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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.

Three states had a living will only (with limited proxy) and lacked the durable power of attorney for health care (Pennsylvania, Louisiana, and Montana; 6%).

A: An Advance Directive must be signed before two witnesses who are 18 or older. The witnesses cannot be beneficiaries under your will, nor may they be persons who would inherit your property if you died without a will. An Advance Directive is not required to be notarized.

Creating advance directivesAdvance directives need to be in writing. Each state has different forms and requirements for creating legal documents. Depending on where you live, a form may need to be signed by a witness or notarized. You can ask a lawyer to help you with the process, but it is generally not necessary.

Sign Your California Advance Directive in Front of Two Witnesses or a Notary Public. After you create your advance directive, you must sign your document and have it either signed by two witnesses or notarized. If you choose to have the document witnessed, neither of your witnesses may be: your health care agent.

Ideally, an advance care directive should be completed before the patient becomes unwell so that their treatment plan and wishes are clear if care escalates. Any person over the age of 18 with decision-making capacity is able to write an advance care directive (Australian DoH 2019).

The usual answer is that it should be recognized and honored since most, but not all, states have provisions explicitly validating out-of-state advance directives.