Health Care Instructions Templates

This document is used for planning your medical care in advance, specifying your preferences and appointing a healthcare proxy to make decisions on your behalf. It is specific to the state of Alabama.

This document outlines an individual's wishes and preferences for medical treatment and care in the state of Minnesota. It allows them to appoint a healthcare agent and specify their decisions regarding life-sustaining treatment and end-of-life care.

This type of document is used for creating an Advance Health Care Directive in Newfoundland and Labrador, Canada. It allows individuals to specify their preferences for medical treatment and appoint a substitute decision-maker in case they cannot make decisions for themselves.

This Arkansas document encompasses the orders concerning your wishes about your future medical care. The document comes into play in the event of severe medical situations in which you are not able to communicate your wishes or make decisions.

Use this document to give directives surrounding your future medical care in the state of California.

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.

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

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.

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.

Download this Arizona form to state your wishes in regard to your health care treatment preferences in the event of a possible mental disability.

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

Fill out this document to indicate your wishes about the health care measures to be taken in the event of your possible mental incapacity.

Download this form to state your wishes regarding your preferences for your healthcare in the event you are no longer able to decide for yourself. The form is used in the state of Mississippi.

This New York-specific form is used as part of the patient's medical records. It determines health care measures to be taken in the event of the patient's severe physical or mental incapacity.

This document allows a North Dakota individual to clarify their wishes regarding their health care and treatment in case of their temporary or permanent incapacity.

This Tennessee-specific document is the patient's declaration - a written statement of what they want to occur in the event of a serious accident or illness. It is primarily addressed for the medical personnel and focuses on the type of care the patient wishes to have in situations of terminal illness or incapacitation.

Download this legal document employed in Virginia 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.

Print out this will to pre-organize your health care in a potential scenario, prevent major arguments between your family members, control any necessary medical treatments and procedures and reduce potential extra medical bills in the state of Washington.

Fill out this will to determine your health care treatment in a potential scenario, prevent major arguments between your family members, control any necessary medical treatments and procedures and reduce potential extra medical bills.

This document allows individuals in West Virginia to express their medical treatment preferences in the event they become unable to communicate them in the future.

This document is used for designating a health care proxy in New York for individuals who prefer to use the Bengali language.