Health Care Directives

This state-specific document allows you to designate a person to make health care decisions for you if you are unable to do so. It also allows you to state your wishes regarding the withholding or withdrawal of life-sustaining procedures under certain circumstances. Because each heath care directive is affected by individual state laws, the interview questions will vary depending on the state requirements and the type of document you choose to create.

Reasons to Create

• Declining health.
• Designate a specific person to make health care decisions for you.
• The possibility of surgery or hospitalization.
• State your wishes so that it is more likely that they will be carried out.
• Diagnosis of a terminal condition with no hope of recovery.

Before You Begin Information you may need:

• Your name, address, social security number, and date of birth.
• Name and address of the person or persons who will make health care decisions for you if you are unable to do so.

Reasons to Update

• Change or set limits on the medical care that is provided.
• Respond to changing medical technology.
• Respond to a change in health care laws.
• Respond to a change in health, including pregnancy.
• Designate a different person to make health care decisions for you.

Advance Healthcare Directive

PDF*

MS Word

* You need Adobe ® Reader ® to read PDF files, it is free.

Revocation Health Care Directives

Reasons to Create

• Revoke an existing Advance Directive.
• Revoke an existing Advance Directive prior to executing a new Advance Directive.

Before You Begin Information you may need:

• Title and date of the document being revoked.
• Name, address, and social security number of the person who completed the original Advance Directive now being revoked.

Reasons to Update

• Rather than updating, you should create a new Revocation or a new Advance Health Care Directive.

Revocation of Advance Healthcare Directive

PDF*

MS Word

* You need Adobe ® Reader ® to read PDF files, it is free.