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Advance Directive Form — Free Download 2026

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When Do You Need a Advance Directive?

You are an adult who wants to document your wishes regarding life-sustaining medical treatment, including mechanical ventilation, artificial nutrition, CPR, and dialysis, in the event you become terminally ill, permanently unconscious, or otherwise unable to communicate your healthcare decisions. An advance directive form ensures your medical team and family members know exactly what treatments you do and do not want when you cannot speak for yourself.

You are preparing a comprehensive estate plan and need an advance directive to complement your power of attorney and living trust, ensuring that both your financial affairs and healthcare wishes are addressed in the event of incapacity. These three documents together form the core of a complete incapacity plan.

You have been diagnosed with a serious or chronic illness and want to ensure your treatment preferences are documented and legally binding before your condition progresses to a point where you can no longer make or communicate decisions. Early documentation prevents crisis-driven decision-making by family members who may not know your wishes.

You are scheduled for a major surgical procedure and want to ensure that your doctors and family members know your wishes regarding resuscitation, mechanical life support, and palliative care in the unlikely event of serious complications during or after the surgery.

You are a caregiver or family member helping an aging parent or relative document their end-of-life care preferences, reducing the risk of family conflicts and ensuring the patient's autonomy is respected even when they can no longer speak for themselves. The form provides a structured way to have these difficult but essential conversations.

You are a healthcare professional who wants to lead by example by completing your own advance directive, recognizing that even medical professionals can be incapacitated by accident or illness without warning. Having your wishes documented spares your family from guessing under extreme emotional pressure.

What Should a Advance Directive Include?

Living Will Declaration

The living will component is the section where you state your specific wishes regarding life-sustaining treatment under defined medical circumstances. Most advance directives address three triggering conditions: terminal illness (an incurable condition that will result in death within a relatively short time), permanent unconsciousness (a persistent vegetative state with no reasonable expectation of recovery), and end-stage condition (an irreversible condition that prevents meaningful recovery). For each condition, you indicate whether you want life-sustaining treatments continued, withheld, or withdrawn, and whether you want comfort care (palliative measures) only.

Specific Treatment Preferences

Beyond the general living will declaration, a thorough advance directive addresses specific medical interventions individually, allowing you to accept some treatments while declining others. Key treatment categories include: cardiopulmonary resuscitation (CPR), mechanical ventilation (breathing machine), artificial nutrition and hydration (feeding tubes and IV fluids), dialysis (kidney machine), antibiotics for life-threatening infections, blood transfusions, and surgery. Addressing each treatment separately provides your healthcare team with clear, actionable guidance rather than leaving them to interpret a general directive.

Healthcare Agent Designation

Many advance directive forms include a healthcare proxy or medical power of attorney section that names a healthcare agent authorized to make medical decisions on your behalf when you are unable to do so. This person should be someone you trust completely, who understands your values, and who is willing to advocate for your wishes even under emotional pressure from family members or medical staff. Name at least one successor agent in case your primary agent is unavailable. This designation works alongside, but serves a different function from, a last will and testament, which addresses property distribution after death rather than medical decisions during incapacity.

Organ and Tissue Donation Preferences

Include your wishes regarding anatomical donation: whether you consent to the donation of your organs and tissues for transplantation, your body for medical research or education, or specific organs only. Specify any limitations or conditions. While organ donation decisions can also be made through driver's license designations and donor registries, documenting your wishes in your advance directive ensures they are available to your healthcare agent and medical team as part of a single comprehensive document.

Personal Values Statement

A values statement is an optional but highly recommended section that provides context for your medical decisions by explaining the beliefs, experiences, and priorities that inform your treatment preferences. Topics might include your views on quality of life versus length of life, your religious or spiritual beliefs about death and dying, your feelings about being dependent on others for basic care, and what "meaningful recovery" means to you personally. This narrative guidance is invaluable when your healthcare agent faces an unanticipated scenario not specifically addressed by your treatment preferences.

Execution Requirements

To be legally valid, an advance directive must comply with your state's execution requirements. Most states require the signature of two adult witnesses who are not related to you, not named as beneficiaries in your will, not your healthcare agent, and not employed by your healthcare facility. Many states also require or recommend notarization. Some states have specific statutory forms that must be used or substantially followed. Using a state-compliant form and meeting all execution requirements ensures your advance directive will be honored by healthcare providers.

Signature Requirements

Wet Ink Signature Required

Advance directives (living wills) are excluded from ESIGN/UETA. Wet ink signature and witnesses are required in most states.

Notarization Recommended2 Witnesses Required

Most states require wet ink signature with 2 witnesses. Some states require notarization instead of or in addition to witnesses.

Related Estate Planning Templates

A advance directive is often used alongside other estate planning documents. Depending on your situation, you may also need:

How to Fill Out a Advance Directive

1

Enter Your Personal Information

Fill in your full legal name, date of birth, and address. This identifying information ensures the advance directive can be definitively linked to you in a medical emergency. If you have previously executed an advance directive, include a statement revoking all prior advance directives to prevent conflicts between documents.

2

Complete the Living Will Treatment Preferences

For each triggering medical condition (terminal illness, permanent unconsciousness, end-stage condition), indicate whether you want life-sustaining treatment to be provided, withheld, or withdrawn. Then address each specific treatment category individually: CPR, mechanical ventilation, artificial nutrition and hydration, dialysis, antibiotics, and surgery. Take time to research and reflect on each option; discuss them with your physician if possible, as they can explain the medical realities of each intervention.

3

Designate Your Healthcare Agent

Enter the full name, address, phone numbers (home, work, cell), and email address of your primary healthcare agent. Designate at least one successor agent with the same contact details. Before naming someone, have an in-depth conversation with them about your values and wishes to confirm they are willing to serve and capable of making difficult decisions under emotional pressure. Grant the agent broad authority to make healthcare decisions not specifically addressed in the living will portion.

4

Document Organ Donation and Additional Wishes

Indicate your preferences for organ and tissue donation: whether you consent to donate all organs and tissues, only specific organs, or decline donation entirely. Add any additional instructions regarding pain management preferences, preference for dying at home versus a healthcare facility, spiritual or religious practices you want observed, and whether you want family members present during your final hours.

5

Write Your Personal Values Statement

In your own words, describe what quality of life means to you, what conditions you consider worse than death, your spiritual or philosophical views on end-of-life care, and any personal experiences that inform your decisions. This statement provides your healthcare agent and medical team with the context they need to make decisions that honor your wishes in situations you did not specifically anticipate.

6

Execute the Document Properly

Sign and date the advance directive in the presence of two qualified witnesses who meet your state's requirements. Have the document notarized if your state requires or recommends it. Distribute copies to your healthcare agent, successor agent, primary care physician, any specialists involved in your ongoing care, the hospital where you are most likely to receive treatment, and close family members. Keep the original in an accessible location rather than a safe deposit box, which may not be accessible in an emergency.

Advance Directive Requirements by State

Advance Directive laws and requirements differ across states. Key variations include specific language requirements, notarization mandates, witness requirements, filing deadlines, and enforceability standards. Our templates incorporate state-specific provisions when you select your jurisdiction.

For the most comprehensive state-specific version, use our AI generator which automatically applies your state's legal requirements.

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Free Template vs Custom Advance Directive

FeatureFree TemplateCustom (AI or Attorney)
Basic living will declaration
Specific treatment preferences (CPR, ventilation, etc.)
Healthcare agent designation
Successor agent provisionsCritical backup if primary agent is unavailable-
Personal values statement sectionGuides decisions in unanticipated scenarios-
Organ donation preferences
State-specific statutory form complianceRequirements vary significantly by state-
HIPAA authorization for agent accessAllows agent to access your medical records-

Advance Directive Template FAQ

What is the difference between an advance directive and a DNR order?
An advance directive is a comprehensive legal document that covers a broad range of medical treatment preferences for situations when you cannot communicate, including mechanical ventilation, artificial nutrition, dialysis, and surgery. It also designates a healthcare agent to make medical decisions on your behalf. A Do Not Resuscitate (DNR) order is a specific medical order signed by a physician that instructs healthcare providers not to perform CPR if your heart stops or you stop breathing. A DNR only addresses resuscitation; an advance directive addresses your full spectrum of healthcare wishes. Many people have both: the advance directive provides your overall treatment philosophy, while the DNR translates one specific preference into a physician order that emergency personnel can follow immediately. Some states use a POLST (Physician Orders for Life-Sustaining Treatment) form that converts advance directive preferences into actionable medical orders.
Who should I name as my healthcare agent?
Your healthcare agent (also called a healthcare proxy or medical power of attorney) should be someone you trust completely to follow your wishes, even when emotionally difficult decisions must be made under extreme pressure. The ideal agent is a person who understands your values and medical preferences, can communicate assertively with doctors and hospital staff, is geographically accessible (they may need to be present at the hospital), and is emotionally capable of making life-and-death decisions. Many people choose a spouse, but that is not always the best choice if your spouse would be too emotionally overwhelmed to advocate effectively. Consider a trusted adult child, sibling, or close friend. Always name at least one alternate agent in case your primary agent is unavailable. Discuss your wishes in detail with your agent before finalizing your advance directive.
What medical treatments can I address in an advance directive?
A comprehensive advance directive allows you to accept or decline specific medical interventions individually, giving your healthcare team clear guidance rather than forcing them to interpret vague instructions. Key treatments you can address include: cardiopulmonary resuscitation (CPR), mechanical ventilation (breathing machine), artificial nutrition and hydration (feeding tubes and IV fluids), kidney dialysis, antibiotics for life-threatening infections, blood transfusions, surgery, chemotherapy, and organ or tissue donation preferences. You can also specify comfort care preferences, including pain management, palliative sedation, and hospice care. Many people create different instructions for different medical scenarios: they might accept all treatments for a reversible condition but decline life support for a terminal illness or permanent unconsciousness.
Does an advance directive expire?
In most states, an advance directive does not expire and remains valid indefinitely unless you revoke it or execute a new one. However, a few states have specific durational limits. For example, some states require periodic reaffirmation of the directive after a certain number of years, and directives executed during a pregnancy may have special provisions. Even where there is no legal expiration, healthcare providers and family members may question the relevance of a very old directive, particularly if your medical circumstances have changed significantly since it was signed. Best practice is to review and reaffirm your advance directive every three to five years and after any major medical diagnosis, surgery, or life event. When you update, execute a completely new document and distribute copies to your healthcare agent, physician, hospital, and family members.
Can an advance directive be changed or revoked?
Yes, you can revoke or modify your advance directive at any time as long as you are mentally competent to do so. Most states allow revocation by any of these methods: executing a new advance directive (which automatically supersedes prior versions), physically destroying the document, creating a written revocation, or verbally revoking the directive in the presence of a witness. Verbal revocation is accepted in most states because legislatures recognize that a person may need to change their mind in a hospital setting without access to paperwork. After revoking, notify your healthcare agent, physician, and anyone else who holds a copy. If you want to modify specific provisions rather than revoke entirely, execute a new advance directive that includes all of your current preferences and includes an explicit statement revoking all prior versions.
Will my advance directive be honored if I travel to another state?
Most states have laws recognizing advance directives executed in other states, either by explicit statute or through general comity principles. However, practical challenges can arise. A receiving state may honor your out-of-state directive only to the extent it does not conflict with that state's own laws and public policies. Some states have specific requirements about healthcare agent authority, restrictions on withholding artificial nutrition, or mandatory waiting periods that may differ from the state where your directive was executed. If you spend significant time in multiple states, consider executing advance directives that comply with the laws of each state. At minimum, carry a copy of your advance directive when traveling and ensure it is accessible to emergency medical personnel. The advance directive generator can create state-specific documents for each state where you reside or travel frequently.
How often should I update my advance directive?
Review your advance directive at least every three to five years and after any major life event: a serious medical diagnosis, surgery, hospitalization, marriage, divorce, death of your designated healthcare agent, birth of children or grandchildren, or a significant change in your values or beliefs about medical care. If your designated healthcare agent moves far away, becomes ill, or you lose confidence in their ability to advocate for your wishes, update the agent designation immediately. Your financial power of attorney and living trust should be reviewed on the same schedule. When you update, execute a new document with a statement revoking all prior versions, and distribute new copies to everyone who received the original.

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Attorney-Verified Document: All Legal Tank templates are drafted and reviewed by licensed attorneys to ensure legal accuracy and compliance with current state and federal laws. While our templates meet professional legal standards, individual circumstances vary. We recommend consulting with a licensed attorney in your jurisdiction for complex or high-stakes legal matters. Legal Tank is not a law firm and use of our platform does not create an attorney-client relationship.

Reviewed by licensed attorneys · Editorial policy · Last updated March 2026

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