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Statute – Wyoming Health Care Decisions Act
Definition – “Advance health care directive” means an individual instruction or a power of attorney for health care, or both (§ 35-22-402)
Signing Requirements – Authorization of the execution of the document is required to be carried out by a licensed notary official or at least two (2) eligible witnesses as indicated by Wyoming Statute § 35-22-403.
Other Versions (6)
- AARP (Caring Connections)
- Campbell County Health
- Cheyenne Regional Health Medical Center
- Five Wishes (Aging with Dignity)
- Prepare for Your Care
- Wyoming Medical Center
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Campbell County Health Version
Download: Adobe PDF
Cheyenne Regional Health Medical Center Version
Download: Adobe PDF
Information: 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
Wyoming Medical Center Version
Download: Adobe PDF
Information: Adobe PDF
Additional Resources
- Compassion & Choices – My End of Life Decisions Guide
- Compassion & Choices – COVID-19 Advance Care Planning
- University of Wyoming – Advanced Health Care Directive Pamphlet
- Wyoming Medical Center – Advance Planning Guide for Health Care and End-of-Life Decisions
Related Forms (5)
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- Psychiatric Advance Directive Form
- Wyoming WyoPOLST Providers Orders for Life-Sustaining Treatment Form
- Wyoming Department of Health Authorization to Release Health Records
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Psychiatric Advance Directive Form
Download: Adobe PDF
Information: Adobe PDF
Wyoming WyoPOLST Providers Orders for Life-Sustaining Treatment Form (WY HB-0162)
Download: Adobe PDF
Wyoming Department of Health Authorization to Release Health Records
Download: Adobe PDF
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