eForms Logo

Illinois Advance Directive Form

4.9 Stars | 52 Ratings
Downloads: 557

Updated September 23, 2025

An Illinois advance directive is a document that lets a person choose a medical agent to make health care decisions on their behalf if they become so ill or incapacitated they cannot do so for themselves. The agent is instructed to make decisions in accordance with the person's health care goals and needs listed in the form.

Versions (5)

AARP

Download: PDF

 

 

 


Illinois.gov

Download: PDF

 

 

 


Health Alliance

Download: PDF

 

 

 


Illinois State Medical Society

Download: PDF

 

 

 


Spanish (Español) Version

Download: PDF

 

 

 

Registration

Illinois does not have a statewide registry for advance directives. The declarant should provide copies of their directive to their healthcare provider, their family members, and their agent.

Revocation

The advance directive can be revoked at any time by the declarant by the physical destruction of the form, by a written revocation, or by an oral expression of their intent to revoke the declaration.[2]

State Definition

In Illinois law, an advance directive is referred to as a “health care agency.”

“Health care agency” means an agency governing any type of health care, anatomical gift, autopsy or disposition of remains for and on behalf of a patient and refers, in either hard copy or electronic format, to the power of attorney or other written instrument defining the agency or the agency, itself, as appropriate to the context.[3]

Statutory Form

A statutory form of an advance directive is made available by Illinois state law. However, the use of this form is not mandatory, and other specific directions may be included.[4]

Sample

Download: PDF