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

Virginia Advance Directive Form (Medical POA & Living Will)

A Virginia Advance Directive produces a standard written register to document an individual’s requests regarding health care. The form combines a living will and a medical power of attorney to make arrangements for unforeseen events.

Last updated October 29th, 2024

A Virginia Advance Directive produces a standard written register to document an individual’s requests regarding health care. The form combines a living will and a medical power of attorney to make arrangements for unforeseen events.

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Other Versions (7)

AARP (Caring Connections) Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 


Five Wishes (Aging with Dignity) Version 

Download: Adobe PDF
Information: Adobe PDF

 

 


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

Download: Adobe PDF

 

 

 


Spanish/Español Version

Download: Adobe PDF

 

 

 


University of Virginia Health Version

Download: Adobe PDF

 

 

 


Virginia Department of Health Version

Download: Adobe PDF

 

 

 


Virginia State Bar Version

Download: Adobe PDF

 

 

 

Additional Resources

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Advance Directive Amendment – Life-Prolonging Treatments During Pregnancy

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Durable Do Not Resuscitate (DDNR) Order Form

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Durable (Financial) Power of Attorney

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