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Advance Directives and Living Wills: State-Specific Forms
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| National | Consumer's Tool Kit for Health Care Advance Planning (The American Bar Association Commission on Law and Aging) |
| Alabama | Advance Directive for Health (Alabama Hospital Association) |
| Alaska | Advance Health Care Directive (Alaska Health and Social Services) Advance Health Care Directive [PDF] (Alaska Legal Services Corporation) |
| Arizona | Advance Directives (Arizona Attorney General) |
| Arkansas | Advance Directive Information (Arkansas Bar Association) Advanced Directives (Living Will, Do Not Resuscitate Orders, etc.) (Arkansas Legal Services Partnership) |
| California | Advance Health Care Directive sample (California Medical Association) |
| Colorado | Medical Durable Power of Attorney and Living Will forms (The Memorial Hospital, Craig, Colorado) |
| Connecticut | Living Will - Advance Directives (Connecticut Office of the Attorney General) |
| Delaware | Delaware's Advance Health Care Directive Form (Delaware Health and Social Services) |
| District of Columbia | Advance Directive [PDF] (Georgetown University Hospital) |
| Florida | Living Wills, Health Care Surrogates, and Advanced Directives (The Florida Bar) |
| Georgia | Advance Directive for Health Care (State Bar of Georgia) Durable Power of Attorney for Health Care (Augusta Chronicle) |
| Hawaii | Advanced Health Care Directives (The University of Hawai'i) |
| Idaho | Durable Power of Attorney for Health Care (Idaho Public Television) |
| Illinois | Statement of Illinois Law on Advance Directives Includes Living Will Declaration Form, Declaration for Mental Health Treatment Form, Do Not Resuscitate (DNR) Order, and Power of Attorney for Health Care. (Illinois Department of Health) |
| Indiana | Advance Directives (The Indiana Association for Home & Hospice Care, Inc.) |
| Iowa | Living Will (Advance Care Directives) (Iowa State Bar Association) Powers of Attorney for Health Care Decisions (Iowa State Bar Association) |
| Kansas | Living Wills and Durable Power of Attorney for Health Care forms (Kansas Bar Association) |
| Kentucky | Kentucky Living Will Packet [PDF] (Kentucky Office of the Attorney General) |
| Louisiana | Advance Directives (Louisiana-Mississippi Hospice and Palliative Care Organization) |
| Maine | Advance Health-Care Directive Form [PDF] (Maine Attorney General) |
| Maryland | Advance Directives (Attorney General of Maryland) Psychiatric Advance Directive (Michigan Department of Community Health) |
| Massachusetts | Health Care Proxy Information and Forms (Massachusetts Medical Society ) |
| Michigan | Durable Power of Attorney for Health Care Form (University of Michigan Health System) |
| Minnesota | Health Care Directive [PDF] (Minnesota Attorney General) |
| Mississippi | Advance Directives (Louisiana-Mississippi Hospice and Palliative Care Organization) Advance Health-Care Directive [PDF] (Mississippi State Department of Health) |
| Missouri | Advance Directives (Missouri Attorney General) Durable Power of Attorney for Health Care and Health Care Directive (The Missouri Bar) |
| Montana | Advanced Directives (Montana Cancer Center) |
| Nebraska | Advance Directives (Nebraska Department of Health & Human Services) Creating Advance Directives Nebraska-specific copy of a Living Will form and Power of Attorney for Health Care. (Nebraska Hospice and Palliative Care Partnership) |
| Nevada | Advance Directive (Nevada Center for Ethics & Health Policy) |
| New Hampshire | Advance Directives (N.H. Health Access Network Foundation for Healthy Communities) |
| New Jersey | Advance Directives for Health Care [PDF] (State of New Jersey Commission of Legal and Ethical Problems in the Delivery of Health Care) Advance Directive for Mental Health Care [PDF] (NJ Department of Human Services, Division of Mental Health Services) |
| New Mexico | Advance Health Care Directive (Living Will) Request (State Bar of New Mexico) |
| New York | Health Care Proxy (New York Department of Health) Living Will and Health Care Proxy Forms (New York State Bar Association) |
| North Carolina | Advance Directives Includes forms for durable power of attorney, health care power of attorney, and a living will. (North Carolina Division on Aging) |
| North Dakota | Living Will (North Dakota State University Extension Service) Durable Power of Attorney for Health Care (North Dakota State University Extension Service) |
| Ohio | Living Will and Healthcare Power of Attorney (Ohio Hospice & Palliative Care Organization) Ohio Health Care Power of Attorney [PDF] (Franklin County Government) |
| Oklahoma | Advance Directive for Health Care [PDF] (Oklahoma Palliative Care Resource Center) |
| Oregon | Advance Directive [PDF] (Oregon Department of Consumer and Business Services, Senior Health Insurance Benefits Assistance (SHIBA)) ORS Title 13, Ch. 127 - Advance Directives for Health Care (Legislative Counsel Committee of the Oregon Legislative Assembly) |
| Pennslyvania | Advance Directive for Health Care (Living Will) (Pennslyvania Department on Aging) Sample Forms for Advance Directives (Pennsylvania Department of Health) Advance Health Care Declarations (Living Will) [PDF] (Pennsylvania Bar Association) |
| Rhode Island | Advance Directives Includes a Durable Power of Attorney for Health Care and a Living Will. (Rhode Island Department of Health) Durable Power of Attorney for Health Care [PDF] (Rhode Island Department of the Attorney General) |
| South Carolina | Health Care Power of Attorney [PDF] (South Carolina Dept. of Health and Human Services) |
| South Dakota | Advance Directives (Rapid City Regional Hospital) |
| Tennessee | Advance Directive Forms and Information (Tennessee Department of Health) Durable Power of Attorney for Health Care [PDF] (State of Tennessee Commission on Aging) |
| Texas | Advance Directives: Forms and Handbooks (Texas Department of Aging and Disability Services) |
| Utah | Directive for Physicians and Providers of Medical Services (University of Utah Department of Internal Medicine Medical Ethics and Humanities Division) |
| Vermont | Advance Directive for Health Care (Vermont Ethics Network) |
| Virginia | Advance Medical Directive (State of Virginia) |
| Washington | Health Care Directive (Washington Attorney General) |
| West Virginia | Advanced Directive Forms & Law (Center for Health Ethics and Law) |
| Wisconsin | Advance Directives - Forms (Wisconsin Dept. of Health & Family Services) |
| Wyoming | Durable Power of Attorney for Health Care (Wyoming Bar Association) |
FAQs
- What should my advance directive say?
- Whom should I select as my agent or proxy for health decisions?
- Is it legal to commit suicide?
- Is there a constitutional right to physician-assisted suicide?
- What happens if I do not have an advance directive?
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