The Statutory Advance Health Directive is a legal document that allows individuals to outline their healthcare preferences in the event they cannot make decisions for themselves. This form is specifically designed for situations where life-sustaining procedures may only prolong the dying process. Unlike other health care forms, it not only enables you to express your wishes regarding medical procedures but also allows you to designate a health care agent to make decisions on your behalf. This ensures that your personal values and healthcare desires are respected when you are unable to communicate them.
This form is useful when you want to prepare for potential health care decisions in situations where you may become incapacitated. Consider using it when:
This form is intended for:
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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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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.

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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.
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.
An advance directive, alone, may not be sufficient to stop all forms of life-saving treatment. You may also need specific do not resuscitate, or DNR orders.You retain the right to override the decisions or your representative, change the terms of your living will or POA, or completely revoke an advance directive.
An advance directive isn't the same as a DNR DNRs, like POLST forms, require a physician's sign-off and are medical orders, instructing emergency personnel to withhold resuscitation efforts. If you don't want to receive resuscitation, including that information in an advance care directive is not enough.
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.
Is the Five Wishes advance directive a legal document? Yes. It was written with the help of the American Bar Association's Commission on Law & Aging. It meets the legal requirements of 44 states, but is used widely in all 50, and a federal law requires medical care providers to honor patient wishes as expressed.
An advance directive is a set of instructions someone prepares in advance of ill health that determines his healthcare wishes. A living will is one type of advance directive that becomes effective when a person is terminally ill.
Advance directives generally fall into three categories: living will, power of attorney, and health care proxy.
As long as you can still make your own decisions, your advance directive won't be used. You can change or cancel it at any time. Your health care agent will only make choices for you if you can't or don't want to decide for yourself.