All formsYour Information: Full legal name and date of birth
Healthcare Agent: Name someone to make medical decisions for you if you cannot
Treatment Preferences: Specify your wishes regarding life-sustaining treatment, resuscitation, and artificial nutrition
Pain Management: State your preferences for pain medication
Organ Donation: Indicate whether you wish to donate organs and tissues
Mental Health: Some states allow you to address psychiatric treatment preferences
Signatures: Sign before a notary and/or witnesses as required by your state
Estate Planningpdf
Advance Healthcare Directive (Living Will)
Federal & State Law Editorial TeamLast reviewed: April 2026
Document stating your wishes for medical treatment if you become unable to communicate, including end-of-life care, organ donation, and appointment of a healthcare proxy.
PDF TemplateUse the instructions below to complete this form
Instructions
Instructions
Note: Give copies to your healthcare agent, primary care physician, and local hospital. Review and update every few years or after major health changes.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.