Living Will & Health Care Proxy Template

Name someone to make medical decisions if you can’t, and put your end-of-life wishes in writing. Free and private: nothing you type leaves your browser.

Please read: This is a free self-help template — general information, not legal or medical advice. Advance-directive signing rules vary by state (most require a notary and/or two adult witnesses who are not your agent, not related to you, and not your heirs). Many states — and most hospitals — also publish their own official advance-directive form; using your state’s form makes it more likely to be honored. Give copies to your agent and your doctor.

Your health care agent (proxy)

The person you trust to make medical decisions if you cannot speak for yourself.

Your end-of-life wishes (living will)