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Click 'Get Form' to open the health care directive in the editor.
In Part 1, designate your primary agent by filling in their name, address, and contact information. You may also include alternate agents if your first choice is unavailable.
Specify the authority of your agent regarding health care decisions. You can limit their authority if desired; otherwise, they will have full decision-making power.
In Part 2, provide specific instructions about your health care preferences, including end-of-life decisions and artificial nutrition and hydration choices.
Designate your primary physician in Part 3 by entering their details. Ensure that you have a backup physician listed as well.
After completing all sections, sign and date the form. It’s advisable to have two witnesses sign as well for validation.
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Nov 17, 2025 A living will that names your health care proxy and specifies how you want to be treated when you are unable to make decisions for yourself. ARead more
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