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Connecticut Advance Directive Form

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Updated August 05, 2025

A Connecticut advance directive is a document that allows a person to legally identify a health care agent to make decisions on their behalf in the event that they cannot speak for themselves. It also allows a person to deny a ventilator or the assistance of food and hydration if they should be permanently unconscious.

Versions (3)

Connecticut Attorney General

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Stamford Health

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Yale Medicine

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Registration

Connecticut does not have an advance directive registry. After creating an advance directive, the declarant should provide copies to their physician and their health care representative.

Revocation

The declarant can revoke their advance directive at any time and in any manner, regardless of their physical or mental condition.[2]

State Definition

“Advance health care directive” or “advance directive” means a writing executed in accordance with the provisions of this chapter, including, but not limited to, a living will, or an appointment of health care representative, or both.[3]

Statutory Form

A statutory form of an advance directive is made available by Connecticut state law.[1] However, the use of this form is not legally required.

Sample

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Sources

  1. § 19a-575
  2. § 19a-579a(a)
  3. § 19a-570(1)