‘Health Care Directive (Living Will)’ PDF Quick download link is given at the bottom of this article. You can see the PDF demo, size of the PDF, page numbers, and direct download Free PDF of ‘Advance Directive Forms’ using the download button.
Health Care Directive PDF Free Download
Living Will Form
How to Make a Living Will
Decide Treatment Options
Take a moment to reflect on what course of action you would like to take in the event of certain medical events that could occur such as:
Alzheimer’s Disease;
Dementia;
Vegetative State;
Coma; and
Incapacitation.
Depending on your individual preference would you like to have the medical staff do everything possible to keep you alive? Or, would you rather die peacefully if you cannot breathe or eat on your own?
These are questions that should be discussed between you and your family so that in the unfortunate event this should happen you and your family will be ready.
After careful discussion, the final decisions you make should be reflected in the document.
Choose End-of-Life Decisions
If there are any other decisions besides medical care that you would like such as a priest or religious person saying your last rights or specific funeral plans you would like to make it is best to have written to be carried out by your family.
Select a Health Care Agent (Optional)
Most living will have the option of adding a health care agent to carry out the patient’s intended wishes.
This is helpful in the event that there is a grey area where maybe the agent selected feels there is a good chance for survival and will opt against a decision made in the living will.
Otherwise, the Principal can choose to neglect this portion of the document and have doctors and medical staff specifically adhere to what is written in the living will.
Signing the Form
The declarant will be required to sign the directive in accordance with the laws in the State. This most commonly involves two (2) witnesses or a notary public (or both).
| State | Signing Requirements |
| Alabama | Two (2) witnesses |
| Alaska | Two (2) witnesses or a notary public |
| Arizona | One (1) witness or a notary public |
| Arkansas | Two (2) witnesses or a notary public |
| California | Two (2) witnesses or a notary public |
| Colorado | Two (2) witnesses or a notary public |
| Connecticut | Two (2) witnesses |
| Delaware | Two (2) witnesses |
| Florida | Two (2) witnesses |
| Georgia | Two (2) witnesses |
| Hawaii | Two (2) witnesses or a notary public. |
| Idaho | The Principal is the only required signer. Although, the State of Idaho recommends it to be witnessed or notarized. |
| Illinois | Two (2) witnesses |
| Indiana | Two (2) witnesses |
| Iowa | Two (2) witnesses or a notary public |
| Kansas | Two (2) witnesses |
| Kentucky | Two (2) witnesses or a notary public |
| Louisiana | Two (2) witnesses |
| Maine | Two (2) witnesses |
| Maryland | Two (2) witnesses |
| Massachusetts | No requirements |
| Michigan | No requirements |
| Minnesota | Two (2) witnesses or a notary public |
| Mississippi | Two (2) witnesses or a notary public |
| Missouri | Two (2) witnesses |
| Montana | Two (2) witnesses |
| Nebraska | Two (2) witnesses or a notary public |
| Nevada | Two (2) witnesses |
| New Hampshire | Two (2) witnesses or a notary public |
| New Jersey | Two (2) witnesses or a notary public |
| New Mexico | Principal only. Although in § 24-7A-4(Part 3)) states that “two (2) witnesses are recommended” |
| New York | Two (2) witnesses |
| North Carolina | Two (2) witnesses and a notary public |
| North Dakota | Two (2) witnesses or a notary public |
| Ohio | Two (2) witnesses or a notary public |
| Oklahoma | Two (2) witnesses |
| Oregon | Two (2) witnesses or a notary public |
| Pennsylvania | Two (2) witnesses |
| Rhode Island | Two (2) witnesses |
| South Carolina | Two (2) witnesses and a notary public |
| South Dakota | Two (2) witnesses and a notary public |
| Tennessee | Two (2) witnesses or a notary public |
| Texas | Two (2) witnesses or a notary public |
| Utah | One (1) disinterested witness |
| Vermont | Two (2) witnesses |
| Virginia | Two (2) witnesses |
| Washington | Two (2) witnesses or a notary public |
| Washington D.C. | Two (2) witnesses |
| West Virginia | Two (2) witnesses or a notary public |
| Wisconsin | Two (2) witnesses |
| Wyoming | Two (2) witnesses or a notary public |
| Author | – |
| Language | English |
| No. of Pages | 5 |
| PDF Size | 1 MB |
| Category | Form |
| Source/Credits | eforms.com |
Health Care Directive PDF Free Download