Get Vermont Ethics Network

Filling out the Vermont Advance Directive for Health Care is an essential step in planning for your health care preferences. This guide provides clear, step-by-step instructions to ensure that you can complete the form accurately and in a way that reflects your wishes.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the form and open it in your selected editor.
2. Begin at Part One of the form, where you will appoint a health care agent. Enter the full name and contact information of the person you trust to make decisions on your behalf if you are unable to do so.
3. In Part Two, outline your health care goals and wishes. Select the choices that best reflect your preferences regarding life-sustaining treatment and provide any additional wishes that align with your values.
4. In Part Three, specify any limitations of treatment. Choose whether you would like to consent to CPR, breathing machines, feeding tubes, and antibiotics, and provide any additional limitations you wish to add.
5. Proceed to Part Four to express your wishes regarding organ and tissue donation. Indicate which organs or tissues you consent to donate and any specific wishes related to the burial or disposition of your remains.
6. Finally, in Part Five, sign and date the form in the presence of two adult witnesses who are not related to you and do not fall into the excluded categories listed in the form.
7. After completing the form, save your changes, download the document, and consider printing or sharing it with your health care agent, physician, and family members. You also have the option to submit a copy to the Vermont Advance Directive Registry.

Start completing your Vermont Advance Directive for Health Care online today to ensure your health care preferences are respected.