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What is a Healthcare Directive (Advance Directive)?

A healthcare directive (also known as an advance directive or living will) is a legal document that outlines your wishes for medical treatment if you become unable to communicate. It typically includes a living will (treatment preferences) and a healthcare power of attorney (appointing a proxy to make decisions on your behalf).

When do you need one?

Every adult should have a healthcare directive. It is especially important before surgery, during serious illness, when aging, or when planning for incapacity. Without one, family members may disagree on treatment, and courts may need to intervene.

Does it need to be notarized?

Requirements vary by state. Many states require notarization, witness signatures, or both. Notarization is always recommended regardless of state requirements to ensure the document is accepted by all healthcare providers.

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Frequently asked questions

Does a healthcare directive need to be notarized?
Requirements vary by state. Many states require notarization, witnesses, or both. Notarization is always recommended to ensure acceptance by hospitals and providers.
What is the difference between a living will and a healthcare directive?
A living will only states your treatment preferences. A healthcare directive combines a living will with a healthcare power of attorney — naming someone to make decisions on your behalf.
Can I change my healthcare directive?
Yes. You can revoke or update your healthcare directive at any time while mentally competent. Create a new document, notify your healthcare agent, and provide copies to your doctors.
Is a healthcare directive the same as a DNR?
No. A DNR (Do Not Resuscitate) is a specific medical order. A healthcare directive is broader — it covers many types of treatment and names a decision-maker.