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

Kentucky Advance Directive Form (Medical POA & Living Will)

A Kentucky Advance Directive combines the attributes of a “living will” and “medical power of attorney” to form one all-encompassing document. Traditionally, a living will allow its executor to clarify their wants about end-of-life care. In contrast, a medical POA facilitates the appointment of an agent to manage healthcare decisions on the principal’s behalf.

Last updated October 28th, 2024

A Kentucky Advance Directive combines the attributes of a “living will” and “medical power of attorney” to form one all-encompassing document. Traditionally, a living will allow its executor to clarify their wants about end-of-life care. In contrast, a medical POA facilitates the appointment of an agent to manage healthcare decisions on the principal’s behalf.

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Other Versions (9)

AARP Version

Download: Adobe PDF
Instructions: Adobe PDF

 


Baptist Health Version

Download: Adobe PDF

 

 


Catholic Conference of Kentucky Version

Download: Adobe PDF

 

 


Five Wishes (Aging with Dignity) Version

Download: Adobe PDF
Information: Adobe PDF

 


Hosparus Health Version

Download: Adobe PDF

 

 


Methodist Hospital Version

Download: Adobe PDF

 

 


Norton Healthcare 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 (7)

Advance Directive for Mental Health Treatment

Download: Adobe PDF
Laws: § 202A.420 – § 202A.432

 


Advance Directive Wallet Cards

Download: Adobe PDF

 

 


Do Not Resuscitate (DNR) Order Form

Download: Adobe PDF
Instructions: Adobe PDF

 


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 


Living Will Supplement Form

Download: Adobe PDF

 

 


Medical Orders for Scope of Treatment (MOST) Form

Download: Adobe PDF
Laws: § 311.6225

 


Organ Donor Registry Form

Download: Adobe PDF
Laws: § 311.1911 – § 311.1959

 

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