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Kansas Advance Directive Form

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Updated August 05, 2025

A Kansas advance directive lets someone choose their end-of-life medical care and an agent to carry out their wishes in case they become unable to advocate for themselves and their health. It is meant for the elderly or any person who may no longer be able to speak for themselves in the future.

Versions (5)

AARP

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Kansas State BAR

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Kansas State University

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Spanish (Español) Version

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Wichita Medical Research

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Registration

There is no advance directive registry in Kansas.

Revocation

The declarant can revoke their advance directive via a written revocation, a verbal expression of their intent to revoke the declaration, or the physical destruction or defacement of the document itself.[2]

State Definition

“Advance health-care directive” means a power of attorney for health care or a record signed by a prospective donor containing the prospective donor’s direction concerning a healthcare decision for the prospective donor.[3]

Statutory Form

The advance directive must be substantially similar to the statutory form outlined in state law, but other specific directions may also be included.[4]

Sample

Download: PDF