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

Vermont Advance Directive Form (Medical POA & Living Will)

A Vermont Advance Directive assembles a comprehensive legal arrangement to allow individuals to express their end-of-life care wishes. The form combines two documents: a medical power of attorney and a living will. The registry allows the principal party to construct an extensive outline of desired treatment options.

Last updated October 28th, 2024

A Vermont Advance Directive assembles a comprehensive legal arrangement to allow individuals to express their end-of-life care wishes. The form combines two documents: a medical power of attorney and a living will. The registry allows the principal party to construct an extensive outline of desired treatment options.

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Other Versions (5)

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

 

 

 


Short Form Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 


Vermont Catholic Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 

Additional Resources

Related Forms (6)

Advance Directive Registration Agreement

DownloadAdobe PDF

 

 

 


Advance Directive Wallet Card

Download: Adobe PDF

 

 

 


Appointment of a Health Care Agent

Download: Adobe PDF

 

 

 


Do Not Resuscitate (DNR/COLST) Order Form

Download: Adobe PDF
Instructions: Adobe PDF

 

 


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 

 


Health Care Proxy Form

Download: Adobe PDF

 

 

 

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