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Authorized Provider Info

An Authorized Provider is an individual or organization that the Lockbox has given permission to access the registry.

Per NRS 629.031, organizations authorized access to the Lockbox include health care providers, which include any hospital, doctor, skilled nursing facility, nursing facility, home health care agency/provider, ambulatory surgery facility, hospice, or any authorized employee, contractor or agent of any of the foregoing, or other person believed charged with giving effect to a registrant’s advance directive or assisting in same.

BECOME AN AUTHORIZED PROVIDER

STEP 1:
To register to become an Authorized Provider submit to the Lockbox c/o the Secretary of State a completed Authorized Provider Application/Agreement.

Submit the completed application form to:
The Living Will Lockbox
c/o Nevada Secretary of State
101 North Carson St., Suite 3
Carson City, NV 89701
or via FAX to (775) 684-7177

STEP 2:
Once the Authorized Provider Application/Agreement is received and approved by the Secretary of State, the provider will be assigned a registration number and password.

Last updated: 5/8/2009 12:16:38 PM