Advance Directive Form

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Advance Directive Form Page 1
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Updated Jan 10, 2024
~ 4 pages
An advance directive form is designed to convey an individual's decisions about end-of-life care ahead of time, ensuring their healthcare choices are respected even when they are unable to communicate or make decisions. This form becomes necessary when you envision your healthcare preferences being catered to. Draft this advance directive form template on Lawrina and download a complete PDF document in minutes.
Paper titled "Advance Directive Form", doctors talking to a patient lying on the bed
Before creating the document...

Please note that the requirements for the Advance Directive Form vary across the states. Review the legislation of your state to ensure full compliance with legal requirements.

Crafting advance directive forms is an essential step to protect one's health care rights and preferences. It is an indispensable document designed to convey an individual's decisions about end-of-life care ahead of time, ensuring their healthcare choices are respected even when they are unable to communicate or make decisions. 

When to Use an Advance Directive Form

A medical directive form becomes necessary when you envision your healthcare preferences being catered to, especially when you might not be in a position to articulate them. This could occur due to sudden catastrophic health situations or a gradual decline in health due to age, where you may become incapable of decision-making. The advance directive is a legal document that ensures your care directives are honored and healthcare providers respect your chosen path of treatment or non-treatment. 

Parties of the Advance Directive Form

  • Declarant — This is the individual who is setting out their healthcare preferences in anticipation of a time when they might not be able to communicate their wishes. It is the declarant's responsibility to ensure their choices are well-articulated in the advance directive form. They also choose a person they trust to act as their healthcare agent should the need arise. The advance directive for health care form becomes a legally binding document once the declarant signs it, thereby ensuring that the healthcare decisions the declarant made are followed.

  • Healthcare agent — This individual (who could be a family member, a close friend, or a trusted acquaintance) is designated by the declarant to make healthcare decisions on their behalf. The healthcare agent is responsible for carrying out the declarant's wishes and guidelines specified in the simple advance directive when the declarant cannot do it themselves. Being a healthcare agent requires the person to faithfully and honestly act in the best interests of the declarant, respecting their wishes while interacting with healthcare professionals and making crucial decisions on their behalf.

  • Other caregivers and providers — While not formal parties named in the form, caregivers, family members, and healthcare providers like doctors and hospitals are essential in ensuring that the preferences outlined in the document are observed. The information in the advance directive form guides these individuals when providing medical or palliative care to the declarant.

Key Terms

  • Declarant: The person who is making the directive.
  • Healthcare agent: This person is appointed by the declarant and is responsible for making healthcare decisions on their behalf when they cannot do so themselves.
  • Life-sustaining treatments: These are medical procedures or interventions that serve to prolong someone's life.
  • Do not resuscitate (DNR) order: It is an order stating that should the patient's heart stop or they stop breathing, resuscitation should not be attempted.
  • Palliative care: This is healthcare that aims to relieve suffering and improve the quality of life for those with severe or life-threatening illnesses.

How to Write an Advance Directive Form

The process of creating an advance directive form can indeed be intricate, necessitating a detailed understanding of what should be included and how it should be articulated. However, this can be mitigated through the use of resources such as a free advance directive form that's available online at different online platforms.

Moreover, here are the key steps of the document crafting:

  1. Identify your healthcare preferences:
    Think deeply about your values, beliefs, and wishes regarding your healthcare. Consider various scenarios and what kind of treatment you would want, especially if you have any known health issues.

  2. Choose your healthcare agent:
    Select a trusted person who understands your wishes and can make decisions on your behalf when you aren't able to.

  3. Document your wishes:
    Clearly state your preferences in writing regarding resuscitation, life-sustaining treatments, palliative care, organ donation, and more. Seeking out and studying examples of advance directives can give you significant insights into how others have communicated their healthcare wishes.

  4. Meet legal requirements:
    Look into the legal requirements for advance directives based on the laws in your state. This may involve notarization or witnessing by a certain number of individuals.

  5. Review and update regularly:
    Review your document regularly and make changes if your preferences change. It's crucial that everyone involved has the most current information.

  6. Communicate with relevant parties:
    Share printable advance directives with your healthcare agent, loved ones, and healthcare providers. Ensure they understand your wishes and know where to find your document when it is needed.

  7. Consider professional help:
    An attorney or healthcare advisor can provide guidance or clarify any uncertainties when writing the form.

Also, an online advance directive is an essential document that speaks for you when you can't. Carefully considering your wishes and documenting them appropriately ensures those wishes are respected. 

Using the advance directive examples for creating an advance directive form can vastly simplify the process, ensuring all critical elements are included. A professionally designed advance directive template eliminates much of the guesswork and provides an easy-to-understand format for both the one making the directive and those who will eventually enforce it.

Resources such as advance directive form PDF files are freely available online for download, providing a valuable starting point for anyone interested in creating a directive. These templates usually include comprehensive sections that are easy to fill out, covering a wide range of situations that might occur. Examining sample advance directives allows you not only to understand several scenarios better but also helps to materialize your thoughts, making your healthcare wishes more easily understood by others.