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Laws
Statute – West Virginia Health Care Decisions Act (W.V.C. § 16-30)
Definitions – “Health care decision” means a decision to give, withhold or withdraw informed consent to any type of health care, including, but not limited to, medical and surgical treatments, including life-prolonging interventions, nursing care, hospitalization, treatment in a nursing home or other extended care facility, home health care and the gift or donation of a body organ or tissue (§ 16-30-3(i)).
Signing Requirements – Acknowledgment of the document’s endorsement must be corroborated by two (2) approved witnesses, specified in the West Virginia Code § 16-30-4, as well as a licensed notary.
Revocation – § 16-30-18
Other Versions (3)
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
Additional Resources
- Cabell Huntington Hospital – Advance Directives: Put it in Writing
- Donate Life West Virginia – Organ and Tissue Donor Registry
- Valley Health – Making Choices Information Booklet (also available in Spanish/en Español)
- West Virginia University Center for Health Ethics and Law– Health Care Decision Making for Adult Patients
- West Virginia Center for End-of-Life Care – POST Patient Brochure
- West Virginia Center for End-of-Life Care – What is an Advance Directive?
Related Forms (5)
- Advance Directive for Mental Health
- Advance Directive Wallet Card
- DNR (Do-Not-Resuscitate) Order and Card
- Durable (Financial) Power of Attorney Form
- Checklist for Surrogate Selection
Advance Directive for Mental Health
Download: Adobe PDF
Information Factsheet: Adobe PDF
Download: Adobe PDF
Do Not Resuscitate (DNR) Order and Card
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Checklist for Surrogate Selection
Download: Adobe PDF
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