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Statutes – § 16-36-4
Definition – A “living will declarant” means a person who has executed a living will declaration under Section 10 of this chapter (§ 16-36-4-3).
Signing Requirements – Must be signed in the presence of at least two (2) competent witnesses who are at least eighteen (18) years of age (§ 16-36-4-8(b)(5)).
Revocation – § 16-36-4-12
Other Versions (4)
Indiana University Health Version (also available in Spanish/en Español)
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF, MS Word (.docx)
Additional Resources
- Indiana State Department of Health – Advance Directive Information
- Parkview Health – Living Will Information
Related Forms (6)
- Advance Directive (Medical POA & Living Will)
- DNR Order (Form 49559)
- Durable (Financial) Power of Attorney
- Life-Prolonging Procedures Declaration (Form 55315)
- Organ Donation Form
- Physician Orders for Scope of Treatment – POST (Form 55317)
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF, MS Word (.docx)
DNR Order (Form 49559)
Download: Adobe PDF
Laws: § 16-36-5
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Life-Prolonging Procedures Declaration (Form 55315)
Download: Adobe PDF, MS Word (.docx)
IUH Version: Adobe PDF
Spanish Version: Adobe PDF
Laws: § 16-36-4-11
Download: Adobe PDF
Physician Orders for Scope of Treatment – POST (Form 55317)
Download: Adobe PDF, MS Word (.docx)
Laws: § 16-36-6
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