Resources for End of Life Planning
State | Forms | Details |
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State | Forms | Details |
Alabama | Alabama has a form called an advance directive for healthcare, The Alaska advance directive can be filled out by the individual wishing to document their care wishes, it does require two witness signatures in order to be valid. | |
Alaska | Alaska has both an advance directive and a Medical Order for Scope of Treatment, MOST. The Alaska advance directive can be filled out by the individual wishing to document care their wishes, it does require two witness signatures in order to be valid. A MOST form is a medical order and it must be filled out by the patient and physician. | |
Arkansas | Arkansas has both an Advance Care Plan and a Physician Orders for Life Sustaining Treatment, POLST. The Arkansas Advance Care Plan can be filled out by the individual wishing to document their care wishes, it does require two witness signatures in order for it to be valid. A POLST form is a medical order and it must be filled out by the patient and physician. | |
Arizona | Arizona uses a Durable Health Care Power of Attorney form. It can be filled out by anyone over the age of 18, who wishes to document their care wishes; it requires one witness signature or to be notarized in order for it to be valid. | |
California | California has both an Advance Health Care Directive Form and a Physician Orders for Life Sustaining Treatment, POLST. An Advance Health Care Directive Form can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses or notarized in order to be valid. A POLST form is a medical order and must be filled out by a patient and their physician. | |
Colorado | Colorado has both an Advance Medical Directive and a Medical Orders for Scope of Treatment, MOST. An Advance Medical Directive can be filled out by anyone over the age of 18 who wishes to document their care wishes. The advance medical directive must be signed by two witnesses in order for it to be valid. A MOST form is a medical order must be filled out by a patient and their physician. | |
Connecticut | Connecticut has both an advance directive and medical orders for life sustaining treatment, MOLST. An advance directive can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses or be notarized in order to be valid. MOLST forms must be filled out by the patient and their physician. | |
Delaware | Delaware has both an advance directive and Delaware Medical Orders for Scope of Treatment, DMOST. An advance directive can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses or be notarized in order to be valid. DMOST forms are medical orders and must be filled out by the patient and their physician. | |
District of Columbia | The District of Columbia has an advance directive form that can be filled out by anyone over the age of 18 who wishes to document their care wishes; the form must be signed by two witnesses in order to be valid. | |
Florida | Florida has both a living will declaration form and a physician orders for life sustaining treatment, POLST. A living will can be filled out by anyone over the age of 18, who wishes to document their care wishes; it must be signed by two witnesses in order to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Georgia | Georgia has both an advance directive for health care and physician orders for life sustaining treatment, POLST. An advance directive can be filled out by anyone over the age of 18, who wishes to document their care wishes; it must be signed by two witnesses in order to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Hawaii | Hawaii has both an advance directive for health form and physician orders for life sustaining treatment, POLST. An advance directive can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses or be notarized in order to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Idaho |
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Idaho has both a living will and durable power of attorney for health care form and a physician orders for scope of treatment, POST form. A living will can be filled out by anyone over the age of 18 who wishes to document their care wishes; although not required it is recommended that the living will be signed by witnesses or notarized. POST forms are medical orders and must be filled out by the patient and their physician. |
Illinois | Illinois has both a power of attorney for health care form and physician orders for life sustaining treatment, POLST. A power of attorney for health care can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by a witness in order to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Indiana | Indiana has both a living will declaration and physician orders for scope of treatment, POST. A living will can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses in order to be valid. POST forms are medical orders and must be filled out by the patient and their physician. | |
Iowa | Iowa has both a living will and durable power of attorney for health care decisions form and Iowa physician orders for scope of treatment, IPOST. A living will and durable power of attorney for health care decisions form can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be either notarized or signed by two witnesses in order to be valid. IPOST forms are medical orders and must be filled out by a patient and their physician. | |
Kansas | Kansas has both an advance directive and Kansas transportable physician orders for patient preferences, TPOPP. An advance directive can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses or notarized to be valid. TPOPP are medical orders and must be filled out by a patient and their physician. | |
Kentucky | Kentucky has both a living will and medical orders for scope of treatment, MOST forms. A living will can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses or be notarized in order to be valid. MOST forms are medical orders and must be filled out by a patient and their physician. | |
Louisiana | Louisiana has both a health care power or attorney and Louisiana physician orders for scope of treatment, LaPOST. A health care power of attorney can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses or be notarized in order to be valid. LaPOST are medical orders and must be filled out by the patient with their physician. | |
Maine |
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Maine has both advance directive and physician orders for life sustaining treatment, POLST. An advance directive can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses or in order to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. |
Maryland | Maryland has both advance directive and Medical Orders for Life Sustaining Treatment, MOLST. An Advance Directive can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses in order to be valid. MOLST forms are medical orders and must be filled out by the patient and their physician. | |
Massachusetts | Massachusetts has both advance directives and Medical Orders for life sustaining treatment, MOLST forms. An advance directive can be filled out by anyone over the age of 18 who wishes to document their care wishes; it must be signed by two witnesses in order to be valid. MOLST forms are medical orders and must be filled out by the patient and their physician. | |
Michigan | Michigan has an advance directive with durable power of attorney for health care. This form can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses in order to be valid. | |
Minnesota | Minnesota has both a healthcare directive and provider orders for life sustaining treatment, POLST. A healthcare directive can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or notarized in order to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Mississippi | Mississippi has both a healthcare directive and Physician Orders for Sustaining Treatment, POST. A healthcare directive can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or notarized in order to be valid. POST forms are medical orders and must be filled out by the patient and their physician. | |
Missouri | Missouri has both a Durable Power of Attorney for Healthcare and Health Care Directive and Transportable Physician Orders for Patient Preferences, TPOPP. A Durable Power of Attorney for Healthcare and Health Care Directive can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or notarized in order to be valid. TPOPPs are medical orders and must be filled out by the patient with their physician. | |
Montana | Montana has both advance directive forms and Provider Orders for Life Sustaining Treatment, POLST orders. An advance directive can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or notarized in order to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Nebraska | Nebraska has both advance directive forms and the Nebraska Emergency Treatment Order, NETO. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or notarized in order to be valid. NETO forms are medical orders and must be filled out by the patient with their physician. | |
Nevada | Nevada has both advance directive forms and Physician Order for Life Sustaining Treatment, POLST orders. An advance directive can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or notarized in order to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
New Hampshire | New Hampshire has both advance directives and Provider Orders for Life Sustaining Treatment, POLST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or notarized in order to be valid. POLST forms are medical orders and must be filled out the patient and their physician. | |
New Jersey | New Jersey has Durable Power of Attorney for Health Care, Advance Directives and Practitioner Orders for Life Sustaining Treatment, POLST. A Durable Power or Attorney and Advance Directives can be filled out by anyone over the age of 18 who wishes to name a healthcare proxy or document care wishes. Both forms must be signed by two witnesses in order to be valid. POLST forms are medical orders and must be filled out the patient and their physician in order to be valid. | |
New Mexico | New Mexico has both advance directives and Medical Orders for Scope of Treatment, MOST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. the form must be signed by two witnesses in order to be valid. MOST forms are medical orders and must be filled out by the patient and their physician. | |
New York | New York has both Health Care Proxy and Medical Orders for Life Sustaining Treatment, MOLST. A Health Care Proxy form can be filled out by anyone over the age of 18 who wishes to name a person to make decisions on their behalf in the event that they are not able to make decisions for themselves. The form must be signed by two witnesses in order for it to be valid. MOLST forms are medical orders and must be filled out by the patient and their physician. | |
North Carolina | North Carolina has both Advance Directive forms and Medical Orders for Scope of Treatment, MOST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. MOST forms are medical orders and must be filled out by the patient and their physician. | |
North Dakota | North Dakota has both Advance Directive forms and Physician Orders for Life Sustaining Treatment, POLST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. Advance Directives in North Dakota must be signed by two witnesses or be notarized in order for it to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Ohio | Ohio has an Advance Directives form. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes, it must be signed by two witnesses or be notarized in order for it be valid. | |
Oklahoma | Oklahoma has an Advance Directives form. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes, it must be signed by two witnesses or be notarized in order for it be valid. | |
Oregon | Oregon has both Advance Directive forms and Physician Orders for Life Sustaining Treatment, POLST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Pennsylvania | Pennsylvania has both Advance Directive forms and Physician Orders for Life Sustaining Treatment, POLST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Rhode Island | Rhode Island has both Durable Power of Attorney for Health Care and Medical Orders for Life-Sustaining Treatment, MOLST. A Durable Power of Attorney for Health Care can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or notarized in order for it to be valid. | |
South Carolina | South Carolina has both a Living Will and Physician Orders for Scope of Treatment, POST. Living Wills can be filled out by anyone over the age of 18 who wishes to document their care wishes, it must be signed by two witnesses or notarized in order for it to be valid. POST forms are medical orders and must be filled out by the patient and their physician. | |
South Dakota | South Dakota has a Living Will Declaration form. A Living Will can be filled out by anyone over the age of 18 who wishes to document their care wishes. It must be signed by two witnesses or be notarized in order for it to be valid. | |
Tennessee |
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Tennessee has both Advance Directives and Physician Orders for Scope of Treatment, POST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. POST forms are medical orders and must be filled out by the patient and their physician. |
Texas | Texas has both Directive to Physicians and Family or Surrogates form and Medical Orders for Scope of Treatment, MOST. Directive to Physicians and Family or Surrogate forms can be filled out by anyone over the age of 18 who wishes to document their care wishes. It must be signed by two witnesses in order for it to be valid. MOST forms are medical orders and must be filled out by the patient and their physician. | |
Utah | Utah has both Advance Directive forms and Provider Orders for Life Sustaining Treatment, POLST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Vermont | Vermont has both Advance Directive forms and Clinician Orders Life Sustaining Treatment, COLST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. COLST forms are medical orders and must be filled out by the patient and their physician. | |
Virginia | Virginia has both Advance Directives and Physician Orders for Scope of Treatment, POST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses in order to be valid. POST forms are medical orders and must be filled out by the patient and their physician. | |
Washington | Washington has both Advance Directive forms and Provider Orders for Life Sustaining Treatment, POLST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. | |
Wisconsin | Wisconsin has both Advance Directive forms and Provider Orders for Scope of Treatment, POST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. POST forms are medical orders and must be filled out by the patient and their physician. | |
West Virginia |
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West Virginia has both Advance Directive forms and Provider Orders for Scope of Treatment, POST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. POST forms are medical orders and must be filled out by the patient and their physician. |
Wyoming | Wyoming has both Advance Directive forms and Provider Orders for Life Sustaining Treatment, POLST. Advance Directives can be filled out by anyone over the age of 18 who wishes to document their care wishes. The form must be signed by two witnesses or be notarized in order for it to be valid. POLST forms are medical orders and must be filled out by the patient and their physician. |