Free Georgia Advance Directive Form (Medical POA & Living Will) | PDF

Georgia Advance Directive Form (Medical POA & Living Will)

A Georgia Advance Directive has replaced the “living will” and “medical power of attorney” as life planning documents, as they contain all the same characteristics. Using this written instrument, users can detail how they would like certain healthcare situations handled if they are ever in a position where they cannot express their wishes.

Last updated October 28th, 2024

A Georgia Advance Directive has replaced the “living will” and “medical power of attorney” as life planning documents, as they contain all the same characteristics. Using this written instrument, users can detail how they would like certain healthcare situations handled if they are ever in a position where they cannot express their wishes.

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Other Versions (13)

AARP (Caring Connections) Version

Download: Adobe PDF
Instructions: Adobe PDF

 


DeKalb Medical Version

Download: Adobe PDF

 

 


Department of Human Services Version

Download: Adobe PDF, MS Word (.docx)

 

 


Five Wishes (Aging with Dignity) Version

Download: Adobe PDF

 

 


Houston Health Care Version

Download: Adobe PDF

 

 


Kaiser Permanente Version

Download: Adobe PDF

 

 


Northeast Georgia Health System Version

Download: Adobe PDF

 

 


Northside Hospital Version (FAQ & Advance Directive Wallet Cards)

Download: Adobe PDF

 

 


Piedmont Healthcare Version

Download: Adobe PDF

 

 


Prepare for Your Care Version (also available in Spanish/en Español

Download: Adobe PDF

 

 


Roman Catholic Archdiocese of Atlanta Version

Download: Adobe PDF

 

 


Spanish/Español Version (Preguntas más Frecuentes y Tarjeta de Cartera)

Download: Adobe PDF

 

 


University of Georgia Version

Download: Adobe PDF, MS Word (.docx)

 

 

How to File

Georgia does not have a database where residents can register their advance directives. Instead, individuals should provide copies of their completed documents to their:

  • Health Care Agent
  • Family
  • Physician

(The executor of the advance directive should also retain a copy for their records.)

Additional Resources

Related Forms

Durable (Financial) Power of Attorney

Download: Adobe PDF

 

 


DNR (Do Not Resuscitate) Order

Download: Adobe PDF

 

 


POLST (Physician Orders for Life-Sustaining Treatment) Form

Download: Adobe PDF, MS Word (.docx)

 

 

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