New Mexico Living Will Requirements

New Mexico asks for less at signing than almost any other state: your own signature is enough.

Introduction

New Mexico asks for less at signing than almost any other state: your own signature is enough. No notary and no witnesses are required for this treatment-wishes declaration to be legally valid, and even the state's own optional form calls witnesses 'recommended but not required' rather than a condition of validity. The document people commonly call a living will works, in New Mexico, as your own written statement of the medical treatment you want or want withheld once you can no longer speak for yourself. New Mexico does not treat it as separate from the rest of your advance care planning: the Uniform Health-Care Decisions Act, NMSA 1978 Sections 24-7A-1 through 24-7A-18, folds this treatment-wishes declaration together with the power to name a health care agent into one instrument, most often executed together on the state's own optional form, and the current statute itself never uses the phrase 'living will' operatively. This guide covers the treatment-wishes side: how to phrase your wishes, how New Mexico's form splits nutrition and hydration into two separate choices instead of one combined artificial-nutrition-and-hydration election, and what the signing process actually requires. Naming someone to carry out decisions you have not spelled out is a separate task the New Mexico Healthcare Power of Attorney page walks through in its own right.

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Key Things to Know

  1. 1

    New Mexico's statutory optional form does not ask a single artificial-nutrition-and-hydration question the way most states do. It splits nutrition and hydration into two separate initialed choices, so you can accept or refuse each independently rather than as one combined decision. This applies only if you have chosen not to have your life prolonged.

  2. 2

    A living will is not a last will and testament. A living will governs medical care while you are alive but unable to communicate; a last will and testament governs who inherits your property after you die. Most people preparing one eventually want the other too.

  3. 3

    New Mexico's own statute never uses the phrase 'living will' for the document it currently governs. Your living will is the treatment-wishes half of the Optional Advance Health-Care Directive, most often signed on one combined form alongside the agent-designation half.

  4. 4

    If you choose not to prolong life, New Mexico's form also lets you route that decision to your named agent instead, by initialing 'I CHOOSE to let my agent decide.' This third option exists because both halves of the directive live on one form.

  5. 5

    New Mexico law does not include a pregnancy-exclusion clause. Nothing in the Uniform Health-Care Decisions Act changes, suspends, or voids your directive if you are pregnant.

  6. 6

    New Mexico has no state registry for advance health-care directives. Keep the signed original yourself and give copies to your physician, your agent, and any alternate agents you have named.

Key decisions before you file

Before you file a Living Will in New Mexico, a few decisions shape the document: which option to choose and what each one means. The Living Will guide walks through them.

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NOTICE: New Mexico requires neither a notary nor witnesses to make this treatment-wishes declaration valid, a genuine rarity among states. This is the treatment-wishes (individual instruction) portion of New Mexico's Optional Advance Health-Care Directive. New Mexico has no legally separate 'living will' statute. The Uniform Health-Care Decisions Act, NMSA 1978 Sections 24-7A-1 through 24-7A-18, governs this declaration and the health care power of attorney as ONE instrument, most often executed on one combined form. Use this section to state what treatment you want or don't want. To name someone to decide for you, complete the agent-designation portion. See New Mexico Healthcare Power of Attorney.

END-OF-LIFE DECISIONS (Section 24-7A-4, optional statutory form, Part 2) If I am unable to make or communicate decisions regarding my health care, and if I have an incurable or irreversible condition expected to cause death within a relatively short time, or I become unconscious and will not, to a reasonable degree of medical certainty, regain consciousness, or the likely risks and burdens of treatment would outweigh the expected benefits, then initial ONE choice:

___ I CHOOSE NOT to prolong life.

___ I CHOOSE to prolong life as long as possible within the limits of generally accepted health care standards.

___ I CHOOSE to let my agent decide, if I have named one.

ARTIFICIAL NUTRITION AND HYDRATION, IF YOU CHOSE NOT TO PROLONG LIFE New Mexico's form asks you to initial nutrition and hydration separately, not as one combined choice: ___ I DO NOT want artificial nutrition, or ___ I DO want artificial nutrition. ___ I DO NOT want artificial hydration unless required for my comfort, or ___ I DO want artificial hydration.

RELIEF FROM PAIN Regardless of the choices above, I direct that the best medical care possible to keep me clean, comfortable, and free of pain or discomfort be provided at all times, even if this care hastens my death.

New Mexico law contains no clause suspending or modifying this directive if you are pregnant.

SIGNING (Section 24-7A-2(B) and the Section 24-7A-4 form instructions) Sign and date the form yourself; no notary or witnesses are required for legal validity. See New Mexico Healthcare Power of Attorney for the full witness and execution rules governing this combined directive.

REVOKING THIS DECLARATION (Section 24-7A-3(B)) You may revoke your treatment-wishes instructions at any time, in any manner that communicates your intent to revoke, a notably looser standard than revoking your agent's authority requires. See New Mexico Healthcare Power of Attorney for that stricter, signed-writing rule.

NOTE: This is a compact, New Mexico-specific version of the treatment-wishes declaration. See the Living Will national guide for the full reference template, New Mexico Healthcare Power of Attorney for the agent-designation portion of this combined directive, and New Mexico Last Will and Testament for after-death property distribution, a separate document this directive does not cover.

Once your Living Will is ready, you can check whether it needs to be notarized in New Mexico in about a minute, and notarize it online through DocDraft if it does.

New Mexico Requirements for Living Will

Uniform Health-Care Decisions Act Compliance (New Mexico Statutes Section 24-7A-1 through Section 24-7A-18)

New Mexico does not have a legally separate living-will statute. The Uniform Health-Care Decisions Act creates one instrument, the advance health-care directive, defined as either an individual instruction (treatment wishes), a power of attorney for health care (agent designation), or both together, most often executed on the state's own optional form.

Capacity to Execute (New Mexico Statutes Section 24-7A-1(C) and Section 24-7A-2)

You must be an adult or emancipated minor (age sixteen to eighteen who is married, on active duty, or court-declared emancipated) and have capacity, meaning the ability to understand and appreciate the nature and consequences of proposed health care and to communicate a decision, to give an individual instruction. Capacity itself is defined at Section 24-7A-1(C); a lack-of-capacity determination is made under the separate process in Section 24-7A-11, not Section 24-7A-2 alone.

Formal Requirements (New Mexico Statutes Section 24-7A-2(B) and Section 24-7A-4)

A written directive needs only your own signature and date; the law does not require notarization or witnesses at all. The Section 24-7A-4 optional form itself calls two witnesses recommended, not required, so signing before a notary or having witnesses is a choice, never a validity condition.

Witness Provisions, Optional (New Mexico Statutes Section 24-7A-4)

If you choose to use witnesses, though it is not required, New Mexico law sets no qualification or disqualification list for them: nothing bars a health care provider, a facility employee, or your named agent from serving as a witness, unlike states that maintain such a list.

Revocation Provisions (New Mexico Statutes Section 24-7A-3)

New Mexico treats revocation of your treatment-wishes instructions differently from revocation of your agent's authority. You may revoke your treatment instructions at any time, in any manner that communicates your intent to revoke (Section 24-7A-3(B)). Revoking your agent's designation requires a signed writing or personally informing your health care provider (Section 24-7A-3(A)), and if you cannot sign yourself, the revocation must instead be signed for you and witnessed by two people signing in your presence and each other's.

End-of-Life Treatment Decision Provisions (New Mexico Statutes Section 24-7A-4)

New Mexico's statute does not define or use the terms terminal condition, irreversible coma, or persistent vegetative state anywhere. The actual trigger language, found only in the Section 24-7A-4 optional form, gives a three-way choice once you are unable to make or communicate decisions and either have an incurable or irreversible condition expected to cause death within a relatively short time, become permanently unconscious, or face treatment whose risks and burdens would outweigh its benefits: choose not to prolong life, choose to prolong life, or let your named agent decide.

Pain Relief and Comfort Care (New Mexico Statutes Section 24-7A-4)

Regardless of the life-sustaining treatment choices you make, New Mexico's optional form directs that the best medical care possible be provided to keep you clean, comfortable, and free of pain or discomfort at all times, even if that care hastens your death.

Artificial Nutrition and Hydration, Separately Initialed (New Mexico Statutes Section 24-7A-4)

If you choose not to prolong life, New Mexico's optional form requires you to specify your wishes on artificial nutrition and artificial hydration as two separate initialed choices, not one combined election. This is more granular than most states' forms, which typically address artificial nutrition and hydration together as a single item. The requirement to initial these choices separately is found in the state's optional form at Section 24-7A-4.

Organ Donation (New Mexico Statutes Section 24-6B-1 through Section 24-6B-26)

The Living Will may include an anatomical gift designation, which New Mexico's optional Section 24-7A-4 form implements directly in Part 2. New Mexico's anatomical gift statute is the Jonathan Spradling Revised Uniform Anatomical Gift Act, which runs through Section 24-6B-26. Section 24-6B-21 specifically addresses the effect of an anatomical gift on an advance health-care directive.

HIPAA Authorization (45 CFR Section 164.508)

Federal HIPAA regulations govern how your health care agent can be authorized to access your protected health information once the agent-designation portion of your directive is in effect. This authorization supports the agent-decision-maker half of your directive; it does not change or expand your own treatment-wishes instructions.

Out-of-State Recognition (New Mexico Statutes Section 24-7A-16(C))

An advance directive, durable power of attorney for health care decisions, living will, right-to-die statement, or similar document executed in another state or jurisdiction in compliance with that jurisdiction's law is valid and enforceable in New Mexico to the same extent as if properly made here.

Healthcare Agent Designation (New Mexico Statutes Section 24-7A-2(B))

Section 24-7A-2(B) also lets you name a health care agent within the same directive. That is a separate function from the living-will/treatment-wishes instruction covered on this page: naming an agent gives someone else decision-making authority, rather than stating your own wishes directly. For full agent-designation guidance, see New Mexico Healthcare Power of Attorney.

Agent Authority Limitations (New Mexico Statutes Section 24-7A-2(B) and Section 24-7A-13(E))

Unless related to you, your agent may not be an owner, operator, or employee of a health care institution where you are receiving care (Section 24-7A-2(B)). Separately, the Act does not let an agent consent to your admission to a mental health care facility unless your written directive expressly permits presenting you for evaluation (Section 24-7A-13(E)). This is agent-designation content; for full guidance, see New Mexico Healthcare Power of Attorney.

Alternate Agent Designation (New Mexico Statutes Section 24-7A-4)

New Mexico's optional form lets you name up to two alternate agents, who step in if your first-choice agent is unwilling, unable, or not reasonably available to serve. This is agent-designation content; for full guidance on this, see New Mexico Healthcare Power of Attorney.

Provider Compliance (New Mexico Statutes Section 24-7A-7)

A health care provider or institution must comply with your individual instructions made while you had capacity, unless the provider objects for reasons of conscience or the institution has a timely-communicated policy based on conscience, or the requested care would be medically ineffective or contrary to generally accepted health care standards.

Provider Transfer Provisions (New Mexico Statutes Section 24-7A-7)

If a health care provider or institution declines to comply with your instructions, it must promptly inform you or your representative, continue your care until a transfer can be arranged, and make all reasonable efforts to transfer you to a provider or institution willing to comply, unless you refuse that assistance.

Patient Self-Determination Act Compliance (42 U.S.C. Section 1395cc(f))

Federal law requires Medicare- and Medicaid-participating hospitals, nursing homes, and other facilities to inform patients in writing of their right under New Mexico law to make an advance directive, including stating their own treatment wishes.

Mental Health Treatment Decisions (New Mexico Statutes Section 24-7B-1 through Section 24-7B-16)

Unlike the Uniform Health-Care Decisions Act, which does not let an agent consent to your admission to a mental health care facility without express authorization, New Mexico has a separate, genuinely voluntary Mental Health Care Treatment Decisions Act letting you make your own advance instructions specifically about mental health treatment, including medications, therapies, and hospitalization, through its own advance directive mechanism distinct from the health care directive covered on this page.

No State Advance-Directive Registry (New Mexico Statutes Section 24-7A-1 through Section 24-7A-18)

New Mexico does not operate a state registry for advance health-care directives. There is nothing to file with a state office for your directive to be valid or accessible. Keep the signed original yourself and give copies to your physician, any other health care providers, and anyone you have named as agent or alternate agent.

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Frequently Asked Questions

In New Mexico, a living will is the treatment-wishes half of the Optional Advance Health-Care Directive, the instrument the Uniform Health-Care Decisions Act (NMSA 1978 Sections 24-7A-1 through 24-7A-18) uses to cover end-of-life medical decisions. It lets you write down, in your own words or using the state's optional form language, whether you want life-sustaining treatment continued, withheld, or left to your agent's judgment if you become unable to communicate. There is no separate New Mexico statute called a living will. The term describes this part of the combined directive, not a stand-alone filing.

A living will lets you state directly what medical treatment you want or want withheld. A health care power of attorney instead lets you name someone else to make that decision for you. This page covers the treatment-wishes side; see New Mexico Healthcare Power of Attorney for the decision-maker side.

These control completely different things at completely different times. A living will, part of your New Mexico Advance Health-Care Directive, states your medical treatment wishes while you are alive but unable to communicate. A last will and testament says who inherits your property after you die, and only takes legal effect at death. Having one does not replace the other; most people planning end-of-life care also want a separate New Mexico Last Will and Testament for their estate.

Two, if you have chosen not to have your life prolonged. New Mexico's optional form asks you to initial your wishes on artificial nutrition and artificial hydration as separate choices rather than folding them into one combined election, so you can accept one and decline the other if that matches what you want.

It doesn't. New Mexico's Uniform Health-Care Decisions Act has no pregnancy-exclusion clause anywhere in it. Your directive keeps its full effect regardless of pregnancy status, unlike a handful of other states that do carve this out.

No. New Mexico does not operate a central state registry the way some states do. There is nothing to file with a state office; you simply keep the signed original and hand copies to your physician, your agent, and your family so it is available when needed.