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

Illinois Advance Directive Form (Medical POA & Living Will)

The Illinois Advance Directive is the newly trending document that fuses the “medical power of attorney” and “living will” documents into one written instrument.  By doing this, individuals executing the instrument can establish their desires concerning medical treatment at the time of their incapacitation and appoint another party to make certain decisions for them if they cannot.

Last updated September 25th, 2024

The Illinois Advance Directive is the newly trending document that fuses the “medical power of attorney” and “living will” documents into one written instrument.  By doing this, individuals executing the instrument can establish their desires concerning medical treatment at the time of their incapacitation and appoint another party to make certain decisions for them if they cannot.

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This Document Contains:

Other Versions (6)

AARP (Caring Connections) Version

Download: Adobe PDF
Instructions: Adobe PDF

 


Compassion & Choices Version

Download: Adobe PDF

 

 


Five Wishes (Aging with Dignity) Version

Download: Adobe PDF
Information: Adobe PDF

 


Memorial Hospital Shiloh Version

Download: Adobe PDF

 

 


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

Download: Adobe PDF

 

 


Spanish/Español Version

Download: Adobe PDF

 

 

Additional Resources

Related Forms (6)

Advance Directive Wallet Cards

Download: Adobe PDF

 

 


Declaration for Mental Health Treatment

Download: Adobe PDF
Spanish Version: Adobe PDF
Laws: 755 ILCS 43

 


Do-Not-Resuscitate (DNR) Order Form

Download: Adobe PDF
Spanish Version: Adobe PDF

 


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 


Practitioner Orders for Life-Sustaining Treatment (POLST) Form

Download: Adobe PDF
Spanish Version: Adobe PDF

 


Statement of Illinois Law on Advance Directives

Download: Adobe PDF

 

 

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