The Health Care Directive with Optional Health Care Directive Statutory including Living Will provisions allows you to make important decisions regarding your health care. This form enables you to provide instructions about your treatment preferences, appoint an agent to make decisions on your behalf, and name a physician responsible for your care. It is designed for both adults and emancipated minors, distinguishing it from other health care forms by allowing for specific written instructions and the flexibility to modify its content.
This form should be used when you want to plan your health care in advance, particularly in situations where you might be unable to communicate your wishes due to illness or injury. Use this directive if you want to ensure that your health care decisions are respected, or when you wish to appoint someone you trust to make those decisions for you. It is also useful if you have specific preferences regarding life-sustaining treatments or organ donation.
Notarization is generally not required for this form. However, certain states or situations might demand it. You can complete notarization online through US Legal Forms, powered by Notarize, using a verified video call available anytime.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
The name and contact information of your healthcare agent/proxy. Answers to specific questions about your preferences for care if you become unable to speak for yourself. Names and signatures of individuals who witness your signing your advance directive, if required.
You can get the forms in a doctor's office, hospital, law office, state or local office for the aging, senior center, nursing home, or online. When you write your advance directive, think about the kinds of treatments that you do or don't want to receive if you get seriously hurt or ill.
Talk to your agent. Talk to the person or persons you want to make decisions for you so they: Write your personal directive. You have 2 options: Sign it. You and a witness have to sign the personal directive to make it a legal document. Give out copies.
The name and contact information of your healthcare agent/proxy. Answers to specific questions about your preferences for care if you become unable to speak for yourself. Names and signatures of individuals who witness your signing your advance directive, if required.
Tips for Starting the Conversation Even talking about the death of someone you know can help get you started. Talk about your values what makes your life worth living and what you consider quality of life. Approach the conversation wanting to share your wishes before you ask someone else to share their own wishes.
Get the living will and medical power of attorney forms for your state, or use a universal form that has been approved by many states. Choose a health care agent. Fill out the forms, and have them witnessed as your state requires.
The living will. Durable power of attorney for health care/Medical power of attorney. POLST (Physician Orders for Life-Sustaining Treatment) Do not resuscitate (DNR) orders. Organ and tissue donation.
A breathing machine, CPR, and artificial nutrition and hydration are examples of life-sustaining treatments. Living willAn advance directive that tells what medical treatment a person does or doesn't want if he/she is not able to make his/her wishes known.