Advance Directive Forms by State

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Documents:

51

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This form is used in Pennsylvania as part of the patient's medical records and determines health care measures to be taken in the event of the patient's mental or physical incapacity.

Use this Rhode Island-specific form for cases when you are not able to communicate your wishes or make decisions. These may include directions regarding the use of mechanical ventilation or feeding tubes, as well as certain surgeries and medications.

These are South Dakota-specific written instructions about future medical care should you become unable to make decisions (for example, unconscious or too ill to communicate).

This form is used in Texas as part of the patient's medical records and determines health care measures to be taken in the event of the patient's mental or physical incapacity.

Use this Utah-specific form for cases when you are not able to communicate your wishes or make decisions. These may include directions regarding the use of mechanical ventilation or feeding tubes, as well as certain surgeries and medications.

Use this form in the state of Vermont for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

Download this Washington form to state your preferences for your healthcare in the event you are no longer able to decide for yourself.

This form is used in West Virginia as part of the patient's medical records and determines health care measures to be taken in the event of the patient's mental or physical incapacity.

Use this Wisconsin-specific form for cases when you are not able to communicate your wishes or make decisions. These may include directions regarding the use of mechanical ventilation or feeding tubes, as well as certain surgeries and medications.

Use this form in the state of Wyoming for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

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