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 testimonials link.

Here are some sources for advance directive forms:

  1. 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 hospital.
  2. The ABA site provides information and a good list of resources.
  3. The NOAH site gives information about advance directives organized by state and some state specific forms.
  4. 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 web site.

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia - Living Will
Hawaii
Idaho
Illinois
Indiana-Information and Forms
Iowa  
Kansas

Kentucky
Louisiana  

Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York (forms available in English, Spanish, Chinese & Russian)
Nevada
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina

South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

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.

 

 

 
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