Health Care Form Templates

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

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

Download this Hawaii 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 Idaho 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 form in the state of Indiana for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

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

Download this Kansas 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 Kentucky 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 Louisiana-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 Maine for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

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

Download this Massachusetts 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 Michigan 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 Minnesota-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 Mississippi for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

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

Download this Montana 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 Nebraska 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 Nevada-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 New Hampshire for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

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

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

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

Use this North Dakota-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 Ohio for a potential situation when a medical issue leaves you unable to express your wishes about medical treatment.

Download this Oregon 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 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.

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

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.

Download this Idaho legal document that spells out the medical treatments an individual would and would not want to be used to keep them alive. The form also clarifies the preferences for other medical decisions, such as pain management or organ donation.

This form serves the purpose of determining major health care-related decisions in the state of Illinois in case the person becomes temporarily or permanently severely disabled and is no longer able to make decisions.

This form serves as written directives of the patient wishing to express their desires regarding their medical treatment in the event of their potential mental incapacity. The form is used in the state of Montana.