Department of HealthAdvance DirectiveForms & FAQs 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by designating your health care representative. Fill in their name, address, and phone number in the designated fields.
3. If necessary, list alternate representatives in order of priority. Ensure you provide their names, addresses, and contact information.
4. Indicate your specific directions regarding artificially provided fluids and nutrition by initialing the appropriate statement.
5. Provide copies of this document to your health care representative and any additional individuals listed.
6. Sign and date the document at the bottom, ensuring you understand its purpose and implications.
7. Finally, have two witnesses sign the document, confirming they meet the requirements outlined in section F.

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