UNITED STATES
Put your wishes regarding life support and medical treatments down in writing with an Advance Medical Directive form for your state.
Q. I have already made a Power of Attorney. Do I need an advance directive too?
A. An advance medical directive is not the same thing as a power of attorney. An advance directive (sometimes called a living will or health care directive) is an instruction to your attending physician about whether or not you want to be artificially kept alive if you were in a persistent vegetative state (brain dead or in a coma). You can give directions about whether or not you want pain medication, tube feeding, intravenous drugs, etc.
Each State has its own specific forms. Buy and download the package for your State.
Alabama Advance Health Care Directive Package
Prepare your Advance Directive for Health Care with this easy-to-use downloadable forms package for Alabama residents.
- The package contains:
- Living Will form.
- Durable Power of Attorney for Health Care.
- Organ Donation Instructions.
- Information and instructions to help you complete the forms.
- The forms can be used by more than one person in your household by filling in the appropriate information on a separate copy for each person.
- Available in MS Word format.
- Intended to be used only in the State of Alabama.
Alaska Advance Health Care Directive Package
An Advance Health Care 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.
- This package of forms for Alaska residents contains the following documents:
- Durable Power of Attorney for Health Care, where you can appoint someone you trust to make health care decisions for you if you become unable to do so.
- Instructions for Health Care, where you can set out your wishes and instructions regarding such things as end-of-life care, life support, pain relief, etc.
- Anatomical Gift form where you can specify if you wish to donate organs and tissues after your death.
- Mental Health Treatment instructions.
- Primary Physician designation.
- Information about the forms and instructions to guide you through completing them.
- These are reusable forms that can be used by more than one person in your household. No need to buy additional copies.
- Available in MS Word format.
- Intended to be used only in the State of Alaska.
Arizona Advance Directive Forms
Set out your wishes for life-sustaining treatment and appoint someone as your medical decision maker with these free Medical Living Will and Healthcare Power of Attorney forms for Arizona residents.
- None of us knows when an accident or illness might rob us of our ability to communicate. That's why we need to be prepared ahead of time.
- This package contains two forms issued by the Arizona Hospital and Healthcare Association.
- The Medical Living Will lets you put your instructions in writing regarding life-sustaining procedures that your family might have to make at some point in the future.
- The Healthcare Power of Attorney with Optional Mental Health Authority lets you appoint a medical decision maker to make health care decisions for you.
- Available in PDF format.
- This package is for residents of Arizona and complies with Arizona laws.
Arkansas Advance Health Care Directive Forms
Make an Advance Health Care Directive with this package of forms for Arkansas residents.
- The package contains the following:
- Arkansas Declaration, which sets out your instructions regarding end-of-life treatments,
- Durable Power of Attorney for Health Care appointing an agent/proxy to make health care decisions for you if you become unable to do so,
- Acceptance of Appointment, to be signed by the person you name as your agent/proxy,
- Organ Donation Form,
- EMS Do Not Resuscitate Order,
- information and instructions to help you complete the forms and properly execute them.
- Making an Advance Directive can help to ensure 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.
- These easy-to-use forms are provided in MS Word format and are re-usable.
- Intended to be used only in the State of Arkansas.
California Advance Health Care Directive Form
Make sure your family and your doctor know what your wishes are regarding medical treatment and life support with this free Advance Health Care Directive Form for California.
- An Advance Health Care Directive speaks for you if you are unable to communicate due to illness or injury.
- In Part 1 of the form you can, but are not required to, name another person to act as your agent, to make health care decisions on your behalf if you become unable to do so, or even if you retain capacity.
- You can give instructions about your health care in Part 2, for your agent (if you appoint one) and for your health care provider to follow.
- The form includes information and instructions to help you complete it.
- This is Form 3-1 issued by the California Hospital Association.
- Available in PDF format.
Colorado Advance Medical Directive Forms
An Advance Medical Directive can speak for you when you are unable to, because of illness or injury. This package of Colorado Advance Medical Directive Forms includes the following documents:
- An explanation of the documents and instructions on preparing and completing an advance directive (also known as a Living Will or health care proxy).
- Advance Directive for Medical / Surgical Treatment setting out your instructions regarding life sustaining procedures.
- Medical Durable Power of Attorney appointing an agent to make health care decisions for you.
This Colorado Advance Medical Directive Forms Package can be used by more than one person by filling in the appropriate information where indicated. Updated for 2011.
Connecticut Living Will Forms Package
This Connecticut Living Will Forms Package contains the following documents:
- instructions to help you prepare your advance medical directive / living will,
- a Living Will which sets out your instructions regarding withdrawal or withholding of life support systems and other future health care decisions
- Health Care Instructions form to appoint an agent to make health care decisions for you. Making an advance medical directive can help to ensure 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 Connecticut Living Will Forms Package is provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
DC Advance Health Care Directive Package
Name someone you trust to make medical decisions for you if you are unable to with this Advance Health Care Directive Package for District of Columbia residents.
- This package contains:
- a Declaration (Living Will) setting out your wishes regarding end-of-life procedures and treatments,
- a Durable Health Care Power of Attorney appointing an agent to make health care decisions for you,
- an Organ Donation Form,
- an explanation of each of the forms and answers to common questions such as how to ensure the documents are properly signed and witnessed,
- instructions on how to prepare and complete each document.
- Available in MS Word format, fully editable and reusable.
- Intended to be used only in the District of Columbia.
Delaware Advance Health Care Directive Forms
Make your wishes for medical treatment known to your doctor and family with this Advance Health Care Directive forms package for Delaware.
- This package contains the following documents:
- a Power of Attorney for Health Care that allows you to name someone you trust to act as your agent to make healthcare decisions for you if you become unable to do so,
- a Health Care Directive (also known as a Living Will), in which you can give instructions about what types of end-of-life medical treatments you want or do not want,
- an Anatomical Gift Declaration (organ donor form),
- instructions and explanations to help you complete the forms.
- The forms can be used by more than one person in your family, just by filling in the appropriate information for each person.
- Available in MS Word format.
- Intended to be used only in the State of Delaware.
Florida Advance Health Care Directive Forms
Make certain that your wishes regarding medical treatment are known by your doctor and your family with this Advance Healthcare Directive package of forms for Florida residents.
- This package of forms contains the following documents:
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- information and instructions to help you prepare and complete your advance directive forms,
- a Designation of Health Care Surrogate appointing an agent to make health care decisions for you,
- a Designation of Health Care Surrogate for Minor, which can be used to appoint an agent to make health care decisions for a person that is underage,
- a Uniform Donor Form for organ and tissue donations.
- These easy-to-use forms are provided in MS Word format and can be used by more than one person by filling in the appropriate information.
- Intended to be used only in the State of Florida.
Georgia Advance Health Care Directive Forms
Appoint an agent and set out your wishes for medical treatment with this Georgia Advance Directive for Health Care Package.
- The Advance Directive for Health Care replaces both the previous Living Will declaration and the Durable Power of Attorney for Health Care.
- The Advance Directive gives you the opportunity to:
- appoint a health care agent to make decisions about medical treatment and procedures for you,
- set out your wishes and preferences for end-of-life treatment if you have a terminal condition or are in a state of permanent unconsciousness, and
- name a person to act as your guardian, if a court should determine that a guardian is necessary.
- Making an Advance Directive can help to ensure 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.
- The package includes information and instructions to walk you through the process.
- Available in MS Word format. Easy to use and reusable, so more than one person can use the Advance Directive form by filling in the appropriate information.
- Intended to be used only in the State of Georgia.
Hawaii Advance Health Care Directive Forms
This Advance Health Care Directive Forms Package for Hawaii contains the following documents:
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a combined Advance Health Care Directive and Durable Power of Attorney for Health Care Decisions, which allows you to appoint an agent to make health care decisions for you,
- Instructions for Health Care which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- an Anatomical Gift Declaration where you can any organs and body parts you wish to donate after your death.
These easy-to-use Hawaii Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Idaho Advance Health Care Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
- a Living Will Directive to Withhold or Provide Treatment which sets out your instructions regarding life-sustaining procedures and other future health care decisions.
These easy-to-use Idaho Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Illinois Advance Health Care Directive Forms
Ensure your wishes for medical care are followed with this Advance Health Care Directive package for Illinois.
- This package of forms for Illinois contains:
- Living Will Declaration, where you can set out your wishes for life-prolonging treatments and medications,
- Declaration for Mental Health Treatment,
- Statutory Short Form Power of Attorney for Health Care, where you can appoint someone you trust as your agent to make health care decisions for you, and
- instructions and information to assist you in preparing and completing your advance directive.
- Making an Advance Directive can help to ensure 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.
- These forms are available in MS Word format and can be re-used by spouses, partners, and other family members.
- Intended to be used only in the State of Illinois.
Indiana Advance Health Care Directive Forms
This Advance Health Care Directive Forms Package for Indiana contains:
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Power of Attorney for Health Care Decisions and Appointment of Health Care Representative appointing an agent to make health care decisions for you.
Iowa Advance Health Care Directive Forms
This Advance Health Care Directive Forms Package for Iowa contains:
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions.
Kansas Advance Health Care Directive Forms
This Advance Health Care Directive Forms Package for Kansas contains:
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions.
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.
Louisiana Advance Health Care Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Power of Attorney for Health Care Decisions appointing an agent to make health care decisions for you.
Maine Advance Health Care Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Health Care Advance Directive containing end-of-life instructions regarding life-sustaining procedures, organ donor instructions, funeral and burial arrangements,
- a Power of Attorney for Health Care appointing an agent to make health care decisions for you.
These easy-to-use Maine Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Maryland Advance Health Care Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a combined Advance Directive, which contains a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
- a Living Will Declaration and Other Wishes which sets out your instructions regarding life-sustaining procedures and other future health care decisions.
These easy-to-use Maryland Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Massachusetts Advance Health Care Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Health Care Proxy appointing an agent to make health care decisions for you.
These easy-to-use Massachusetts Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Michigan Advance Health Care Directive Forms
Set out your wishes for life-sustaining treatment and appoint someone as your medical decision maker with this Advance Health Care Directive Forms Package for Michigan residents.
- None of us knows when an accident or illness might rob us of our ability to communicate. That's why we need to be prepared ahead of time.
- This package contains the following items:
- Durable Power of Attorney for Health Care, where you can designate a patient advocate to make health care decisions for you if you become unable to do so,
- Living Will, where you can give instructions regarding your preferences for life-prolonging treatments,
- Do-Not-Resuscitate (DNR),
- Declaration of Anatomical Gift (organ donor form),
- instructions and information to help you understand and complete the documents.
- Available in MS Word format.
- These forms can be used by more than one member of your family.
- Intended to be used only by Michigan residents.
Minnesota Advance Health Care Directive Forms
Make sure your physician knows your wishes regarding life support and medical treatment if you are unable to communicate or make your own decisions. Download and fill out this Advance Health Care Directive Forms package for Minnesota.
- None of us knows when an accident or illness might rob us of our ability to communicate. That's why we need to be prepared ahead of time.
- The Health Care Directive lets you put your instructions in writing regarding life-sustaining procedures that your family might have to make at some point in the future.
- It allows you to appoint an agent to make health care decisions for you when you can't.
- This package is for residents of Minnesota and complies with Minnesota laws.
Nobody wants to think of the unthinkable. But being prepared spares your family a lot of stress. Buy, download and complete your Advance Health Care Directive today.
Mississippi Advance Health Care Directive Forms
This Advance Health Care Directive Forms Package is for residents of Mississippi. It contains:
- An explanation of what an advance directive is and what it is not.
- Instructions to help you complete your advance directive.
- A combined Advance Health Care Directive containing a section for instructions regarding life-sustaining procedures and other future health care decisions.
- Designation of Primary Physician form.
- Power of Attorney for Health Care Decisions appointing an agent to make health care decisions for you.
Help your family and your physician make treatment decisions that follow your wishes. Purchase the Mississippi Advance Health Care Directive package and fill it in today.
Missouri Advance Health Care Directive Forms
Set out your wishes for life-sustaining treatment and appoint someone as your medical decision maker with this Advance Health Care Directive Forms Package for Missouri residents.
- This package of forms contains the following:
- information and instructions to help you prepare and complete your advance directive,
- Advance Health Care Directive which is made up of:
- Part I - Durable Power of Attorney for Health Care, where you can designate someone you trust to act as your agent to make health care decisions for you when you are unable to do so,
- Part II - Health Care Directive, which allows you to state your wishes about health care treatments and procedures, including life-prolonging treatments,
- Part III - General Provisions that are included in both documents,
- Part IV - Execution.
- Making an Advance Directive can help to ensure that your family and your doctor know what your wishes if you should become unable to communicate or make your own decisions, and that there is someone with the authority to make decisions for you.
- The forms are provided in MS Word format and can be used by more than one person by filling in the appropriate information.
- Intended to be used only in the State of Missouri.
Montana Advance Health Care Directive Forms
Make sure your physician knows your wishes regarding life support and medical treatment if you are unable to communicate or make your own decisions. This Advance Health Care Directive Forms package for Montana includes:
- Information about advance medical directives.
- Instructions to help you complete the forms.
- Montana Living Will Declaration setting out your wishes regarding life sustaining procedures.
- Montana Power of Attorney for Health Care appointing an agent to make health care decisions for you.
None of us knows when an accident or illness might rob us of our ability to communicate. That's why we need to be prepared ahead of time. Buy, download and complete your Advance Health Care Directive today.
Nebraska Advance Health Care Directive Forms
If you had a serious accident or illness, would your family know what sort of treatments you want administered to keep you alive? Make sure they do. Fill out the forms in this Nebraska Advance Health Care Package:
- Living Will Declaration setting out your wishes regarding life sustaining procedures.
- Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
- Instructions and information to help you complete the documents in accordance with Nebraska laws.
When you make an advance directive, you ensure that your loved ones and your doctor know your wishes regarding medical treatment and life support if you are unable to communicate. Don't wait - get your forms and make yours today.
Nevada Declaration (Living Will)
Set out your instructions regarding life-sustaining procedures and end-of-life medical treatment with this Nevada Declaration form.
- The Declaration (also known as a "living will") gives you the opportunity to instruct your attending physician to withhold / withdraw life-sustaining treatment if you have a terminal condition which will likely cause your death in a short time.
- You can also choose to appoint someone else to make those decisions for you at the appropriate time.
- You can instruct your physician(s) to either administer or withhold / withdraw artificial hydration and nutrition.
- There is a separate section dealing with organ donation as well.
- The form includes information and instructions to help you complete it.
- Available in MS Word format.
- Intended to be used only in the State of Nevada.
New Hampshire Advance Health Care Directive Forms
- an explanation of what an advance directive is.
- instructions on preparing and completing an advance directive.
- a Living Will Declaration setting out your wishes regarding life sustaining procedures.
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
These easy-to-use New Hampshire Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
New Jersey Advance Directive for Health Care Forms
Set out your wishes for end-of-life treatment and appoint someone as your health care representative with this Advance Directive for Health Care Package for New Jersey residents.
- This package of forms contains the following:
- information and instructions to help you prepare and complete your advance directive,
- Advance Health Care Directive which is made up of:
- Part I - Proxy Directive (Durable Power of Attorney for Health Care), where you can designate someone you trust to act as your health care representative to make medical decisions for you when you are unable to do so,
- Part II - Instruction Directive, where you can give directions to your doctor and your family about what types of life-prolonging treatments you want or do not want.
- Making an Advance Directive can help to ensure that your family and your doctor know what your wishes if you should become unable to communicate or make your own decisions, and that there is someone with the authority to make decisions for you.
- The forms are provided in MS Word format and can be used by more than one person by filling in the appropriate information.
- Intended to be used only in the State of New Jersey.
New Mexico Advance Healthcare Directive Forms
Prepare for the unexpected with this New Mexico Advance Health Care Directive Forms Package.
- This forms package contains:
- An overview of what an advance directive is, and what it means for you and your loved ones, and instructions to help you prepare and complete your advance directive.
- Power of Attorney for Health Car, which lets you appoint an agent to make healthcare decisions for you if you become unable to do so.
- Instructions for Healthcare, where you can set out your wishes and preferences for end-of-life treatments and procedures, as well as organ donation.
- Designation of Primary Physician, where you can name one or more doctors that you want as your primary physician(s).
- Available in MS Word format, fully editable and easy to use.
- These forms can be used by every person in your family who wants to make an advance directive. No need to buy separate copies.
- Intended for use only in the State of New Mexico.
New York Advance Health Care Directive Forms
New York State residents can prepare an Advance Health Care Directive with the forms in this package.
- The package includes:
- Advance Directive for Mental & Physical Health Care setting out your instructions regarding life support and life-sustaining treatments:
- Health Care Proxy, appointing an agent to make health care decisions for you,
- Statement of Desires and Instructions regarding Mental and Physical Health Care and Treatment (Living Will),
- Information and instructions to help you complete the forms in accordance with the laws of the State of New York.
- Advance Directive for Mental & Physical Health Care setting out your instructions regarding life support and life-sustaining treatments:
- Available in MS Word format.
- Intended to be used only in the State of New York.
North Carolina Advance Health Care Directive Forms
This North Carolina Advance Health Care Directive Forms Package contains the following:
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Health Care Power of Attorney appointing an agent to make health care decisions for you,
- a Living Will Declaration of Desire for a Natural Death which sets out your instructions regarding life-sustaining procedures and other future health care decisions.
These easy-to-use North Carolina Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
North Dakota Advance Health Care Directive Forms
Make an Advance Health Care Directive with this package of forms for North Dakota, which contains:
- an explanation of what an advance directive is.
- instructions on preparing and completing an advance directive.
- a Declaration Relating to Use of Life-Prolonging Treatment setting out your wishes regarding life sustaining procedures.
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
These easy-to-use North Dakota Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Ohio Advance Health Care Directive Forms
This Advance Health Care Directive Package for Ohio ensures that your family and your doctor know your wishes regarding medical treatment and life support if you are unable to communicate or to make decisions for yourself. The package contains:
- Living Will Declaration setting out your wishes regarding life sustaining procedures.
- Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
- Instructions and information to guide you through the forms so you can complete them as required by Ohio law.
Oklahoma Advance Health Care Directive Forms
If you had an accident or serious illness, would your loved ones know what kinds of life support procedures and treatments you want? Make sure they do with this Oklahoma Advance Health Care Directive package.
- The kit includes an explanation of how an advance directive (often called a 'living will') works, and what it means to you, your family and your physician.
- You can complete and sign the Living Will form to set down in writing what your wishes are regarding life sustaining procedures.
- The package also includes an Appointment of Health Care Proxy, naming an agent to make health care decisions for you.
- All forms are consistent with Oklahoma laws.
Don't wait until it's too late. Download the Advance Health Care Directive package and fill out the forms today.
Oregon Living Will Forms Package
You could become incapacitated due to illness or injury suddenly and without warning. You can be prepared by making an advance health care directive with this package of forms.
- These forms are compliant with the laws of the State of Oregon.
- The package contains a Living Will form that allows you to give written instructions about what types of life-sustaining procedures or treatments you want or don't want to have administered to you if you were in a persistent vegetative state.
- Also included is an Appointment of Health Care Representative, in which you can appoint an agent to make health care decisions for you.
- You also receive information about things to consider when completing them, and how they should be signed in order to meet Oregon legal requirements.
Give your family peace of mind in a difficult situation. Download, fill out and sign these advance directive forms today.
Pennsylvania Advance Health Care Directive Forms
Make an advance medical directive with this Advance Health Care Directive Forms Package for Pennsylvania.
The package contains:- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
These easy-to-use Pennsylvania Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Rhode Island Advance Health Care Directive Forms
- an explanation of what an advance directive is.
- instructions on preparing and completing an advance directive.
- a Living Will Declaration setting out your wishes regarding life sustaining procedures.
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
These easy-to-use Rhode Island Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
South Carolina Advance Health Care Directive Forms
- an explanation of what an advance directive is.
- instructions on preparing and completing an advance directive.
- a Declaration of Desire for Natural Death (also called a Living Will) which sets out your instructions regarding life-sustaining procedures.
- a Health Care Power of Attorney appointing an agent to make health care decisions for you.
These easy-to-use South Carolina Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
South Carolina Statement of Desires Regarding Mental Health Care
The Statement of Desires is also called an advance medical directive. It should be attached as an addendum to your Health Care Power of Attorney. This document informs the person you have named as your attorney ⁄ agent of your wishes regarding:
- admission to a mental health treatment facility,
- use of psychotropic medications,
- electro-convulsive (shock) therapy,
- use of seclusion or restraint as a response to violent or destructive behavior,
- special instructions concerning personal matters in the event that you become unable to communicate your wishes.
South Dakota Advance Health Care Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
These easy-to-use South Dakota Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Tennessee Advance Health Care Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
These easy-to-use Tennessee Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Texas Advance Medical Directive Forms
Texas residents, make certain that your wishes regarding medical treatment are known by your doctor and your family by making an Advance Medical Directive.
- This Advance Medical Directive Forms Package for Texas contains 20 pages of forms, including:
- an explanation of what an advance directive is;
- instructions on preparing and completing an advance directive;
- a Directive to Physicians and Family or Surrogates (also known as a Living Will) which sets out your instructions regarding life-sustaining procedures and treatment;
- a Medical Power of Attorney appointing an agent to make health care decisions for you;
- a disclosure statement of information specific to Texas law.
- These easy-to-use Texas Advance Medical Directive Forms are provided in MS Word format.
- They can be used by more than one person just by filling in the appropriate information in a separate copy.
- Intended to be used only in the State of Texas.
Utah Advance Health Care Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Directive to Physicians which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Special Power of Attorney appointing an agent to make health care decisions for you.
These easy-to-use Utah Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Vermont Advance Directive for Health Care (short form)
It contains an explanation of what the form is, and instructions on completing and registering the form with the Vermont Advance Directive Registry. The form is a fillable PDF which can be re-used by more than one member of your family.
Be sure that your loved ones know your wishes about prolonged treatment, life support and resuscitation. Fill out a Vermont Advance Directive for Health Care and register it today.
Virginia Advance Health Care Directive Forms
Make an Advance Health Care Directive (also known as a medical directive) with this package of forms for Virginia residents which contains:
- information about the purpose and intent of an advance directive,
- instructions on preparing and completing the forms,
- a combined Advance Directive and Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
- a Living Will Declaration and Other Wishes which sets out your instructions regarding life-sustaining procedures and other future health care decisions.
Making an Advance Directive can help to ensure 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.
These easy-to-use Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information. For use only in the Commonwealth of Virginia.
Washington Advance Health Care Directive Forms
This Washington Advance Health Care Directive Forms Package contains:
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Health Care Directive which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
Making an Advance Directive can help to ensure 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.
These easy-to-use Washington Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
West Virginia Advance Medical Directive Forms
- an explanation of what an advance directive is,
- instructions on preparing and completing an advance directive,
- a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
- a Medical Power of Attorney appointing an agent to make health care decisions for you.
These easy-to-use West Virginia Advance Medical Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.
Wisconsin Declaration to Healthcare Professionals (Living Will)
Make a Declaration to Healthcare Professionals to ensure that your wishes regarding medical treatment and life support are followed with this easy template form for Wisconsin residents.
- The Declaration to Healthcare Professionals (also called a "living will") is a document that lets you set out your wishes regarding life-sustaining treatments and procedures, and under what circumstances these treatments or procedures should be provided, withheld or withdrawn should you become comatose or otherwise unable to communicate your wishes.
- This form contains instructions and information to help you complete your Declaration and to make sure it is properly signed and witnessed.
- The Declaration includes a set of Directives to the attending medical personnel that tells them what they must do to comply with the Declaration or, alternatively, what they must do if they feel they cannot comply.
- Available in MS Word format.
- Intended to be used only in the State of Wisconsin.
Wyoming Advance Health Care Directive Forms
Imagine that after an accident or an illness, you are now in a persistent vegetative state and unlikely to recover. Do you want your doctors to keep you alive by artificial means? You can put your instructions in an Advance Health Care Directive for Wyoming residents.
This package of forms includes:
- An introduction to the advance directive / living will, and an explanation of what it means.
- Instructions to help you complete and sign the documents so that they are valid under Wyoming law.
- A Living Will Declaration which sets out your instructions regarding life-sustaining procedures.
- A Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
You can download one package of Wyoming Advance Health Care Directive Forms for yourself and your spouse or partner. No need to purchase additional copies.
Making an Advance Directive can help to ensure 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.