Free Medical Power of Attorney

Answer a few simple questions Print and download instantly It takes just 5 minutes

Signing Details

Which city/town will you sign your Living Will in?

Frequently Asked Questions
What if I want to sign in a different state?Your Living Will must be signed in the same state that you reside in. To change your resident state visit the "Location" step in the progress bar above.

Health Care Directive

What is a Health Care Directive?

A Health Care Directive is comprised of a Living Will and Medical Power of Attorney.

A directive allows you to plan your medical treatment in advance should there ever come a time when you are unable to express your personal health care wishes.

A Health Care Directive is also known as:

  • Advance Directive
  • Living Will Form
  • Advance Healthcare Directive
  • Medical Directive
  • Living Will

What is a Medical Power of Attorney?

A Medical Power of Attorney is a document used to appoint someone to make medical decisions on your behalf.

A Medical Power of Attorney is also known as:

  • Health Care Power of Attorney
  • Health Care Proxy
  • Durable Power of Attorney for Health Care
  • Power of Attorney Medical

What is a Living Will?

A Living Will is a document that you use to indicate your medical wishes in the event you are incapacitated or cannot consent to your health care treatment.

What is the difference between a Living Will and a Last Will and Testament?

If you are unable to express your health care wishes in the future, hospitals and family will reference your Living Will as a statement of your medical wishes.

Alternatively, a Last Will and Testament is a document used to indicate how you would like your assets divided or children cared for after your death. You cannot specify medical treatment preferences with a Last Will.

Why should I create a Health Care Directive?

Without a Living Will, the burden of making your medical decisions falls on your family members. Creating a personal directive not only gives you control of your medical wishes but it saves your family from making tough treatment choices on your behalf.

Additionally, appointing a Medical Power of Attorney allows you to discuss your treatment wishes with someone you trust prior to any unforeseen medical circumstance so they can make health care decisions in your best interest.

Who should I choose as my Medical Power of Attorney/Health Care Proxy?

When appointing someone as your Medical Power of Attorney, you should choose someone who is trustworthy, has your best interests in mind, and will make your health care decisions according to your intended wishes.

What medical decisions can I make with a Living Will?

Every state has its own limits as to what you are legally permitted to include in your directive. While you may specify instructions for a variety of medical situations and describe your feelings towards quality of life, keep in mind health care providers will only be allowed to carry out certain procedures according to your state laws.

Here are some of the main treatment choices you will want to specify in your Living Will:

Life Support

Life Support means any life-sustaining procedures done to a patient to restore function to an organ through medical intervention.

Common forms of life support include CPR (Cardiopulmonary Resuscitation), defibrillators, assisted breathing, dialysis, and artificially administered food and water.

DNR is short for "Do Not Resuscitate", which means you do not wish to receive life support or resuscitation if an organ fails.

Comfort Care

Comfort care means healthcare professionals will use any means possible to relieve your pain, including administering medication or creating a comfortable environment for you to rest in.

Quality of Life

Many people define quality of life in their Living Will to notify their family and health care professionals as to what they may want in extreme health situations (life or death) and what constitutes a quality life for them.

When does my Health Care Directive come into effect?

The terms of your directive are binding once you sign the document. It comes into use when you have been found to be incapable of making your own medical decisions. Typically, this may be when you are incapacitated, in a coma, or in a vegetative state.

Can I make changes to my Health Care Directive?

You can make changes to your personal directive if you destroy your current one, notify your health care representative or hospital of your changes, and create and distribute a new directive. It's important to let everyone in your family know where you keep your advance directive so they can easily find it during an emergency.

Related Documents:

  • Power of Attorney: a document used to grant someone the authority to act on your behalf, such as tending to your finances or maintaining property
  • Last Will and Testament: a document specifying how you would like your estate divided upon your death
  • Child Medical Consent: a form granting a guardian the authorization to make medical decisions on behalf of your child
  • Medical Records Release: a form requesting your medical records be released to you or a third party

Related Articles:

Frequently Asked Questions:

Health Care Directive FAQ
Sample Health Care Directive


Health Care Directive

Personalize your Health Care Directive template.

Print or download in minutes.

Create your free Healthcare Directive in 5-10 minutes
Help your friends and family members express their own health care wishes by sharing:
This document preview is formatted to fit your mobile device. The formatting will change when printed or viewed on a desktop computer.
Loading ...
Loading ...

Note: Your initial answers are saved automatically when you preview your document.
This screen can be used to save additional copies of your answers.