{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-3101.4","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-3101.4","heading":"Advance directive - Execution - Specific","body":"nutrition/hydration provision - Form - Inclusion in declarant's\n\nmedical records - Authority of proxy - Designation based on\n\nreligious beliefs or tenets.\n\nA. An individual of sound mind and eighteen (18) years of age\n\nor older may execute at any time an advance directive for health\n\ncare governing the provision, withholding, or withdrawal of life-\n\nsustaining treatment. The advance directive shall be signed by the\n\ndeclarant and witnessed by two individuals who are eighteen (18)\n\nyears of age or older who are not legatees, devisees, or heirs at\n\nlaw.\n\nB. An advance directive that is not in the form set forth in\n\nsubsection C of this section and that is executed in Oklahoma shall\n\nnot be deemed to authorize the withholding or withdrawal of\n\nartificially administered nutrition and/or hydration unless it\n\nspecifically authorizes the withholding or withdrawal of\n\nartificially administered nutrition and/or hydration in the\n\ndeclarant’s own words or by a separate section, separate paragraph,\n\nor other separate subdivision that deals only with nutrition and/or\n\nhydration and which section, paragraph, or other subdivision is\n\nseparately initialed, separately signed, or otherwise separately\n\nmarked by the declarant.\n\nC. An advance directive may be in substantially the following\n\nform:\n\nAdvance Directive for Health Care\n\nIf I am incapable of making an informed decision regarding my health\n\ncare, I direct my health care providers to follow my instructions\n\nbelow.\n\nI. Living Will\n\nIf my attending physician and another physician determine\n\nthat I am no longer able to make decisions regarding my\n\nmedical treatment, I direct my attending physician and\n\nother health care providers, pursuant to the Oklahoma\n\nAdvance Directive Act, to follow my instructions as set\n\nforth below:\n\n(1) If I have a terminal condition, that is, an incurable\n\nand irreversible condition that even with the\n\nadministration of life-sustaining treatment will, in\n\nthe opinion of the attending physician and another\n\nphysician, result in death within six (6) months:\n\n____ I direct that my life not be extended by\n\nlife-sustaining treatment, except that if I\n\nam unable to take food and water by mouth, I\n\nwish to receive artificially administered\n\nnutrition and hydration.\n\nInitial only ____ I direct that my life not be extended by\n\none option life-sustaining treatment, including\n\nartificially administered nutrition and\n\nhydration.\n\n____ I direct that I be given life-sustaining\n\ntreatment and, if I am unable to take food\n\nand water by mouth, I wish to receive\n\nartificially administered nutrition and\n\nhydration.\n\n_____ See my more specific instructions in paragraph (4) below.\n\n(Initial if applicable)\n\n(2) If I am persistently unconscious, that is, I have\n\nan irreversible condition, as determined by the\n\nattending physician and another physician, in\n\nwhich thought and awareness of self and\n\nenvironment are absent:\n\n_____ I direct that my life not be extended by\n\nlife-sustaining treatment, except that if I\n\nam unable to take food and water by mouth, I\n\nwish to receive artificially administered\n\nnutrition and hydration.\n\nInitial only _____ I direct that my life not be extended by\n\none option life-sustaining treatment, including\n\nartificially administered nutrition and\n\nhydration.\n\n_____ I direct that I be given life-sustaining\n\ntreatment and, if I am unable to take food\n\nand water by mouth, I wish to receive\n\nartificially administered nutrition and\n\nhydration.\n\n_____ See my more specific instructions in paragraph (4) below.\n\n(Initial if applicable)\nlife not be extended by\n\none option life-sustaining treatment, including\n\nartificially administered nutrition and\n\nhydration.\n\n_____ I direct that I be given life-sustaining\n\ntreatment and, if I am unable to take food\n\nand water by mouth, I wish to receive\n\nartificially administered nutrition and\n\nhydration.\n\n_____ See my more specific instructions in paragraph (4) below.\n\n(Initial if applicable)\n\n(3) If I have an end-stage condition, that is, a\n\ncondition caused by injury, disease, or illness,\n\nwhich results in severe and permanent deterioration\n\nindicated by incompetency and complete physical\n\ndependency for which treatment of the irreversible\n\ncondition would be medically ineffective:\n\n_____ I direct that my life not be extended by\n\nlife-sustaining treatment, except that if\n\nI am unable to take food and water by mouth,\n\nI wish to receive artificially administered\n\nnutrition and hydration.\n\nInitial only _____ I direct that my life not be extended by\n\none option life-sustaining treatment, including\n\nartificially administered nutrition and\n\nhydration.\n\n_____ I direct that I be given life-sustaining\n\ntreatment and, if I am unable to take food\n\nand water by mouth, I wish to receive\n\nartificially administered nutrition and\n\nhydration.\n\n_____ See my more specific instructions in paragraph (4) below.\n\n(Initial if applicable)\n\n(4) OTHER. Here you may:\n\n(a) describe other conditions in which you would\n\nwant life-sustaining treatment or\n\nartificially administered nutrition and\n\nhydration provided, withheld, or withdrawn,\n\n(b) give more specific instructions about your\n\nwishes concerning life-sustaining treatment\n\nor artificially administered nutrition and\n\nhydration if you have a terminal condition,\n\nare persistently unconscious, or have an\n\nend-stage condition, or\n\n(c) do both of these:\n\n_________________________________________________\n\n_________________________________________________\n\n_________________________________________________\n\n_________________________________________________\n\n_________________________________________________\n\n_________________________________________________\n\n_______\n\nInitial\n\nII. My Appointment of My Health Care Proxy\n\nIf my attending physician and another physician determine that I am\n\nno longer able to make decisions regarding my medical treatment, I\n\ndirect my attending physician and other health care providers\n\npursuant to the Oklahoma Advance Directive Act to follow the\n\ninstructions of _______________, whom I appoint as my health care\n\nproxy. If my health care proxy is unable or unwilling to serve, I\n\nappoint ______________ as my alternate health care proxy with the\n\nsame authority. My health care proxy is authorized to make whatever\n\nmedical treatment decisions I could make if I were able, except that\n\ndecisions regarding life-sustaining treatment and artificially\n\nadministered nutrition and hydration can be made by my health care\n\nproxy or alternate health care proxy only as I have indicated in the\n\nforegoing sections.\n\nIf I fail to designate a health care proxy in this section, I am\n\ndeliberately declining to designate a health care proxy.\n\nIII. Anatomical Gifts\n\nPursuant to the provisions of the Uniform Anatomical Gift Act, I\n\ndirect that at the time of my death my entire body or designated\n\nbody organs or body parts be donated for purposes of:\n\n(Initial all that apply)\n\n_____ transplantation\n\n_____ therapy\n\n_____ advancement of medical science, research, or education\n\n_____ advancement of dental science, research, or education\n\nDeath means either irreversible cessation of circulatory and\n\nrespiratory functions or irreversible cessation of all functions of\n\nthe entire brain, including the brain stem. If I initial the “yes”\n\nline below, I specifically donate:\n\n_____ My entire body\n\nor\n\n_____ The following body organs or parts:\n\n_____ lungs _____ liver\neducation\n\n_____ advancement of dental science, research, or education\n\nDeath means either irreversible cessation of circulatory and\n\nrespiratory functions or irreversible cessation of all functions of\n\nthe entire brain, including the brain stem. If I initial the “yes”\n\nline below, I specifically donate:\n\n_____ My entire body\n\nor\n\n_____ The following body organs or parts:\n\n_____ lungs _____ liver\n\n_____ pancreas _____ heart\n\n_____ kidneys _____ brain\n\n_____ skin _____ bones/marrow\n\n_____ blood/fluids _____ tissue\n\n_____ arteries _____ eyes/cornea/lens\n\nIV. General Provisions\n\na. I understand that I must be eighteen (18) years of age\n\nor older to execute this form.\n\nb. I understand that my witnesses must be eighteen (18)\n\nyears of age or older and shall not be related to me\n\nand shall not inherit from me.\n\nc. I understand that if I have been diagnosed as pregnant\n\nand that diagnosis is known to my attending physician,\n\nI will be provided with life-sustaining treatment and\n\nartificially administered hydration and nutrition\n\nunless I have, in my own words, specifically\n\nauthorized that during a course of pregnancy, life-\n\nsustaining treatment and/or artificially administered\n\nhydration and/or nutrition shall be withheld or\n\nwithdrawn.\n\nd. In the absence of my ability to give directions\n\nregarding the use of life-sustaining procedures, it is\n\nmy intention that this advance directive shall be\n\nhonored by my family and physicians as the final\n\nexpression of my legal right to choose or refuse\n\nmedical or surgical treatment including, but not\n\nlimited to, the administration of life-sustaining\n\nprocedures, and I accept the consequences of such\n\nchoice or refusal.\n\ne. This advance directive shall be in effect until it is\n\nrevoked.\n\nf. I understand that I may revoke this advance directive\n\nat any time.\n\ng. I understand and agree that if I have any prior\n\ndirectives, and if I sign this advance directive, my\n\nprior directives are revoked.\n\nh. I understand the full importance of this advance\n\ndirective and I am emotionally and mentally competent\n\nto make this advance directive.\n\ni. I understand that my physician(s) shall make all\n\ndecisions based upon his or her best judgment applying\n\nwith ordinary care and diligence the knowledge and\n\nskill that is possessed and used by members of the\n\nphysician’s profession in good standing engaged in the\n\nsame field of practice at that time, measured by\n\nnational standards.\n\nSigned this _____ day of __________, 20 __.\n\n___________________________________\n\n(Signature)\n\n___________________________________\n\nCity of\n\n___________________________________\n\nCounty, Oklahoma\n\n___________________________________\n\nDate of birth\n\n_______________________________________\n\n(Optional for identification purposes)\n\nThis advance directive was signed in my presence.\n\n___________________________________\n\nWitness\n\n___________________________, Oklahoma\n\nResidence\n\n___________________________________\n\nWitness\n\n___________________________, Oklahoma\n\nResidence\n\nD. A physician or other health care provider who is furnished\n\nthe original or a photocopy of the advance directive shall make it a\n\npart of the declarant's medical record and, if unwilling to comply\n\nwith the advance directive, promptly so advise the declarant.\n\nE. In the case of a qualified patient, the patient's health\n\ncare proxy, in consultation with the attending physician, shall have\n\nthe authority to make treatment decisions for the patient including\n\nthe provision, withholding, or withdrawal of life-sustaining\n\nprocedures if so indicated in the patient's advance directive.\n\nF. A person executing an advance directive appointing a health\n\ncare proxy who may not have an attending physician for reasons based\n\non established religious beliefs or tenets may designate an\n\nindividual other than the designated health care proxy, in lieu of\nt including\n\nthe provision, withholding, or withdrawal of life-sustaining\n\nprocedures if so indicated in the patient's advance directive.\n\nF. A person executing an advance directive appointing a health\n\ncare proxy who may not have an attending physician for reasons based\n\non established religious beliefs or tenets may designate an\n\nindividual other than the designated health care proxy, in lieu of\n\nan attending physician and other physician, to determine the lack of\n\ndecisional capacity of the person. Such designation shall be\n\nspecified and included as part of the advance directive executed\n\npursuant to the provisions of this section.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"966bc4e63e4db1f166bc20e67754f7abb93f9a55fa45bae41d730a1cf3de738d","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-3101.3","next":"us-ok/okla.-stat.-tit.-63-63-3101.5"},"notice":"GroundRules: Original legal text. Not legal advice."}