Georgia Advance Directive Form (Medical POA & Living Will)

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The Georgia Advance Directive has replaced the “living will” and “medical power of attorney” in terms of life planning documents as it contains all the same characteristics of the previous forms. With the utilization of this written instrument, users can detail how they would like certain health care situations handled if they are ever in a position where they cannot express their wishes. Also, they can designate an individual that they feel is dependable to conduct these decisions on their behalf. To effectuate the document, the principal must appoint an agent (and backup agent if desired), select their treatment preferences, and sign the instrument along with two (2) testifying witnesses.

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

The state of Georgia does not contain a database for residents to register their advance directive. Instead, individuals should provide copies of their completed document to their:

  • Health Care Agent
  • Family
  • Physician

(The executor of the advance directive should also retain a copy for their own personal 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)