Ky advance directive form 2026

1. Click ‘Get Form’ to open the Kentucky Advance Directive for Mental Health Treatment in the editor.
2. Begin by filling in your name at the top of the form, ensuring that it reflects your legal identity.
3. Designate a surrogate by selecting either to name one or not. If you choose to name a surrogate, provide their full name and an alternate if necessary.
4. In the psychotropic medication provisions section, specify any medications you refuse and provide reasons for your refusal. Additionally, list any medications you are willing to accept if needed.
5. Indicate your preferences regarding electroconvulsive therapy (ECT) by checking the appropriate box.
6. Outline your preferred procedures for emergency interventions, detailing the order of preference for each intervention type.
7. Sign and date the document at the bottom, ensuring that witnesses also sign as required.

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