Advance Directive Forms
Preparing an advance directive involves more than simply filling out a form.
The time you spend thinking about the kind of care you want, or don't want, and
discussing your wishes with your family and loved ones is much more meaningful
than simply checking off boxes on a form. The written document is a good way to
memorialize and record your thoughts and choices, but it is no substitute for
time spent discussing those choices with your loved ones.
You might want to start out by visiting the American
Bar Association's web site to learn the
basics about advance directives. Then visit "On
Our Own Terms" and read page 14 of the Discussion Guide.
This will help focus your thoughts on what decisions you need to
make now so that your choices will be followed when the need arises.
When you are ready to prepare your document, remember that each state has its
own law, and sometimes, its own form. While it is usually not necessary to have
an attorney help you prepare an advance directive, you may want to consult an
attorney if the various forms you obtain do not fit your needs or if you have
any special concerns. After you have prepared your advance directive, consider
registering it with the U.S. Living Will Registry so that your choices will be
available to health care providers and your family wherever and whenever needed.
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. Once
registered, you are registered for life. Registrants receive a letter
every year that allows 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:
- 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.
- The ABA
site provides information and a good list of resources.
- The
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 web site.
Alabama
Alaska Arizona Arkansas
California
Colorado
Connecticut
Delaware
District
of Columbia
Florida
Georgia
Georgia #2 - Living
Will
Hawaii
Idaho
Illinois Indiana-Information Indiana-Forms
Iowa
Kansas
Kentucky Louisiana
Maine
Maryland
Massachusetts Michigan
Minnesota
Mississippi
Missouri
Montana Nebraska New Hampshire New Jersey-Complete package with forms
New Jersey-Form only
New
Mexico
New
York (forms available in English, Spanish, Chinese & Russian)
Nevada #1
Nevada #2
North
Carolina
North
Dakota
Ohio-Advance
directive packet with forms
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.
|
|
 |
|
To register your advance directive,
click here to find Providers & Partners in your area. |
|
 |
|