Living Will / Advance Directive in Pennsylvania

Pennsylvania Requirements

• Must be signed by the declarant and witnessed by two adults
• Witnesses cannot include the attending physician or an employee of the healthcare facility providing care
• Combined advance directive covers both living will and healthcare POA
• Healthcare agent's authority activates when the principal is determined to be incompetent
• Out-of-hospital DNR order (Act 59) is a separate medical order signed by a physician

How to Complete This Form

1. 1Consider your preferences regarding life-sustaining treatment, resuscitation, and palliative care.
2. 2Obtain your state's statutory advance directive form if one is available.
3. 3Specify your wishes regarding artificial nutrition, hydration, ventilator support, and other treatments.
4. 4If your state offers a combined form, also designate a healthcare agent to make decisions on your behalf.
5. 5Sign the document in the presence of the required witnesses and/or notary public.
6. 6Provide copies to your healthcare agent, primary care physician, and hospital.
7. 7Review and update the document periodically or after major health changes.

Living Will / Advance Directive in Other States

Other Forms in Pennsylvania