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

Louisiana Advance Directive Form (Medical POA & Living Will)

The Louisiana Advance Directive fuses a living will and medical power of attorney together so that its executor can establish their goals concerning end-of-life care and designate a surrogate to make health care decisions for them. Of course, this declaration will only become effective if the principal is pronounced mentally unfit to make their own decisions by a health professional.

Last updated September 25th, 2024

The Louisiana Advance Directive fuses a living will and medical power of attorney together so that its executor can establish their goals concerning end-of-life care and designate a surrogate to make health care decisions for them. Of course, this declaration will only become effective if the principal is pronounced mentally unfit to make their own decisions by a health professional.

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This Document Contains:

Any person who wishes to become an organ/tissue donor may register through the Donate Life Louisiana Website.

Other Versions (7)

AARP Version

Download: Adobe PDF
Instructions: Adobe PDF

 


Five Wishes (Aging with Dignity) Version

Download: Adobe PDF
Information: Adobe PDF

 


Louisiana Elder Law Task Force Version

Download: Adobe PDF

 

 


Louisiana-Mississippi Hospice & Palliative Care Organization (LMHPCO) Version

Download: Adobe PDF

 

 


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

Download: Adobe PDF

 

 


Spanish/Español Version

Download: Adobe PDF

 

 


Vietnamese Version

Download: Adobe PDF

 

 

Additional Resources

Related Forms (5)

Advance Directive for Mental Health Treatment

Download: Adobe PDF
Laws: RS 28:221 et sec.

 


Advance Directive Wallet Cards

Download: Adobe PDF

 

 


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 


HIPAA Authorization Form (specific to Blue Cross, Blue Shield, & HMO)

Download: Adobe PDF

 

 


Physician Orders for Scope of Treatment (LaPOST) Form

Download: Adobe PDF
Spanish Version: Adobe PDF
Download: RS 40:1155.1 et seq.

 

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