AB552,6,6 156.07 Valid written request for medication; requirements. (1) A written request for medication under s. 156.05 (2) (b) is valid only if it is all of the following:

AB552,6,7 (a) In writing.

AB552,6,9 (b) Dated and signed by the requester or, at the express direction and in the presence of the requester, by an individual who has attained age 18.

AB552,6,10 (c) Signed in the presence of 3 witnesses who meet the requirements of sub. (2).

AB552,6,11 (d) Made voluntarily.

AB552,6,12 (e) Substantially in the form specified in s. 156.15.

AB552,6,16 (f) Filed in the requester's patient health care record in the custody of the requester's attending physician and, if the requester is an inpatient of a health care facility, in the requester's patient health care record in the custody of the health care facility.

AB552,6,20 (2) (a) A witness to the making of a valid written request for medication under this section shall be an individual who has attained age 18. No witness to the making of a valid written request for medication may, at the time of the witnessing, be any of the following:

AB552,6,21 1. Related to the requester by blood, marriage, or adoption.

AB552,6,23 2. An individual who has knowledge that he or she is entitled to or has a claim on any portion of the requester's estate.

AB552,6,24 3. Directly financially responsible for the requester's health care.

AB552,7,4 4. An individual who is a health care provider who is serving the requester at the time of the witnessing; an employee, other than a chaplain or a social worker, of the health care provider; or an employee, other than a chaplain or a social worker, of a health care facility in which the requester is a patient.

AB552,7,7 (b) If a requester is a resident of a nursing home or community-based residential facility, at least one of the witnesses to the request shall be a residents' advocate designated under s. 156.19.

AB552,7,9 156.09 Attending physician; responsibilities, and limitations. The attending physician shall do all of the following:

AB552,7,11 (1) Determine whether the requester has a terminal disease, does not have incapacity, and is making a request under this chapter voluntarily.

AB552,7,12 (2) Inform the requester of all of the following:

AB552,7,13 (a) The requester's medical diagnosis.

AB552,7,14 (b) The requester's prognosis.

AB552,7,16 (c) The potential risks associated with taking the medication to be prescribed under this chapter.

AB552,7,18 (d) The probable result of taking the medication to be prescribed under this chapter.

AB552,7,20 (e) The feasible alternatives to taking the medication to be prescribed under this chapter, including comfort care, hospice care, and pain control.

AB552,7,22 (3) Refer the requester to a consulting physician under the requirements of s. 156.11.

AB552,7,24 (4) Refer the requester for review and counseling if the referral is determined to be appropriate under s. 156.13.

AB552,8,2 (5) Ask the requester to notify his or her next of kin with respect to the request for medication.

AB552,8,6 (6) Inform the requester that he or she may revoke the request for medication at any time; explain the methods of revocation that are specified under s. 156.17 (1); and offer the requester an opportunity to revoke the request at the time, if any, that the requester orally asks for medication under s. 156.05 (2) (c).

AB552,8,8 (7) Before writing a prescription that fulfills a request for medication, verify that all of the following have occurred:

AB552,8,9 (a) The requester has fulfilled the requirements of s. 156.05 (2).

AB552,8,11 (b) No fewer than 48 hours have elapsed since the requester made a 2nd oral request for medication under s. 156.05 (2) (c).

AB552,8,12 (c) The requester has made an informed decision under s. 156.05 (1).