Fillable Advance Directive printable pdf download

Advance Directive

Download a blank fillable Advance Directive in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Advance Directive with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVANCE DIRECTIVE

YOU DO NOT HAVE TO FILL OUT AND SIGN THIS FORM

PART A: IMPORTANT INFORMATION ABOUT THIS ADVANCE DIRECTIVE

This is an important legal document. It can control critical decisions about your health care. Before

signing, consider these important facts:

Facts About PART B (Appointing a Health Care Representative)

You have the right to name a person to direct your health care when you cannot do so. This person is

called your “health care representative.” You can do this by using PART B of this form. Your

representative must accept on PART E of this form.

In this document, you can write any restrictions you want on how your representative will make

decisions for you. Your representative must follow your desires as stated in this document or otherwise

made known. If your desires are unknown, your representative must try to act in your best interest.

Your representative can resign at any time.

Facts About PART C (Giving Health Care Instruction)

You also have the right to give instructions for health care providers to follow if you become unable to

direct your care. You can do this by using PART C of this form.

Facts About Completing This Form

This form is valid only if you sign it voluntarily and when you are of sound mind. If you do not want an

advance directive, you do not have to sign this form.

Unless you have limited the duration of this directive, it will not expire. If you have set an expiration

date, and you become unable to direct your health care before that date, this advance directive will not

expire until you are able to make those decisions again.

You may revoke this document at any time. To do so, notify your representative and your health care

provider of the revocation.

Despite this document, you have the right to decide your own health care as long as you are able to do

so.

If there is anything in this document that you do not understand, ask a lawyer to explain it to you.

You may sign PART B, PART C, or both parts. You may cross out words that don’t express your

wishes or add words that better express your wishes. Witnesses must sign PART D.

Advance Directive

Related Articles

Related forms

Related Categories