Advance Directives - Living Will, Power of Attorney
The Wisconsin Department of Health Services has advance
directive forms available online. These forms are designed to be completed
without the assistance of an attorney. Given your particular circumstances
or concerns, however, you may want to seek legal advice from an attorney. The forms
available are:
- Declaration to Physicians (Wisconsin Living Will)
- Power of Attorney for Health Care
- Power of Attorney for Finance and Property
- Authorization for Final Disposition
Copies of the forms may be obtained either by:
Living Will/ Power of Attorney
Division of Public Health
PO Box 2659
Madison, WI 53701-2659
-
These forms, or variations of
these forms may also be available from your attorney, physician or
hospital.
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Multi-language
versions of the Advanced Directive and Power of Attorney for Health Care may be
obtained the following sources:
State
Bar of Wisconsin or Aging
with Dignity (exit DHS)
Printing Advance Directive forms from the Internet
If printing these forms from the internet please ensure that you print and
complete all pages of the forms you are using. To be valid, the forms must be
complete and signed. The Declaration to Physicians (Living Will) and the Power of
Attorney for Health Care have accompanying letters that are not part of
the legal forms, but contain information that should be read prior to
completing the forms.
The forms you are about to open contain standardized wording specified
in the Wisconsin Statutes. If these forms are filled out and signed
correctly, the completed forms are presumed to be valid in the State of
Wisconsin. Do not change the pre-printed wording of the forms unless
instructions for the forms indicate you may do so. Changing the forms
contrary to their instructions may invalidate the completed forms. If the forms
are not sufficient for your needs, consult an attorney.
I have read and understand this statement (go to
forms)
Last Revised: November 05, 2009 |
