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Who Decides When You Cannot

La. R.S. 40:1159.4 — a curator, then an agent under a mandate, then the spouse, an adult child, a parent, a sibling

When a patient cannot consent, these people may consent to medical treatment, in this order, each only if no one in an earlier class is reasonably available, willing and competent:

  • La. R.S. 40:1159.4
  • A court appointed tutor or curator.
  • An agent under a mandate that specifically authorizes health care decisions.
  • The spouse, if not judicially separated.
  • An adult child, then a parent, then a sibling, then other ascendants or descendants.
  • An adult friend familiar with the patient's views who signs the facility's acknowledgment form.
  • La. R.S. 40:1159.4
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Where a class has more than one member, a majority of those available decides. For a patient with a terminal and irreversible condition who made no declaration, a similar order of relatives may make one for the patient, with two witnesses present.

  • La. R.S. 40:1159.4
  • La. R.S. 40:1151.4
Sources for this section (2)
  1. La. R.S. 40:1159.4 — Persons who may consent to surgical or medical treatment
  2. La. R.S. 40:1151.4 — Procedure for making a declaration for a qualified patient who has not previously made a declaration

Legal information, not legal advice. Verified as of October 2026. Applying it to a particular situation is the work of a licensed Louisiana attorney.

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Walked through

This section is the long version of a step in one walkthrough. Each one takes the same law one decision at a time, with both sides of the moment written out.