________(person who is being designated as having visitation rights of the patient) as having the right to visit me in a medical facility or facility for the dependent. I hereby instruct all staff of a medical facility or facility for the dependent in which I am a patient to admit PUT SAME NAME AS ABOVE HERE  (person who is being designated as having visitation rights of the patient) to my room and afford him or her the same visitation rights as are provided to members of my family who are legally related to me during my time as a patient.

………………………………………………..

(Signed)

(Added to NRS by 2003, 1879; A 2011, 361) — (Substituted in revision for NRS 449.715)

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