Advance Medical Directive Forms

Prepare your Advance Directive for Health Care with this easy-to-use downloadable forms package for Alabama residents.

• The package contains:
  • Living Will form.
  • Durable Power of Attorney for Health Care.
  • Organ Donation Instructions.
  • Information and instructions to help you complete the forms.
• The forms can be used by more than one person in your household by filling in the appropriate information on a separate copy for each person.
• Available in MS Word format.
• Intended to be used only in the State of Alabama.

An Advance Health Care Directive ensures that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate.

• This package of forms for Alaska residents contains the following documents:
  • Durable Power of Attorney for Health Care, where you can appoint someone you trust to make health care decisions for you if you become unable to do so.
  • Instructions for Health Care, where you can set out your wishes and instructions regarding such things as end-of-life care, life support, pain relief, etc.
  • Anatomical Gift form where you can specify if you wish to donate organs and tissues after your death.
  • Mental Health Treatment instructions.
  • Primary Physician designation.
  • Information about the forms and instructions to guide you through completing them.
• These are reusable forms that can be used by more than one person in your household. No need to buy additional copies.
• Available in MS Word format.
• Intended to be used only in the State of Alaska.

What would happen if you suddenly became unable to look after yourself? Make your wishes known ahead of time with this Personal Directive form for Alberta residents.

• In a Personal Directive (sometimes called an advance health care directive or a living will), you appoint someone you trust as your agent to make personal care decisions on your behalf if you have been determined to lack capacity to make those decisions for yourself.
• Using this form you can give your agent detailed instructions and set out your wishes regarding:
  • health care,
  • accommodation,
  • persons you can live and associate with,
  • participation in social activities,
  • educational activities,
  • employment activities,
  • legal matters, and
  • other non-financial personal matters.
• This Personal Directive is a free fillable PDF form from the Government of Alberta, Form OPG5521 rev. 2016-06.

Set out your wishes for life-sustaining treatment and appoint someone as your medical decision maker with these free Medical Living Will and Healthcare Power of Attorney forms for Arizona residents.

• None of us knows when an accident or illness might rob us of our ability to communicate. That's why we need to be prepared ahead of time.
• This package contains two forms issued by the Arizona Hospital and Healthcare Association.
  • The Medical Living Will lets you put your instructions in writing regarding life-sustaining procedures that your family might have to make at some point in the future.
  • The Healthcare Power of Attorney with Optional Mental Health Authority lets you appoint a medical decision maker to make health care decisions for you.
• Available in PDF format.
• This package is for residents of Arizona and complies with Arizona laws.

Make an Advance Health Care Directive with this package of forms for Arkansas residents.

• The package contains the following:
  • Arkansas Declaration, which sets out your instructions regarding end-of-life treatments,
  • Durable Power of Attorney for Health Care appointing an agent/proxy to make health care decisions for you if you become unable to do so,
  • Acceptance of Appointment, to be signed by the person you name as your agent/proxy,
  • Organ Donation Form,
  • EMS Do Not Resuscitate Order,
  • information and instructions to help you complete the forms and properly execute them.
• Making an Advance Directive can help to ensure that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions.
• These easy-to-use forms are provided in MS Word format and are re-usable.
• Intended to be used only in the State of Arkansas.

Download this Certificate of Representative or Alternate Representative if you have made a Section 7 Representation Agreement under the B.C. Representation Agreement Act.

• The Act requires that each representative and alternate representative you named in your Representation Agreement must complete this form before they can act on your behalf.
• This is a prescribed form under B.C. laws.
• Available in MS Word format.
• Intended to be used only in the Province of British Columbia, Canada.

Download this Certificate of Monitor if you have named a monitor in a Section 9 Representation Agreement under the B.C. Representation Agreement Act.

• The Act requires that any person you named as a monitor in your Representation Agreement must complete this form before they can act on your behalf.
• This is a prescribed form under B.C. laws.
• Available in MS Word format.
• Intended to be used only in the Province of British Columbia, Canada.

Download this Certificate of Witnesses if you have made a Representation Agreement under the B.C. Representation Agreement Act.

• Section 13 of the Act requires every person who witnesses your signature of the Representation Agreement to complete this form.
• This is a prescribed form under B.C. laws.
• Available in MS Word format.
• Intended to be used only in the Province of British Columbia, Canada.

Make sure that your wishes are followed in the event that you become physically or mentally incapacitated, with this Representation Agreement Package (Section 7) for the Province of British Columbia.

• A Representation Agreement allows you to appoint someone you trust as your representative to make decisions for you in the event you become unable to do so. These decisions include medical care, living conditions, personal, financial and legal matters.
• This form is referred to as a Section 7 Agreement, which means that you grant your representative only the limited powers set out under Section 7 of the Representation Agreement Act.
• The package contains:
  • Representation Agreement,
  • Form 1, Certificate of Representative and Alternate Representative,
  • Form 2, Certificate of Monitor,
  • Form 4, Certificate of Witnesses,
  • Statutory Declaration for Evidence of Authority of Alternate Representative,
  • Instructions to help you complete the Section 7 Representation Agreement.
• Available in MS Word format.
• Intended to be used only in the Province of British Columbia, Canada.

BC residents, make sure that your wishes are followed in the event that you become incapacitated, with this Representation Agreement Package (Section 9).

• A Representation Agreement allows you to appoint someone as your representative to make decisions for you if you are not able to do so. These decisions include medical care, living conditions, personal, financial and legal matters.
• This legal form is referred to as a Section 9 Agreement, which means that you grant your representative the broad and general powers set out under Section 9 of the British Columbia Representation Agreement Act.
• The package contains:
  • Representation Agreement,
  • Statutory Declaration for Evidence of Authority of Alternate Representative,
  • Notes on Completing a Representation Agreement.
• Download the British Columbia Representative Agreement Package (Section 9) and appoint your representative today.
• Available in MS Word format.

Make sure your family and your doctor know what your wishes are regarding medical treatment and life support with this free Advance Health Care Directive Form for California.

• An Advance Health Care Directive speaks for you if you are unable to communicate due to illness or injury.
• In Part 1 of the form you can, but are not required to, name another person to act as your agent, to make health care decisions on your behalf if you become unable to do so, or even if you retain capacity.
• You can give instructions about your health care in Part 2, for your agent (if you appoint one) and for your health care provider to follow.
• The form includes information and instructions to help you complete it.
• This is Form 3-1 issued by the California Hospital Association.
• Available in PDF format.

An Advance Medical Directive can speak for you when you are unable to, because of illness or injury. This package of Colorado Advance Medical Directive Forms includes the following documents:

1. An explanation of the documents and instructions on preparing and completing an advance directive (also known as a Living Will or health care proxy).
2. Advance Directive for Medical / Surgical Treatment setting out your instructions regarding life sustaining procedures.
3. Medical Durable Power of Attorney appointing an agent to make health care decisions for you.

This Connecticut Living Will Forms Package contains the following documents:

1. instructions to help you prepare your advance medical directive / living will,
2. a Living Will which sets out your instructions regarding withdrawal or withholding of life support systems and other future health care decisions
3. Health Care Instructions form to appoint an agent to make health care decisions for you.
Making an advance medical directive can help to ensure that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions.

This Connecticut Living Will Forms Package is provided in MS Word format, and can be used by more than one person by filling in the appropriate information.

Name someone you trust to make medical decisions for you if you are unable to with this Advance Health Care Directive Package for District of Columbia residents.

• This package contains:
  • a Declaration (Living Will) setting out your wishes regarding end-of-life procedures and treatments,
  • a Durable Health Care Power of Attorney appointing an agent to make health care decisions for you,
  • an Organ Donation Form,
  • an explanation of each of the forms and answers to common questions such as how to ensure the documents are properly signed and witnessed,
  • instructions on how to prepare and complete each document.
• Available in MS Word format, fully editable and reusable.
• Intended to be used only in the District of Columbia.

Make your wishes for medical treatment known to your doctor and family with this Advance Health Care Directive forms package for Delaware.

• This package contains the following documents:
  • a Power of Attorney for Health Care that allows you to name someone you trust to act as your agent to make healthcare decisions for you if you become unable to do so,
  • a Health Care Directive (also known as a Living Will), in which you can give instructions about what types of end-of-life medical treatments you want or do not want,
  • an Anatomical Gift Declaration (organ donor form),
  • instructions and explanations to help you complete the forms.
• The forms can be used by more than one person in your family, just by filling in the appropriate information for each person.
• Available in MS Word format.
• Intended to be used only in the State of Delaware.

Make certain that your wishes regarding medical treatment are known by your doctor and your family with this Advance Healthcare Directive package of forms for Florida residents.

• This package of forms contains the following documents:
  • a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
  • information and instructions to help you prepare and complete your advance directive forms,
  • a Designation of Health Care Surrogate appointing an agent to make health care decisions for you,
  • a Designation of Health Care Surrogate for Minor, which can be used to appoint an agent to make health care decisions for a person that is underage,
  • a Uniform Donor Form for organ and tissue donations.
• These easy-to-use forms are provided in MS Word format and can be used by more than one person by filling in the appropriate information.
• Intended to be used only in the State of Florida.

Appoint an agent and set out your wishes for medical treatment with this Georgia Advance Directive for Health Care Package.

• The Advance Directive for Health Care replaces both the previous Living Will declaration and the Durable Power of Attorney for Health Care.
• The Advance Directive gives you the opportunity to:
  • appoint a health care agent to make decisions about medical treatment and procedures for you,
  • set out your wishes and preferences for end-of-life treatment if you have a terminal condition or are in a state of permanent unconsciousness, and
  • name a person to act as your guardian, if a court should determine that a guardian is necessary.
• Making an Advance Directive can help to ensure that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions.
• The package includes information and instructions to walk you through the process.
• Available in MS Word format. Easy to use and reusable, so more than one person can use the Advance Directive form by filling in the appropriate information.
• Intended to be used only in the State of Georgia.

This Advance Health Care Directive Forms Package for Hawaii contains the following documents:

1. an explanation of what an advance directive is,
2. instructions on preparing and completing an advance directive,
3. a combined Advance Health Care Directive and Durable Power of Attorney for Health Care Decisions, which allows you to appoint an agent to make health care decisions for you,
4. Instructions for Health Care which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
5. an Anatomical Gift Declaration where you can any organs and body parts you wish to donate after your death.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
• a Living Will Directive to Withhold or Provide Treatment which sets out your instructions regarding life-sustaining procedures and other future health care decisions.

Ensure your wishes for medical care are followed with this Advance Health Care Directive package for Illinois.

• This package of forms for Illinois contains:
  • Living Will Declaration, where you can set out your wishes for life-prolonging treatments and medications,
  • Declaration for Mental Health Treatment,
  • Statutory Short Form Power of Attorney for Health Care, where you can appoint someone you trust as your agent to make health care decisions for you, and
  • instructions and information to assist you in preparing and completing your advance directive.
• Making an Advance Directive can help to ensure that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions.
• These forms are available in MS Word format and can be re-used by spouses, partners, and other family members.
• Intended to be used only in the State of Illinois.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Power of Attorney for Health Care Decisions and Appointment of Health Care Representative appointing an agent to make health care decisions for you.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions.

Prepare a Living Will and make your wishes known regarding life-prolonging treatments with this Kentucky Advance Healthcare Directive package.

• This package of forms contains:
  • an explanation of what a Living Will is,
  • instructions to help you properly prepare and complete the form, and
  • Kentucky Living Will Directive and Health Care Surrogate Designation.
• Part I of the form is the Designation of Health Care Surrogate, where you can designate a person you trust as your agent to make healthcare decisions for you if you are unable to do so.
• Part II is the section in which you can set out your wishes and instructions regarding life-prolonging treatments, artificially provided nutrition and hydration, and organ and tissue donation.
• Making an advance directive ensures that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions. 
• This easy-to-use package is provided in MS Word format and can be used by more than one person. Download as many copies as you need.
• Intended to be used only in the Commonwealth of Kentucky.

Take the burden of making urgent medical care decisions for you off your family. Make a Living Will with this ready-made sample form for England and Wales.

• A Living Will (sometimes called an advance directive, medical power of attorney or healthcare directive) sets out your wishes and instructions to your doctor and family regarding the types of medical treatments you want to receive in the event your condition makes it impossible for you to give those instructions verbally.
• The Living Will comes into effect ONLY if you are no longer able to make and communicate your own health care decisions.
• The Living Will form includes instructions on how to complete it, how to appoint a health care proxy (if you desire), and how to keep your Living Will in a safe place.
• This template is valid for use in England and Wales.

This UK Living Will form is available in Microsoft Word format. Other formats available on request.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Power of Attorney for Health Care Decisions appointing an agent to make health care decisions for you.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Health Care Advance Directive containing end-of-life instructions regarding life-sustaining procedures, organ donor instructions, funeral and burial arrangements,
• a Power of Attorney for Health Care appointing an agent to make health care decisions for you.

Make a Health Care Directive with this downloadable easy-to-use form for Manitoba residents.

• A Health Care Directive (also called a living will or advance directive) ensures that your wishes for medical treatment are followed in the event that you become unable to communicate those wishes due to illness or injury.
• You can appoint someone you trust to act on your behalf as your proxy, and give that person detailed instructions as to what types of medical treatment you want or don't want.
• The Health Care Directive form includes:
  • information and instructions to help you complete the form,
  • a Declaration of Incapacity form to be signed by two medical doctors.
• This is a downloadable MS Word file, which is easy to fill in and print.
• This Health Care Directive form was prepared in accordance with the Manitoba Health Care Directives Act.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a combined Advance Directive, which contains a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
• a Living Will Declaration and Other Wishes which sets out your instructions regarding life-sustaining procedures and other future health care decisions.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Health Care Proxy appointing an agent to make health care decisions for you.

Set out your wishes for life-sustaining treatment and appoint someone as your medical decision maker with this Advance Health Care Directive Forms Package for Michigan residents.

• None of us knows when an accident or illness might rob us of our ability to communicate. That's why we need to be prepared ahead of time.
• This package contains the following items:
  
  • Durable Power of Attorney for Health Care, where you can designate a patient advocate to make health care decisions for you if you become unable to do so,
  • Living Will, where you can give instructions regarding your preferences for life-prolonging treatments,
  • Do-Not-Resuscitate (DNR),
  • Declaration of Anatomical Gift (organ donor form),
  • instructions and information to help you understand and complete the documents.
• Available in MS Word format.
• These forms can be used by more than one member of your family.
• Intended to be used only by Michigan residents.

Make sure your physician knows your wishes regarding life support and medical treatment if you are unable to communicate or make your own decisions. Download and fill out this Advance Health Care Directive Forms package for Minnesota.

• None of us knows when an accident or illness might rob us of our ability to communicate. That's why we need to be prepared ahead of time.
• The Health Care Directive lets you put your instructions in writing regarding life-sustaining procedures that your family might have to make at some point in the future.
• It allows you to appoint an agent to make health care decisions for you when you can't.
• This package is for residents of Minnesota and complies with Minnesota laws.

Nobody wants to think of the unthinkable. But being prepared spares your family a lot of stress. Buy, download and complete your Advance Health Care Directive today.

This Advance Health Care Directive Forms Package is for residents of Mississippi. It contains:

1. An explanation of what an advance directive is and what it is not.
2. Instructions to help you complete your advance directive.
3. A combined Advance Health Care Directive containing a section for instructions regarding life-sustaining procedures and other future health care decisions.
4. Designation of Primary Physician form.
5. Power of Attorney for Health Care Decisions appointing an agent to make health care decisions for you.

Help your family and your physician make treatment decisions that follow your wishes. Purchase the Mississippi Advance Health Care Directive package and fill it in today.

Set out your wishes for life-sustaining treatment and appoint someone as your medical decision maker with this Advance Health Care Directive Forms Package for Missouri residents.

• This package of forms contains the following:
  
  • information and instructions to help you prepare and complete your advance directive,
  • Advance Health Care Directive which is made up of:
    • Part I - Durable Power of Attorney for Health Care, where you can designate someone you trust to act as your agent to make health care decisions for you when you are unable to do so,
    • Part II - Health Care Directive, which allows you to state your wishes about health care treatments and procedures, including life-prolonging treatments,
    • Part III - General Provisions that are included in both documents,
    • Part IV - Execution.
• Making an Advance Directive can help to ensure that your family and your doctor know what your wishes if you should become unable to communicate or make your own decisions, and that there is someone with the authority to make decisions for you.
• The forms are provided in MS Word format and can be used by more than one person by filling in the appropriate information.
• Intended to be used only in the State of Missouri.

Make sure your physician knows your wishes regarding life support and medical treatment if you are unable to communicate or make your own decisions. This Advance Health Care Directive Forms package for Montana includes:

1. Information about advance medical directives.
2. Instructions to help you complete the forms.
3. Montana Living Will Declaration setting out your wishes regarding life sustaining procedures.
4. Montana Power of Attorney for Health Care appointing an agent to make health care decisions for you.

None of us knows when an accident or illness might rob us of our ability to communicate. That's why we need to be prepared ahead of time. Buy, download and complete your Advance Health Care Directive today.

If you had a serious accident or illness, would your family know what sort of treatments you want administered to keep you alive? Make sure they do. Fill out the forms in this Nebraska Advance Health Care Package:

1. Living Will Declaration setting out your wishes regarding life sustaining procedures.
2. Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
3. Instructions and information to help you complete the documents in accordance with Nebraska laws.

When you make an advance directive, you ensure that your loved ones and your doctor know your wishes regarding medical treatment and life support if you are unable to communicate. Don't wait - get your forms and make yours today.

Set out your instructions regarding life-sustaining procedures and end-of-life medical treatment with this Nevada Declaration form.

• The Declaration (also known as a "living will") gives you the opportunity to instruct your attending physician to withhold / withdraw life-sustaining treatment if you have a terminal condition which will likely cause your death in a short time.
• You can also choose to appoint someone else to make those decisions for you at the appropriate time.
• You can instruct your physician(s) to either administer or withhold / withdraw artificial hydration and nutrition.
• There is a separate section dealing with organ donation as well.
• The form includes information and instructions to help you complete it.
• Available in MS Word format.
• Intended to be used only in the State of Nevada.

Make sure that your family and your doctor know your wishes for medical treatment in case you become unable to make health care decisions, with this New Brunswick Advance Health Care Directive form.

• An advance health care directive lets you give instructions regarding what types of medical treatment you want or don't want in case you are determined to be incapable of making health care decisions.
• Having a health care directive is crucial if you become unable to communicate your wishes.
• The form also includes information and instructions to help you complete the document.
• No need to buy separate copies for each family member. You can use this form over again as often as you like.
• The form is downloadable and easy to fill in and print. To get yours, just add it to your cart and check out.
• This Advance Health Care Directive form is compliant with the Enduring Powers of Attorney Act (New Brunswick) and is current to January 2021.

• an explanation of what an advance directive is.
• instructions on preparing and completing an advance directive.
• a Living Will Declaration setting out your wishes regarding life sustaining procedures.
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.

Set out your wishes for end-of-life treatment and appoint someone as your health care representative with this Advance Directive for Health Care Package for New Jersey residents.

• This package of forms contains the following:
  • information and instructions to help you prepare and complete your advance directive,
  • Advance Health Care Directive which is made up of:
    • Part I - Proxy Directive (Durable Power of Attorney for Health Care), where you can designate someone you trust to act as your health care representative to make medical decisions for you when you are unable to do so,
    • Part II - Instruction Directive, where you can give directions to your doctor and your family about what types of life-prolonging treatments you want or do not want.
• Making an Advance Directive can help to ensure that your family and your doctor know what your wishes if you should become unable to communicate or make your own decisions, and that there is someone with the authority to make decisions for you.
• The forms are provided in MS Word format and can be used by more than one person by filling in the appropriate information.
• Intended to be used only in the State of New Jersey.

Prepare for the unexpected with this New Mexico Advance Health Care Directive Forms Package.

• This forms package contains:
  • An overview of what an advance directive is, and what it means for you and your loved ones, and instructions to help you prepare and complete your advance directive.
  • Power of Attorney for Health Car, which lets you appoint an agent to make healthcare decisions for you if you become unable to do so.
  • Instructions for Healthcare, where you can set out your wishes and preferences for end-of-life treatments and procedures, as well as organ donation.
  • Designation of Primary Physician, where you can name one or more doctors that you want as your primary physician(s).
• Available in MS Word format, fully editable and easy to use.
• These forms can be used by every person in your family who wants to make an advance directive. No need to buy separate copies.
• Intended for use only in the State of New Mexico.

New York State residents can prepare an Advance Health Care Directive with the forms in this package.

• The package includes:
  • Advance Directive for Mental & Physical Health Care setting out your instructions regarding life support and life-sustaining treatments:
    • Health Care Proxy, appointing an agent to make health care decisions for you,
    • Statement of Desires and Instructions regarding Mental and Physical Health Care and Treatment (Living Will),
  • Information and instructions to help you complete the forms in accordance with the laws of the State of New York.
• Available in MS Word format.
• Intended to be used only in the State of New York.

Make an Advance Health Care Directive with this easy form for Newfoundland and Labrador.

• You can appoint one or more persons to act as your substitute decision maker, to make health care decisions for you if you are unable to do so due to illness or injury.
• You can use this form to give your decision maker detailed instructions and set out your wishes regarding what types of medical treatment you want or don't want.
• You can also give end-of-life instructions on which treatments should be administered to you if you have a terminal illness or are in a permanent coma.
• This form was prepared in accordance with the Advance Health-Care Directives Act of Newfoundland and Labrador and it contains instructions to help you complete each section.

This North Carolina Advance Health Care Directive Forms Package contains the following:

1. an explanation of what an advance directive is,
2. instructions on preparing and completing an advance directive,
3. a Health Care Power of Attorney appointing an agent to make health care decisions for you,
4. a Living Will Declaration of Desire for a Natural Death which sets out your instructions regarding life-sustaining procedures and other future health care decisions.

Make an Advance Health Care Directive with this package of forms for North Dakota, which contains:

• an explanation of what an advance directive is.
• instructions on preparing and completing an advance directive.
• a Declaration Relating to Use of Life-Prolonging Treatment setting out your wishes regarding life sustaining procedures.
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.

Make sure that your wishes are followed in the event that you become physically or mentally incapacitated, with this Nova Scotia Personal Directive form.

• A personal directive is also called an advance directive or a living will. It only becomes effective if you are determined to have lost capacity to make your own decisions.
• This form comes with information and instructions to guide you through the process.
• The form is made in compliance with the Personal Directives Act of Nova Scotia. It replaces the previous Medical Consent Act.
• The personal directive gives you the option to appoint one or more persons to act on your behalf as your delegate, to make decisions about your personal care, which includes health care, housing, lifestyle and other non-financial matters.
• You can also give end-of-life instructions on which treatments should be administered to you if you have a terminal illness or are in a permanent coma.
• Each adult member of your household can prepare a Personal Directive using the same form - no need to buy multiple copies.
• This Nova Scotia Personal Directive form is available as a downloadable MS Word form, and is easy to fill in with your personal information.

Does your doctor and your family know your wishes for end-of-life treatment in the event that you become physically or mentally incapacitated? Put it in writing with this Advance Health Care Directive form for Nunavut.

• An Advance Directive gives you an opportunity to leave instructions in writing regarding what types of medical treatment you want or don't want, in the event that you are diagnosed with a terminal condition or are in a coma with no real chance of recovery.
• If you wish, you can also name a person or persons that you would prefer to have appointed as your potential Guardian, to make medical decisions on your behalf if you become unable to do so.
• The form includes instructions to guide you through each section.
• This form is intended for use in Nunavut Territory. Each adult member of your family can use the same template - no need to buy separate copies.

Put your instructions for medical treatment in writing and name someone to make health care decisions for you with this Personal Directive form for Northwest Territories residents.

• A Personal Directive allows you the opportunity to set out your wishes regarding what types of medical treatment you want or don't want, in the event that you are diagnosed with a terminal condition or are in a coma with no real chance of recovery.
• You can name someone you trust to act as your agent to give consent and make medical and personal care decisions on your behalf if you are unable to, due to incapacity or medical condition.
• The form also includes information and instructions to help you complete your Personal Directive.
• Updated 2019 to ensure compliance with the Personal Directives Act.
• This legal document should only be used in the Territory of Northwest Territories, Canada.

This Advance Health Care Directive Package for Ohio ensures that your family and your doctor know your wishes regarding medical treatment and life support if you are unable to communicate or to make decisions for yourself. The package contains:

1. Living Will Declaration setting out your wishes regarding life sustaining procedures.
2. Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.
3. Instructions and information to guide you through the forms so you can complete them as required by Ohio law.

If you had an accident or serious illness, would your loved ones know what kinds of life support procedures and treatments you want? Make sure they do with this Oklahoma Advance Health Care Directive package.

• The kit includes an explanation of how an advance directive (often called a 'living will') works, and what it means to you, your family and your physician.
• You can complete and sign the Living Will form to set down in writing what your wishes are regarding life sustaining procedures.
• The package also includes an Appointment of Health Care Proxy, naming an agent to make health care decisions for you.
• All forms are consistent with Oklahoma laws.

Don't wait until it's too late. Download the Advance Health Care Directive package and fill out the forms today.

Carry a copy of a DNR (Do Not Resuscitate) Confirmation Form with you if you do not wish to have CPR administered by paramedics or firefighters.

• The form must be signed by a physician, registered nurse, registered nurse in the extended class, or registered practical nurse.
• In accordance with Ontario laws, the DNR form instructs paramedics and firefighters not to administer CPR (including use of breathing tubes and resuscitation drugs).
• Palliative care (comfort care) will still be provided, including administration of oxygen, suctioning, and pain medication.
• When completed, the form will be numbered with a unique serial number.
• This form contains both English and French language versions.
• The form is issued by the Ontario Ministry of Health and Long-Term Care and the Office of the Fire Marshal.
• Available in PDF format.
• Intended to be used only in the Province of Ontario, Canada.

Be sure that your family and your doctors know your wishes for end-of-life treatment by completing this Ontario Personal Directive form.

• A Personal Directive gives you a chance to write out your wishes regarding what types of medical treatment you want or don't want, in the event that you are not able to communicate those wishes.
• If you wish, you can also appoint someone as your substitute decision maker to give consent and make medical decisions on your behalf.
• A Personal Directive is not recognized as a legal document under Ontario legislation, but it does indicate to your loved ones and your health care providers what your wishes are. However, they are not legally obligated to comply with those wishes. If you have a Power of Attorney for Personal Care, your Personal Directive will help your attorney make more informed decisions for you.

You could become incapacitated due to illness or injury suddenly and without warning. You can be prepared by making an advance health care directive with this package of forms.

• These forms are compliant with the laws of the State of Oregon.
• The package contains a Living Will form that allows you to give written instructions about what types of life-sustaining procedures or treatments you want or don't want to have administered to you if you were in a persistent vegetative state.
• Also included is an Appointment of Health Care Representative, in which you can appoint an agent to make health care decisions for you.
• You also receive information about things to consider when completing them, and how they should be signed in order to meet Oregon legal requirements.

Give your family peace of mind in a difficult situation. Download, fill out and sign these advance directive forms today.

PEI residents, make sure that your wishes are followed, in the event that you are unable to give directions for treatment, with this Prince Edward Island Health Care Directive.

• A Health Care Directive (also called a living will) allows you to appoint one or more persons to act on your behalf as your proxy.
• You can give your proxy detailed instructions and set out your wishes regarding what types of medical treatment you want or don't want, in the event that you become unable to communicate those wishes due to illness or injury.
• The form includes a Declaration of Incapacity form, as well as information and instructions to help you complete the documents.
• This is a downloadable Health Care Directive form in MS Word format. It is intended for use only in the Province of Prince Edward Island.

Make an advance medical directive with this Advance Health Care Directive Forms Package for Pennsylvania.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.

• an explanation of what an advance directive is.
• instructions on preparing and completing an advance directive.
• a Living Will Declaration setting out your wishes regarding life sustaining procedures.
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.

If you were terminally ill and unable to communicate, would your family know your wishes regarding medical treatment? Make an Advance Health Care Directive and be sure your instructions are followed.

• This Advance Directive package is for Saskatchewan residents.
• With this form (also called a Living Will), you can appoint someone close to you to act as your proxy, to make decisions and give instructions to your physician when you aren't able to, because of illness or injury.
• You can use the Directive to set out your wishes regarding what types of medical treatment you want or don't want.
• This package contains the following forms for Saskatchewan:
  • Advance Health Care Directive,
  • Declaration of Incapacity by Two Physicians form,
  • information and instructions to help you complete the form.

This Saskatchewan Advance Health Care Directive Package is a downloadable MS Word file. You can use the template more than once. For instance, both you and your spouse or partner can prepare a Directive using the same package. No need to buy multiple copies.

• an explanation of what an advance directive is.
• instructions on preparing and completing an advance directive.
• a Declaration of Desire for Natural Death (also called a Living Will) which sets out your instructions regarding life-sustaining procedures.
• a Health Care Power of Attorney appointing an agent to make health care decisions for you.

• admission to a mental health treatment facility,
• use of psychotropic medications,
• electro-convulsive (shock) therapy,
• use of seclusion or restraint as a response to violent or destructive behavior,
• special instructions concerning personal matters in the event that you become unable to communicate your wishes.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.

Texas residents, make certain that your wishes regarding medical treatment are known by your doctor and your family by making an Advance Medical Directive.

• This Advance Medical Directive Forms Package for Texas contains 20 pages of forms, including:
  • an explanation of what an advance directive is;
  • instructions on preparing and completing an advance directive;
  • a Directive to Physicians and Family or Surrogates (also known as a Living Will) which sets out your instructions regarding life-sustaining procedures and treatment;
  • a Medical Power of Attorney appointing an agent to make health care decisions for you;
  • a disclosure statement of information specific to Texas law.
• These easy-to-use Texas Advance Medical Directive Forms are provided in MS Word format.
• They can be used by more than one person just by filling in the appropriate information in a separate copy.
• Intended to be used only in the State of Texas.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Directive to Physicians which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Special Power of Attorney appointing an agent to make health care decisions for you.

Make an Advance Health Care Directive (also known as a medical directive) with this package of forms for Virginia residents which contains:

• information about the purpose and intent of an advance directive,
• instructions on preparing and completing the forms,
• a combined Advance Directive and Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you,
• a Living Will Declaration and Other Wishes which sets out your instructions regarding life-sustaining procedures and other future health care decisions.

Making an Advance Directive can help to ensure that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions.

These easy-to-use Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information. For use only in the Commonwealth of Virginia.

This Washington Advance Health Care Directive Forms Package contains:

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Health Care Directive which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.

Making an Advance Directive can help to ensure that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions.

These easy-to-use Washington Advance Health Care Directive Forms are provided in MS Word format, and can be used by more than one person by filling in the appropriate information.

• an explanation of what an advance directive is,
• instructions on preparing and completing an advance directive,
• a Living Will Declaration which sets out your instructions regarding life-sustaining procedures and other future health care decisions,
• a Medical Power of Attorney appointing an agent to make health care decisions for you.

Make a Declaration to Healthcare Professionals to ensure that your wishes regarding medical treatment and life support are followed with this easy template form for Wisconsin residents.

•  The Declaration to Healthcare Professionals (also called a "living will") is a document that lets you set out your wishes regarding life-sustaining treatments and procedures, and under what circumstances these treatments or procedures should be provided, withheld or withdrawn should you become comatose or otherwise unable to communicate your wishes.
• This form contains instructions and information to help you complete your Declaration and to make sure it is properly signed and witnessed.
• The Declaration includes a set of Directives to the attending medical personnel that tells them what they must do to comply with the Declaration or, alternatively, what they must do if they feel they cannot comply.
• Available in MS Word format.
• Intended to be used only in the State of Wisconsin.

Imagine that after an accident or an illness, you are now in a persistent vegetative state and unlikely to recover. Do you want your doctors to keep you alive by artificial means? You can put your instructions in an Advance Health Care Directive for Wyoming residents.

This package of forms includes:

1. An introduction to the advance directive / living will, and an explanation of what it means.
2. Instructions to help you complete and sign the documents so that they are valid under Wyoming law.
3. A Living Will Declaration which sets out your instructions regarding life-sustaining procedures.
4. A Durable Power of Attorney for Health Care appointing an agent to make health care decisions for you.

You can download one package of Wyoming Advance Health Care Directive Forms for yourself and your spouse or partner. No need to purchase additional copies.

Making an Advance Directive can help to ensure that your family and your doctor know what your wishes are regarding medical treatment and life support if you are unable to communicate or make your own decisions.

Appoint a proxy to make health care decisions for you if you become unable to do so with this Abbreviated Advance Directive form under the Yukon Care Consent Act.

• You can choose whether to allow your proxy to make health care decisions without any restrictions, or with limitations that you specify.
• You can also specify your wishes regarding resuscitation and end-of-life treatments.
• This is a free PDF form provided by the Government of Yukon. It includes instructions to help you complete the form.