Indiana Code
Chapter 7. Health Care Advance Directives
16-36-7-41. Affidavit; Requirements; Immunity

Sec. 41. (a) A health care representative designated in an advance directive or a person who was present during the signing of the advance directive may furnish to a health care provider or other person an affidavit that states, to the best knowledge of the health care representative:
(1) that the document attached to and furnished with the affidavit is a true copy of the named declarant's advance directive that is currently in effect;
(2) that the declarant is alive;
(3) that the advance directive was validly executed;
(4) if the effectiveness of the health care representative's authority to act under the advance directive begins upon the occurrence of a certain event, that the event has occurred and the health care representative has authority to act;
(5) if the health care representative who furnishes the affidavit does not have the highest priority to act under the explicit terms of the advance directive, an explanation that all health care representatives who are identified in the advance directive as having higher priority are not reasonably available to act; and
(6) that the relevant powers granted to the health care representative have not been altered or terminated.
An affidavit signed and furnished under this section may include information based on the affiant's personal knowledge about the manner in which the advance directive was signed under subsection (b) and section 28(c), 28(d), or 28(e) of this chapter. An affidavit under this section must be signed, sworn to, and acknowledged by the affiant in the presence of a notarial officer, unless the affiant swears or affirms to the accuracy of the affidavit's contents under the penalties for perjury.
(b) A health care provider or other person who:
(1) relies on an affidavit described in subsection (a); and
(2) acts in good faith;
is immune from liability that might otherwise arise from the health care provider's or other person's actions in reliance on the advance directive that is the subject of the affidavit.
As added by P.L.50-2021, SEC.63.

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