Advance Directive Forms
By its very nature, this document is prepared well in advance of when it will
be needed. Advance preparation leads to two problems: finding a safe, yet accessible place to store it; and making sure that it
still reflects your wishes, even if it is not needed for 15 or 20 years.
These problems point to the need for a central storage place, where health care
providers can get quick and easy access to these documents, while maintaining
privacy and confidentiality.
The U.S. Living Will Registry has been storing advance
directives since 1996. The Registry
electronically stores the documents, and makes them available to hospitals and
health care providers across the country 24 hours a day.
In addition to access by hospitals and health care providers, a personal on-line
account is created for each registrant, so they can view, download, fax or email
their document whenever they want...even from their smartphone. Registrants
are contacted every year to remind them to update their personal and emergency contact
information, and to confirm that their advance directive has not been changed or
revoked. In this way, there will be
no doubt that the document still reflects their wishes. Visit
"How to Register" for more information.
Visit "How to Register" for information on
registering your advance directive. You can read what current registrants
say about the Registry by visiting the
Here are some sources for advance directive forms:
- Your local hospital - Federal law requires all hospitals to
provide information about advance directives to people in their
communities, including information about the laws in your state.
You can obtain information and a form by contacting the Patient
Representative or Department of Social Services at your
site provides information and a good list of resources.
NOAH site gives information about advance directives
organized by state and some state specific forms.
- The states listed below are linked to web sites that provide
free advance directive forms. These links are provided as
an easy and convenient way for you to find a form for your
state. The U.S. Living Will Registry does not provide
legal advice or legal services, and the Registry does not
represent that the forms provided by these sites are legally
valid. The Registry is not responsible for the content of
the forms on these sites. State laws sometimes change,
making forms obsolete. You should check with an attorney to make
sure that the advance directive you prepare complies with the
law in your state. Click on your state to download an
advance directive form. When you click on one of the links
listed below you will be leaving the U.S. Living Will Registry's
District of Columbia
Georgia - Living Will
Indiana-Information and Forms
New York (forms available in English, Spanish, Chinese & Russian)
To read and download forms from some of the above sites, you
may need the free
Adobe Acrobat Reader.
You can also visit the "Internet
Resources" link for more information.