Advance Health Directive

An Advance Health Care Directive, also called an Advance Directive, is a legal document stating how you would like to be treated at the end of your life.


In order to complete an Advance Directive you must identify the types of treatments you want and don't want at the end of your life. It's comprised of your Living Will and Health Care Proxy (or Health Care Power of Attorney).


This worksheet can prepare you for the decisions you’re going to have to make on those forms, and for any conversation you may have with your doctors or your family.

Decide what kind of life-support treatment you want and do not want at the end of life.
This will be your Living Will. Life-Support Treatments may include medical devices to aid breathing, medical devices to provide food and water, blood transfusions, dialysis, antibiotics, and surgery.
Decide who you want to make medical decisions on your behalf should you no longer be able to make your own health care decisions.
This person will be your Health Care Proxy, also known as a Health Care Power of Attorney
Decide if you want a Do Not Resuscitate (DNR) order.
A DNR order is separate from a Living Will, even if your Living Will states that you do not want life-support treatments at the end of your life. If you'd like to have a DNR order, you'll need to meet with your doctor to complete the forms.
Decide if youd like to become a registered organ donor
Complete your states paperwork to make these decisions legal.
Use the decisions you've made here to help you complete your state's advance directive forms. Depending on the state you live in, the form for a Living Will and the form for a Health Care Proxy may be combined into a single form, or they may be separate forms.
Store these forms in an obvious, accessible location where they can easily be found in the event of an emergency, and make copies of these forms for your health care agent.
Be sure to tell your health care power of attorney and your family where youve stored these documents.
Your Name
Your Email
Your Phone
In order to create an Advance Directive, you're going to need to fill out your state’s particular forms.