State Form 55316, Indiana Living Will Declaration - sometimes confused with an Advance Directive - is a vital piece of paperwork that allows all patients to ensure that their wishes regarding life-sustaining medical treatment are honored by doctors and healthcare professionals working in the state of Indiana. Living Will forms are legal tools used to assure that the patient's wishes with respect to the number and quality of medical procedures are carried out in their final days or when they are incapacitated.
The form was released by the Indiana State Department of Health in June 2013. A fillable State Form 55316 can be downloaded through the link below.
An Indiana Living Will is defined by Indiana Code Title 16 (Health) Chapter 4 on wills and life-prolonging procedures. The will must be voluntary, in writing, dated, and signed by the person making the declaration in the presence of at least two (2) adult witnesses. This document is not valid in Indiana if the patient is pregnant.