National Social Work Advance Directives & Legal Forms Database

Alabama Department of Public Health's suggested form for living will instructions and, optionally, naming a health care proxy.

Arizona Attorney General life care planning packet including health care power of attorney, living will, and mental health care power of attorney.

Voluntary state registry where you can register an executed advance health care directive.

California's statutory advance health care directive combining a power of attorney for health care and individual health care instructions.

Colorado's advance directive materials ('Your Right to Make Health Care Decisions') include a Medical Durable Power of Attorney naming an agent and a Living Will (Declaration as to Medical/Surgical Treatment).

Names a surrogate to make health care decisions and receive health information on your behalf.

States your wishes about life-prolonging procedures if you have a terminal condition, end-stage condition, or persistent vegetative state.

Georgia's single combined advance directive: names a health care agent and states treatment preferences (replaced the former living will and health care POA).

Illinois' official form to name a health care agent and give health care instructions.

Under Indiana's 2023 law (SEA 204), appoint a health care representative to make decisions for you. Indiana does not require a single mandatory state form.

Maryland's official fillable advance directive: Part I selects a health care agent, Part II records treatment preferences, and Part III is signature and witnesses.

Appoints a health care agent to make medical decisions if you are unable to. Massachusetts does not have a statutory living will form.

Michigan's term for a durable power of attorney for health care. Names a patient advocate to make medical decisions. Michigan has no single required statutory form.

Minnesota's health care directive combining appointment of a health care agent and/or written health care instructions. Minnesota does not require a specific form as long as legal requirements are met.

The Missouri Bar's free public-service form: Part 1 appoints a health care agent (durable power of attorney for health care) and Part 2 provides a health care directive.

New Jersey Department of Health advance directive forms — proxy directive (health care representative) and instruction directive (living will).

Appoints a health care agent to make medical decisions if you lose the ability to decide for yourself.

A medical order form for patients with serious illness; must be signed by a NYS licensed physician. Not a replacement for a Health Care Proxy or Living Will.

North Carolina's statutory form to appoint a health care agent. May be filed with the NC Secretary of State's Advance Health Care Directive Registry.

Ohio's combined advance directive packet: a Health Care Power of Attorney to name an agent and a Living Will Declaration for terminal condition or permanent unconsciousness.

Oregon Health Authority's advance directive: appoint a health care representative and state your care instructions if you cannot speak for yourself.

Pennsylvania allows a living will, a health care power of attorney, or a combined advance health care directive to state treatment wishes and name a health care agent.

South Carolina's statutory form naming a health care agent, with HIPAA authorization, successor agents, and end-of-life treatment instructions.

South Carolina's statutory living will directing that life-sustaining procedures be withheld or withdrawn in a terminal condition or state of permanent unconsciousness.

Tennessee's combined model form appointing a health care agent and stating treatment wishes. Replaced the former separate durable power of attorney, living will, and appointment-of-agent forms.

Names a trusted agent to make your health care decisions if you become unable to.

Directs emergency medical personnel to withhold resuscitation outside of a hospital.

Virginia's suggested statutory advance medical directive combining a health care agent appointment and treatment instructions.

Washington's advance directive naming a health care agent (durable power of attorney for health care, ch. 11.125 RCW) and stating treatment preferences (health care directive / living will).

Wisconsin's official advance directive forms from DHS: a Power of Attorney for Health Care (F-00085) naming a health care agent, and a Declaration to Health Care Professionals / Living Will (F-00060).