Advance Medical Directive Forms

Make your end-of-life medical care wishes known to your family and your doctor with these Advance Medical Directive Forms.

An advance medical directive is a document in which you can specify the types of life-sustaining medical treatments, pain relief and surgical or other procedures you would want - or would not want - to receive in the case of imminent death from an irreversible condition, or in the case of a persistent vegetative state. An advance directive can speak for you when you can't. An advance directive is also sometimes called a personal directive or a living will, but it is not a Will.

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Alabama Advance Health Care Directive Package

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.
$11.99

Alaska Advance Health Care Directive Package

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.
$11.99

Alberta Personal Directive Form

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.
$0.00

Arizona Advance Directive Forms

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.
$0.00

Arkansas Advance Health Care Directive Forms

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.
$14.99

British Columbia Form 1 Certificate of Representative

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.
$0.00

British Columbia Form 2 Certificate of Monitor

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.
$0.00

British Columbia Form 4 Certificate of Witnesses

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.
$0.00

British Columbia Representation Agreement Package (Section 7)

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.
$17.99

British Columbia Representation Agreement Package (Section 9)

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.
$17.99