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    Kentucky Advance Healthcare Directive Forms


    Prepare a Living Will and make your wishes known regarding life-prolonging treatments with this Kentucky Advance Healthcare Directive package.

    • This package of forms contains:
      • an explanation of what a Living Will is,
      • instructions to help you properly prepare and complete the form, and
      • Kentucky Living Will Directive and Health Care Surrogate Designation.
    • Part I of the form is the Designation of Health Care Surrogate, where you can designate a person you trust as your agent to make healthcare decisions for you if you are unable to do so.
    • Part II is the section in which you can set out your wishes and instructions regarding life-prolonging treatments, artificially provided nutrition and hydration, and organ and tissue donation.
    • Making an advance directive ensures that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions. 
    • This easy-to-use package is provided in MS Word format and can be used by more than one person. Download as many copies as you need.
    • Intended to be used only in the Commonwealth of Kentucky.
    Download Type: Microsoft Word
    Last Updated: 03-January-2024
    SKU: 4593