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Advance health directive form 2026

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The Advance Health Care Directive Form allows individuals to provide instructions regarding their health care, appoint an agent to make decisions on their behalf, and express wishes about organ donation and primary physician selection. It includes sections for designating agents, specifying health care instructions, and outlining post-death decisions. The form can be modified or revoked at any time and must be signed by witnesses or a notary.

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Click ‘Get Form’ to open the Advance Health Care Directive form in the editor.
In Part 1, designate your primary agent by filling in their name, relationship, address, and contact numbers. You may also add alternate agents if desired.
Specify your agent's authority regarding health care decisions. Indicate if you want them to make decisions immediately or only when you are unable to do so.
In Part 2, provide specific instructions for your health care preferences. Choose whether you want to prolong life or not and add any additional wishes.
Complete Part 3 by indicating your wishes regarding organ donation. In Part 4, select your primary physician.
Finally, sign and date the form in Part 5. Ensure it is witnessed as required, either by two witnesses or a notary public.

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Versions	Form popularity	Fillable & printable
2011	4.8 Satisfied (141 Votes)

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