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Home Personal & Family Documents Advance Directive

Free Advance Directive Forms

Use your state’s Advance Directive form to declare your end-of-life care wishes, so you get the medical treatment you want if you’re unable to communicate with your doctor.

Updated March 30, 2022 | Legally reviewed by Susan Chai, Esq.

Advance Directives are end-of-life planning documents that establish your health care wishes if you’re incapacitated and can’t make your own decisions.

You can use an advance directive to explain to medical professionals what treatment you want to receive in an emergency or if you can’t speak for yourself, as well as make sure loved ones make the right health care decisions on your behalf.

Advance directives can be confusing because the name of the document and its contents vary by State. Typically, an advance directive includes two forms:

  • Living Will — explains what medical treatment you do (or do not want) to receive
  • Medical Power of Attorney — appoints someone you trust to make medical decisions for you

To find the form you need, download the Advance Directive for your State below. Read on to find out how advance directives work and what you need to consider before making one.

Table of Contents
  • Advance Directive Forms & Requirements by State
  • What is an Advance Directive?
    • Advance directive types
  • When Do I Need an Advance Directive?
    • Important questions to consider
  • Free Advance Directive Instructions & Example
    • How to write an advance directive
    • Free advance directive example (PDF & Word)
    • How to use your advance directive
    • Validating and updating your advance healthcare directive
  • What Happens if You Don't Use an Advance Directive?

Advance Directive Forms & Requirements by State

Click to expand the table and find your State’s advance directive form.

State & Laws: Advance Directive Forms: Execution Requirements:
Alabama
AL Code § 22-8A-4
Alabama Advance Directive for Health Care (Word, PDF) Two witnesses or notarization
Alaska
AK Stat § 13.52.010
Advance Health Care Directive:

  • Alaska Living Will (Word)

  •  Alaska Medical Power of Attorney (Word, PDF)
Two witnesses or notarization
Arizona
AZ Rev Stat § 36-3221
Arizona Living Will (Word)

Arizona Health Care Power of Attorney (Word, PDF)
At least one witness or notarization
Arkansas
AR Code § 20-6-103-c
Arkansas Living Will (Word)

Arkansas Durable Power of Attorney for Health Care (Word, PDF)
Two witnesses or notarization

California
CA Prob Code § 4673
California Advance Directive for Health Care (Word, PDF) Two witnesses or notarization

Colorado
CO Rev Stat § 15-18-106
Colorado Declaration as to Medical or Surgical Treatment (Living Will) (Word)

Colorado Medical Durable Power of Attorney (Word, PDF)
Two witnesses

Connecticut
CT Gen Stat § 19a-570
Connecticut Document Concerning Health Care and Withholding or Withdrawal of Life Support Systems (Living Will) (Word)

Connecticut Appointment of Health Care Representative (Medical Power of Attorney) (Word, PDF)
Two witnesses

Delaware
16 DE Code § 2501
Advance Health Care Directive:

  • Delaware Living Will (Word)

  • Delaware Medical Power of Attorney (Word, PDF)
Two witnesses

District of Columbia (DC)
§ 21–2205
Advance Health Care Directive:

  • DC Living Will Declaration (Word)

  • DC Durable Power of Attorney for Health Care (Word, PDF)
Two witnesses
Florida
FL Stat § 765.101
Advance Health Care Directive:

  • Florida Living Will (Word)

  • Florida Designation of Health Care Surrogate (Medical Power of Attorney) (Word), (PDF)
Two witnesses
Georgia
GA Code § 31-32-5(c)(1)
Georgia Advance Directive for Health Care (Word, PDF) Two witnesses
Hawaii
Haw. Rev. Stat. § 327E-3
Advance Health Care Directive:

  • Hawaii Living Will (Word)

  • Hawaii Medical Power of Attorney (Word, PDF)
Two witnesses or notarization
Idaho
ID Code § 39-4510
Advance Health Care Directive:

  • Idaho Living Will (Word)

  • Idaho Durable Power of Attorney for Health Care (Word, PDF)
Signature of the principal only
Illinois
755 ILCS 35/3(b)
Illinois Living Will Declaration (Word)

Illinois Durable Power of Attorney for Health Care (Word, PDF)
Two witnesses
Indiana
IN Code § 16-36-4-8
Indiana Living Will Declaration (Word)

Indiana Durable Power of Attorney for Health Care and Appointment of Health Care Representative (Word, PDF)
Two witnesses
Iowa
IA Code § 144A
Iowa Declaration Relating to Use of Life-Sustaining Procedures (Living Will) (Word)

Iowa Durable Power of Attorney for Health Care (Word, PDF)
Notarization and two witnesses
Kansas
KS § 58-632
Kansas Living Will Declaration (Word)

Kansas Durable Power of Attorney for Health Care Decisions (Word, PDF)
Two witnesses or notarization
Kentucky
KY. Rev. Stat. § 311.625
Advance Directive:

  • Kentucky Living Will (Word)

  • Kentucky Medical Power of Attorney (Word, PDF)
    Two witnesses or notarization
    Louisiana
    , RS 40:1151.4
    Louisiana Living Will Declaration (Word)

    Louisiana Medical Power of Attorney (Word, PDF)
    Two witnesses
    Maine
    ME Rev Stat 18-C § 5-803
    Advance Health Care Directive:

    • Maine Living Will (Word)

    • Maine Medical Power of Attorney (Word, PDF)
      Two witnesses
      Maryland
      MD. Code, Health-Gen. § 5-602
      Maryland Advance Directive (Word, PDF) Two witnesses
      Massachusetts
      MA Code § 201D-2
      Massachusetts Document Directing Health Care (Living Will) (Word)

      Massachusetts Health Care Proxy (Word, PDF)
      Two witnesses
      Michigan
      MI Comp. Laws §700.5501
      Michigan Living Will (Word)

      Michigan Patient Advocate Designation (Medical Power of Attorney) (Word, PDF)
      Two witnesses and notarization
      Minnesota
      MN § 145C.03
      Minnesota Health Care Directive (Word, PDF) Witnesses or notarization
      Mississippi
      MISS Code § 41-41-209
      Advance Health Care Directive:

      • Mississippi Living Will (Word)

      • Mississippi Medical Power of Attorney (Word, PDF)
        Two witnesses or notarization
        Missouri
        MO Code § 459.015, 9 CSR 10-5
        Missouri Living Will Declaration (Word)

        Missouri Durable Power of Attorney for Health Care (Word, PDF)
        Two witnesses and notarization
        Montana
        MT Code 50-9-103, 53-21-1304
        Montana Living Will Declaration (Word)

        Montana Durable Power of Attorney for Health Care) (Word, PDF)
        Two witnesses and notarization
        Nebraska
        NE Rev Stat 30-3404, 20-404
        Nebraska Living Will Declaration (Word)

        Nebraska Medical Power of Attorney (Word, PDF)
        Two witnesses or notarization
        Nevada
        NRS 162A.790
        Nevada Living Will Declaration (Word)

        Nevada Durable Power of Attorney for Health Care Decisions
        (Word, PDF)
        Two witnesses or notarization
        New Hampshire
        NH § 137-J:14
        Advance Directive:

        • New Hampshire Living Will (Word)

        • New Hampshire Medical Power of Attorney (Word, PDF)
        Two witnesses or notarization
        New Jersey
        NJ Rev Stat § 26:2H-56 (2018)
        New Jersey Instruction Directive (Living Will) (Word)

        New Jersey Medical Power of Attorney (Proxy Directive) (Word, PDF)
        Two witnesses or notarization
        New Mexico
        NM Stat § 24-7A-2 (2013)
        Advance Health Care Directive:

        • New Mexico Living Will (Word)

        • New Mexico Medical Power of Attorney (Word, PDF)
        Signature of the principal only
        New York
        PBH § 2981
        New York Document Directing Health Care (Living Will) (Word)

        New York Health Care Proxy (Word, PDF)
        Two witnesses
        North Carolina
        NC § 90-321
        North Carolina Advance Directive for a Natural Death (Living Will) (Word)

        North Carolina Medical Power of Attorney (Word, PDF)
        Two witnesses and notarization
        North Dakota
        ND Cent Code § 23-06.5-05
        Health Care Directive:

        • North Dakota Living Will (Word)

        • North Dakota Medical Power of Attorney (Word, PDF)
        Two witnesses or notarization
        Ohio
        OH Rev Code § 2133.02
        Ohio Living Will Declaration (Word)

        Ohio Durable Power of Attorney for Health Care (Word, PDF)
        Two witnesses or notarization
        Oklahoma
        63 OK Stat § 63-3101.4
        Oklahoma Advance Directive (Word, PDF) Two witnesses
        Oregon
        ORS 127.515(2)(b)

        Oregon Advance Directive
        (Word, PDF)
        Two witnesses or notarization
        Pennsylvania
        PA Code § 5442
        Pennsylvania Living Will (Word)

        Pennsylvania Health Care Power of Attorney (Word, PDF)
        Two witnesses
        Rhode Island
        RI Gen L § 23-4.10-2
        Rhode Island Living Will Declaration (Word)

        Rhode Island Power of Attorney for Health Care (Word, PDF)
        Two witnesses or notarization
        South Carolina
        SC Code § 62-5-503
        South Carolina Living Will Declaration (Word)

        South Carolina Health Care Power of Attorney (Word, PDF)
        Two witnesses
        South Dakota
        SD Codified L § 59-7-2.1
        South Dakota Living Will Declaration (Word)

        South Dakota Durable Power of Attorney for Health Care (Word, PDF)
        Two witnesses or notarization
        Tennessee
        TN Code § 68-11-1803
        Advance Health Care Directive:

        • Tennessee Living Will (Word)

        • Tennessee Medical Power of Attorney (Word, PDF)
        Two witnesses or notarization
        Texas
        TX HSC. § 166.001
        Advance Health Care Directive:

        • Texas Directive to Physicians and Family or Surrogates (Living Will) (Word)

        • Texas Medical Power of Attorney (Word, PDF)
        Two witnesses or notarization
        Utah
        UT Code § 75-2a-107(c)
        Advance Health Care Directive:

        • Utah Living Will (Word)

        • Utah Medical Power of Attorney (Word, PDF)
        One witness
        Vermont
        18 V.S.A. § 9703
        Vermont Advance Directive (Word, PDF) Two witnesses
        Virginia
        VA Code § 54.1-2983
        Virginia Living Will (Word)

        Virginia Durable Power of Attorney for Health Care (Word, PDF)
        Two witnesses
        Washington
        RCW 11.125.050
        Washington Living Will (Word)

        Washington Medical Power of Attorney (Word, PDF)
        Two witnesses or notarization
        West Virginia
        WV Code §16-30-4
        West Virginia Living Will (Word)

        West Virginia Medical Power of Attorney (Word, PDF)
        Two witnesses and notarization
        Wisconsin
        WI Stat § 155.10
        Wisconsin Declaration to Physicians (Living Will) (Word)

        Wisconsin Power of Attorney for Health Care (Word, PDF)
        Two witnesses
        Wyoming
        WY Stat § 35-22-403
        Advance Health Care Directive:

        • Wyoming Living Will (Word)

        • Wyoming Medical Power of Attorney (Word, PDF)
        Two witnesses or notarization

        What is an Advance Directive?

        An advance directive, also known as an advance healthcare directive, is a legal document that tells health care professionals and loved ones what medical treatment you want (or don’t want) to receive if you’re dying or unconscious and can’t communicate your wishes.

        Because laws vary across the US, each State has its format and definition for advance directives. Depending on where you live, you may need a single form or a combination of forms to express your wishes.

        Despite the different laws, the meaning of an advance directive is ultimately the same: if you fall into a coma, develop dementia, become terminally ill, or get seriously injured, an advance directive makes sure your wishes are upheld regarding healthcare choices such as the following:

        • Palliative & comfort care — managing pain to improve your quality of life
        • Ventilation — using a ventilator to keep you breathing
        • Tube feeding — being fed through a tube or IV
        • Resuscitation — receiving CPR to resuscitate you if your breathing or heartbeat stops

        An advance directive can also state whether you want your organs to be donated after you die.

        3 main elements of Advance Directives

        The following individual forms are examples of different types of advance directives. Your state may have one hybrid document that includes several of these forms, or you must fill them out separately.

        1. Living Will

        A living will is a document that explains your treatment decisions if you fall into a coma or are unresponsive (such as how to prolong your life or manage pain).

        The difference between an advance directive and a living will is that, in some states, a living will is a form you fill out by itself. And in other states, it’s part of an advance directive.

        Related: What is a Living Will?

        2. Medical power of attorney (MPOA)

        A medical power of attorney (also known as a durable power of attorney for health care or health care proxy in some states) allows you to appoint an “agent” or “attorney-in-fact” to make medical decisions on your behalf if you’re unable to.

        The living will part of an advance directive concerns the treatment you want to receive, but the power of attorney part gives someone the authority to make additional decisions for you.

        3. Do not resuscitate (DNR)

        A do not resuscitate (DNR) form tells medical workers to withhold life-sustaining treatment and not try to keep you alive. For example, to not use cardiopulmonary resuscitation (CPR) or an automated external defibrillator (AED) to restart your heart or breathing.

        Many advance directives include a DNR.

        What Happens If You Don’t Have an Advance Directive?

        If you don’t have an advance directive, medical professionals cannot carry out your treatment wishes.

        Your doctor and family members may have conflicting views on how to care for you in different situations, which could be emotionally taxing on your loved ones or lead to financial hardships. You may also suffer unnecessary, unwanted, prolonged, or painful treatments or even put your life at risk.

        When Do I Need an Advance Directive?

        You should create an Advance Directive if you want to control and peace of mind over your future healthcare decisions. Your Directive will alleviate stress and confusion amongst healthcare professionals and your loved ones.

        Consider creating an advance healthcare directive if you are…

        • Over the age of 18 years old
        • Military personnel being deployed overseas
        • Married and want to pass legal authority over property to my spouse
        • Concerned about informing my loved ones and healthcare providers of my preferences regarding life support, resuscitation, ventilators, feeding tubes, and pain management
        • Pregnant
        • Traveling abroad for a longer period of time
        • Undergoing surgery, however minor or routine it is
        • Entering the hospital for any reason
        • Diagnosed with a terminal illness
        • Undergoing continuous medical treatment
        • Concerned about my health
        • Engaged in a high-risk profession (police officer, firefighter, logger, miner, aircraft pilot, roofer, etc…)
        • Engage in extreme sports or other activities that put my health at risk

        Florida state law does not give healthcare directive authority automatically to your spouse, but to your court-appointed guardian. If you are a spouse, brush up on your state’s law to make sure whether you are given priority and authority over your spouse’s healthcare wishes.

        7 questions to consider when creating your advance directive

        1. Whom do you wish to make healthcare and financial decisions for you should you become unable to communicate?
        2. Which medical treatments do you want to receive and which ones are out of the question?
        3. Do you want to be resuscitated if your heart stops beating or if you stop breathing?
        4. If you fall terminally ill or become incapacitated, do you want to be cared for at home or at the hospital?
        5. How will your medical care be paid for?
        6. Have you overlooked anything that will be potentially costly and a financial burden on your loved ones?
        7. Do you have sufficient insurance coverage?

        In 2009, then President, Barack Obama, became the first president of the United States to publicly announce he had a Living Will, encouraging others to follow suit.

        Free Advance Directive Instructions & Example

        The universal advance directive template below shows what an advance directive form typically contains.

        Remember: for your document to be legally binding, you need to download the advance directive for your state.

        How to write an advance directive

        Use the steps below to help you fill out your advance directive, or skip ahead to learn how to use your form after it’s complete.

        1) Write your name and review definitions

        Declaration section of an advance directive form

        The first part of an advance directive is the declaration. Fill out your name to declare that the document explains your wishes if you can’t speak for yourself and that you are in sound mind and of legal age.

        Advance directive form definitions section

        Next, check the definitions of the medical states and care that the document relates to, such as what constitutes life-sustaining treatment or a terminal condition.

        2) Assign power of attorney

        Whether you’re filling out a hybrid form or two separate ones, you’ll need to assign medical power of attorney as part of your advance directive and choose an agent (or attorney-in-fact) to act on your behalf.

        Advance directive form assign power of attorney section

        On this part of the advance directive form, fill out your agent’s contact information and make additional comments about which powers you do or don’t want them to have. Ensure your appointed healthcare agent is someone you can trust, as they will need to make important decisions under times of great stress, sadness, and uncertainty.

        Section for assigning health care power of attorney on an advance directive

        3) Complete your living will

        On the living will part of the advance directive, initial your preferences next to the health care you want to receive if you are diagnosed with a terminal condition or fall into a permanently unconscious state.

        You’ll need to choose whether you wish to receive life-sustaining treatments and artificial nutrition and hydration, or if you prefer your agent to decide.

        You can also state your preference regarding relief from pain, and any other wishes you might have:

        Advance directive living will section

        4) Choose whether to donate your organs

        You can choose whether to donate your organs in the event of your death and if you do, for what purpose (such as therapy, transplant, research, or education).

        Advance directive donation of organs section

        You can also state that you do not wish to donate your organs or authorize your agent to decide for you.

        5) Choose your final arrangements

        Many advance directives allow you to detail what arrangements you want in place upon your death, such as if you want your body to be interred or cremated or if you want your agent to handle these arrangements.

        Advance directive form final arrangements section

        6) Sign your advance directive form

        After completing all sections of the form, sign your name. Depending on your State’s execution requirements, you may also need signatures from your agent, several witnesses, and a notary public to make the form legally binding.

        Free advance directive example (PDF & Word)

        advance-directive
        PDF
        Word

        How to use your advance directive

        After your advance directive form is complete, store it in a safe place, such as a safety deposit box. You should also notify your healthcare provider, and provide your agent, primary-care physician, hospital, trusted individuals, and anyone named in the directive, with copies.

        Once you have created an advance directive, it isn’t set in stone. Your opinions and values regarding your future health care needs could change, so your directive can be modified to reflect these changes.

        Consider making changes if any of the following occurs:

        • You are diagnosed with a serious health condition
        • You experience a significant deterioration or decline in health
        • You experience the passing of a loved one
        • You experience a divorce or other important family change
        • You enter a new decade of your life

        Validating and updating your advance healthcare directive

        When you’ve completed your Advance Healthcare Directive, there are a few steps you will need to take to make it valid.

        • Witnesses: Depending on who witnesses your signature, some states require you to have your directive notarized in order to give it legal effect
        • Notify your healthcare provider: Provide your healthcare proxy or agent, primary-care physician, hospital, trusted individuals, and anyone named in the directive with copies
        • Storage: Keep your original directive in a safe place, such as a safety deposit box

        Once your Advance Healthcare Directive has been created, it isn’t set in stone. Your opinions and values regarding your future healthcare needs could possibly change, so your directive should reflect those changes.

        The five D’s of updating your directive

        You should reassess and consider changes to your Advance Healthcare Directive anytime one of the following “Five Ds” occurs.

        DiagnosisWhen you are diagnosed with a serious or grave health condition
        DeclineWhen you experience a significant deterioration or decline in health
        DeathWhenever you experience the passing of a loved one
        DivorceWhen you experience a divorce or other significant family change
        DecadeWhen you enter a new decade of your life

        What Happens if You Don’t Use an Advance Directive?

        An unclear and poorly drafted Advance Healthcare Directive could lead to unwanted, aggressive medical treatment

        Without an Advance Healthcare Directive, you risk your healthcare provider and loved ones not knowing your healthcare preferences and how best to accomplish them. Your primary care physician or wife could have conflicting views on what should be done in certain medical situations, leading to highly contentious and confusing circumstances, and possibly putting your life at stake.

        A Living Will coupled with a Medical Power of Attorney gives you the opportunity to take control of your future in case of medical emergency and uncertainty.

        Having a clear and thorough advance healthcare directive can help ensure the following benefits, and prevent these consequences:

        BenefitsConsequences
        Right to self-determination, the process by which you control your own lifeCreates confusion amongst family members over your healthcare wishes
        Ensures the quality of life that is important to you, while avoiding treatments that may be lethalCauses unnecessary, unwanted, prolonged or painful treatments
        Alleviates pressure, confusion, and financial hardship for your loved ones and healthcare providersProduces substantial healthcare maintenance costs
        Clarifies any highly contentious medical issues that could arise amongst your family and other loved onesEmotionally taxing on your loved ones
        Provides your doctors with a blueprint on how to treat youOrgans and tissue not being donated

        Cost burdens associated with end-of-life care and treatment can be substantial. An estimated 20% of cases require a family member to quit their job, 31% claim to have lost most or all of their savings, and 20% reported a major loss of their source of income. All of these hardships were incurred even with insurance.

        With the growing complexity of today’s medical conditions and life-extending treatments, you are never too young, nor too healthy to start drafting your Advance Healthcare Directive.

        The case of Terri Schiavo

        From 1990 to 2005, the U.S. was gripped by a famous right-to-die legal case involving Terri Schiavo, her parents, and her husband, Michael Schiavo. After slipping into an irreversible vegetative state, Terri’s parents and husband entered into a highly publicized and prolonged legal battle over what her healthcare wishes would have been.

        Because she had no Living Will or written instructions, there was disagreement over whether to keep Terri alive or remove her from life support. Terri’s parents argued in favor of keeping her alive via artificial nutrition and hydration, denying the medical diagnosis, while Michael sought to have her removed from the feeding. The Schiavo saga involved 14 legal appeals on top of numerous petitions, motions, and hearings, with her feeding tube finally removed after 15 years.

        An unclear and incomplete Advance Healthcare Directive can mean the difference between life and death.

        Related Health & Medical Documents

        • Power of Attorney: Appoint someone you trust to manage your affairs if you’re unable to do so.
        • Living Will (Health Care Directive): Define your healthcare treatment and end-of-life decisions.
        • DNR Form: States that you refuse resuscitation via CPR in the event that your heart stops beating or you stop breathing.
        • Last Will and Testament: Outline your wishes for how your property and affairs are handled when you pass away.
        Universal advance directive form and template Preview PDF

        Free Advance Directive Form

        Create Your Advance Directive in Minutes!

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