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50
!["Indiana Living Will Declaration" - Indiana](https://data.templateroller.com/pdf_docs_html/1929/19296/1929632/indiana-living-will-declaration-indiana.png ""Indiana Living Will Declaration" - Indiana")
"Indiana Living Will Declaration" - Indiana
Size: 1 MB
1 page
Use this legal document that specifies the type of medical care in Indiana that an individual does or does not want in the event they are unable to communicate their wishes. The will comes into play only when faced with a life-threatening condition and unable to assert specific desires regarding treatment.
![State Form 9977 "Radiation Machine Registration Application" - Indiana](https://data.templateroller.com/pdf_docs_html/1810/18104/1810411/state-form-9977-radiation-machine-registration-application-indiana.png "State Form 9977 "Radiation Machine Registration Application" - Indiana")
![State Form 5438 "Record of Adoption" - Indiana](https://data.templateroller.com/pdf_docs_html/1799/17991/1799155/state-form-5438-record-adoption-indiana.png "State Form 5438 "Record of Adoption" - Indiana")
![State Form 9966 "Indiana Adoption Medical History Report" - Indiana](https://data.templateroller.com/pdf_docs_html/47/474/47476/state-form-9966-indiana-adoption-medical-history-report-indiana.png "State Form 9966 "Indiana Adoption Medical History Report" - Indiana")
![State Form 27068 "Application for Radiology License" - Indiana](https://data.templateroller.com/pdf_docs_html/2025/20252/2025282/state-form-27068-application-for-radiology-license-indiana.png "State Form 27068 "Application for Radiology License" - Indiana")
![State Form 49606 "Application for Search of Certified or Non-certified Copy of Death Record" - Indiana](https://data.templateroller.com/pdf_docs_html/2025/20252/2025284/state-form-49606-application-for-search-of-certified-or-non-certified-copy-of-death-record-indiana.png "State Form 49606 "Application for Search of Certified or Non-certified Copy of Death Record" - Indiana")
![State Form 48092 "Monthly Tuberculosis Follow-Up Report" - Indiana](https://data.templateroller.com/pdf_docs_html/2025/20252/2025281/state-form-48092-monthly-tuberculosis-follow-up-report-indiana.png "State Form 48092 "Monthly Tuberculosis Follow-Up Report" - Indiana")
![State Form 54308 "Local Health Department Paternity Affidavit - Child Within Sixty (60) Days Old" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805634/state-form-54308-local-health-department-paternity-affidavit-child-within-sixty-60-days-old-indiana.png "State Form 54308 "Local Health Department Paternity Affidavit - Child Within Sixty (60) Days Old" - Indiana")
![State Form 54763 "Application for Search of Paternity Affidavit" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805669/state-form-54763-application-search-paternity-affidavit-indiana.png "State Form 54763 "Application for Search of Paternity Affidavit" - Indiana")
![State Form 27068 "Application for Radiology License" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805623/state-form-27068-application-radiology-license-indiana.png "State Form 27068 "Application for Radiology License" - Indiana")
![State Form 56522 "Abortion Complication Report" - Indiana](https://data.templateroller.com/pdf_docs_html/1810/18104/1810413/state-form-56522-abortion-complication-report-indiana.png "State Form 56522 "Abortion Complication Report" - Indiana")
![State Form 56535 "Adoption Matching Program: Birth Parent Contact Preference" - Indiana](https://data.templateroller.com/pdf_docs_html/1814/18147/1814747/state-form-56535-adoption-matching-program-birth-parent-contact-preference-indiana.png "State Form 56535 "Adoption Matching Program: Birth Parent Contact Preference" - Indiana")
![State Form 46270 "Water Test Kit Order" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18055/1805558/state-form-46270-water-test-kit-order-indiana.png "State Form 46270 "Water Test Kit Order" - Indiana")
![Form 43823 "Confidential Report of Communicable Diseases 43823" - Indiana](https://data.templateroller.com/pdf_docs_html/1729/17297/1729704/form-43823-confidential-report-communicable-diseases-43823-indiana.png "Form 43823 "Confidential Report of Communicable Diseases 43823" - Indiana")
![State Form 56459 "Indiana Confidential Sexually Transmitted Disease (Std) Reporting" - Indiana](https://data.templateroller.com/pdf_docs_html/1814/18147/1814743/state-form-56459-indiana-confidential-sexually-transmitted-disease-std-reporting-indiana.png "State Form 56459 "Indiana Confidential Sexually Transmitted Disease (Std) Reporting" - Indiana")
![State Form 48468 "Paternity Affidavit Upon Marriage" - Indiana](https://data.templateroller.com/pdf_docs_html/2025/20252/2025287/state-form-48468-paternity-affidavit-upon-marriage-indiana.png "State Form 48468 "Paternity Affidavit Upon Marriage" - Indiana")
![State Form 44780 "Paternity Affidavit - Hospital Use" - Indiana](https://data.templateroller.com/pdf_docs_html/2025/20252/2025286/state-form-44780-paternity-affidavit-hospital-use-indiana.png "State Form 44780 "Paternity Affidavit - Hospital Use" - Indiana")
![State Form 55390 "Indiana Application for Health Coverage" - Indiana](https://data.templateroller.com/pdf_docs_html/1810/18103/1810387/state-form-55390-indiana-application-health-coverage-indiana.png "State Form 55390 "Indiana Application for Health Coverage" - Indiana")
![State Formulario 55390 "Solicitud De Cobertura De Salud De Indiana" - Indiana (Spanish)](https://data.templateroller.com/pdf_docs_html/2049/20495/2049512/state-formulario-55390-solicitud-de-cobertura-de-salud-de-indiana-indiana-spanish.png "State Formulario 55390 "Solicitud De Cobertura De Salud De Indiana" - Indiana (Spanish)")
![State Form 49894 "Report of Latent Tuberculosis (Tb) Infection" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805621/state-form-49894-report-latent-tuberculosis-tb-infection-indiana.png "State Form 49894 "Report of Latent Tuberculosis (Tb) Infection" - Indiana")
![State Form 53193 "Application for Approval of Radiology Program" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805628/state-form-53193-application-approval-radiology-program-indiana.png "State Form 53193 "Application for Approval of Radiology Program" - Indiana")
![State Form 53194 "Application for Proficiency Certification for Limited Radiographer" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805624/state-form-53194-application-proficiency-certification-limited-radiographer-indiana.png "State Form 53194 "Application for Proficiency Certification for Limited Radiographer" - Indiana")
![State Form 47261 "Application for Search of Medical History Information for Adoptee" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805625/state-form-47261-application-search-medical-history-information-adoptee-indiana.png "State Form 47261 "Application for Search of Medical History Information for Adoptee" - Indiana")
![State Form 47896 "Indiana Adoption Matching Registry Identifying Information Consent" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805630/state-form-47896-indiana-adoption-matching-registry-identifying-information-consent-indiana.png "State Form 47896 "Indiana Adoption Matching Registry Identifying Information Consent" - Indiana")
![State Form 51201 "Adult Hiv/Aids Confidential Case Report" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805610/state-form-51201-adult-hiv-aids-confidential-case-report-indiana.png "State Form 51201 "Adult Hiv/Aids Confidential Case Report" - Indiana")
![State Form 53758 "Indiana Birth / Death Registration System (Ibrs) / ( Idrs) User Removal" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805631/state-form-53758-indiana-birth-death-registration-system-ibrs-idrs-user-removal-indiana.png "State Form 53758 "Indiana Birth / Death Registration System (Ibrs) / ( Idrs) User Removal" - Indiana")
![State Form 51467 "Notification of Blood or Body Fluid Exposure" - Indiana](https://data.templateroller.com/pdf_docs_html/1810/18104/1810407/state-form-51467-notification-blood-or-body-fluid-exposure-indiana.png "State Form 51467 "Notification of Blood or Body Fluid Exposure" - Indiana")
![State Form 52048 "Pregnant Women Hiv Test History & Assessment" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805615/state-form-52048-pregnant-women-hiv-test-history-assessment-indiana.png "State Form 52048 "Pregnant Women Hiv Test History & Assessment" - Indiana")
![State Form 54128 "Application for Initial Licensure or Renewal of Licensure as a Professional Matchmaker" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805609/state-form-54128-application-initial-licensure-or-renewal-licensure-as-a-professional-matchmaker-indiana.png "State Form 54128 "Application for Initial Licensure or Renewal of Licensure as a Professional Matchmaker" - Indiana")
![State Form 53753 "Isdh Ibrs/Idrs Confidentiality Agreement" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805626/state-form-53753-isdh-ibrs-idrs-confidentiality-agreement-indiana.png "State Form 53753 "Isdh Ibrs/Idrs Confidentiality Agreement" - Indiana")
![State Form 48467 "Local Health Department Paternity Affidavit - Child More Than 60 Days Old" - Indiana](https://data.templateroller.com/pdf_docs_html/2025/20252/2025278/state-form-48467-local-health-department-paternity-affidavit-child-more-than-60-days-old-indiana.png "State Form 48467 "Local Health Department Paternity Affidavit - Child More Than 60 Days Old" - Indiana")
![State Form 52588 "Hepatitis C Case Investigation" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805616/state-form-52588-hepatitis-c-case-investigation-indiana.png "State Form 52588 "Hepatitis C Case Investigation" - Indiana")
![State Form 52587 "Hepatitis B and Delta Hepatitis Case Investigation" - Indiana](https://data.templateroller.com/pdf_docs_html/2025/20252/2025285/state-form-52587-hepatitis-b-and-delta-hepatitis-case-investigation-indiana.png "State Form 52587 "Hepatitis B and Delta Hepatitis Case Investigation" - Indiana")
![State Form 35212 "Virology" - Indiana](https://data.templateroller.com/pdf_docs_html/566/5668/566861/state-form-35212-virology-indiana.png "State Form 35212 "Virology" - Indiana")
![State Form 53800 "Varicella (Chickenpox) Case Investigation" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805620/state-form-53800-varicella-chickenpox-case-investigation-indiana.png "State Form 53800 "Varicella (Chickenpox) Case Investigation" - Indiana")
![State Form 50007 "Tuberculosis Contact Investigation Summary Report and Worksheet" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805613/state-form-50007-tuberculosis-contact-investigation-summary-report-and-worksheet-indiana.png "State Form 50007 "Tuberculosis Contact Investigation Summary Report and Worksheet" - Indiana")
![State Form 53653 "Severe Staphylococcus Aureus Infection in a Previously Healthy Person Case Investigation" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805612/state-form-53653-severe-staphylococcus-aureus-infection-in-a-previously-healthy-person-case-investigation-indiana.png "State Form 53653 "Severe Staphylococcus Aureus Infection in a Previously Healthy Person Case Investigation" - Indiana")
![State Form 52642 "Vaccine Administration Record for Children and Teens" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805619/state-form-52642-vaccine-administration-record-children-and-teens-indiana.png "State Form 52642 "Vaccine Administration Record for Children and Teens" - Indiana")
![State Form 52589 "Perinatal Hepatitis B Case Investigation" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805622/state-form-52589-perinatal-hepatitis-b-case-investigation-indiana.png "State Form 52589 "Perinatal Hepatitis B Case Investigation" - Indiana")
![State Form 52346 "Leptospirosis Case Investigation" - Indiana](https://data.templateroller.com/pdf_docs_html/1805/18056/1805611/state-form-52346-leptospirosis-case-investigation-indiana.png "State Form 52346 "Leptospirosis Case Investigation" - Indiana")
