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Advance Directive (Living Will & Healthcare Proxy)

Federal & State Law Editorial TeamLast reviewed: April 2026

Legal document specifying a person's wishes for medical treatment if they become unable to communicate and designating a healthcare agent.

PDF TemplateUse the instructions below to complete this form

Instructions

Complete both the living will section (specifying treatment preferences) and the healthcare proxy section (naming an agent). Address life-sustaining treatment, artificial nutrition and hydration, pain management, and organ donation. Sign in the presence of two witnesses who are not healthcare providers or beneficiaries. Some states require notarization. Provide copies to your physician, healthcare agent, and family members.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.