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Department of HealthAdvance DirectiveForms & FAQs 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by designating your health care representative. Fill in their name, address, and phone number in the designated fields.
- If necessary, list alternate representatives in order of priority. Ensure you provide their names, addresses, and contact information.
- Indicate your specific directions regarding artificially provided fluids and nutrition by initialing the appropriate statement.
- Provide copies of this document to your health care representative and any additional individuals listed.
- Sign and date the document at the bottom, ensuring you understand its purpose and implications.
- Finally, have two witnesses sign the document, confirming they meet the requirements outlined in section F.
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