Who Must Sign The Form?

A competent adult or the legally appointed advocate of an incompetent adult must sign the form. In either case, the person must be 18 years of age or older and be of sound mind. The individual's attending physician and two witnesses also must sign the document. If you have religious or other objections to care by a physician you can create a document that does not require a physician's signature. By law, your family, physicians and employees of your health care facility are not allowed to be witnesses for this form. If you choose to wear a med alert bracelet, the bracelet must include your name and address, and the name and telephone number of your attending physician.

The information on this page is meant to provide a general overview of the law. The laws in your state and/or city may deviate significantly from those described here. If you have specific questions related to your situation you should speak with a local attorney.

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