This Health Care Directive allows you to make crucial decisions regarding your healthcare in advance. It includes optional provisions for a Living Will, empowering you to appoint an individual to make healthcare decisions on your behalf if you become unable to do so. This form is distinct from a general power of attorney, as it specifically focuses on health care matters, providing guidance on medical treatment preferences and designating a primary physician.
This form should be utilized when you want to specify your healthcare wishes in advance, particularly in situations where you may not be able to communicate them, such as serious illness or incapacitation. It is ideal for adults and emancipated minors who wish to ensure their healthcare preferences are respected and to designate a trusted individual to advocate on their behalf.
This form usually doesn’t need to be notarized. However, local laws or specific transactions may require it. Our online notarization service, powered by Notarize, lets you complete it remotely through a secure video session, available 24/7.
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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.