Important: Never include any personally-identifying information such as your Social Security Number, Driver’s License or Identification Card number or any type of account, credit card or other financially associated number on ANY of the information submitted for filing with the Nevada Lockbox. Such information, if discovered, will be redacted and/or documents returned without processing.
- Advance Directive Registration Agreement
- Advance Directive Locator
- Authorization To Change
- Authorization To Change Documents
- Request For Duplicate Wallet Card
- Request To Nominate Guardian
Authorized Entity Forms:
You may find more information on Advance Directives and associated resources from the websites of the following organizations.
Nevada Center for Ethics and Health Policy - Living Will Online Completion
Nevada Provider Order for Life Sustaining Treatment (POLST)
Nevada Health Link
State of Nevada, Division of Aging Services
American Bar Association
Southern Nevada Senior Law Program
Nevada Donor Network
These links are provided for informational and public service purposes only and are not to be construed as legal or healthcare advice.