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Louisiana Advance Directive Form

A Louisiana advance directive is a document that lets a person choose a medical agent to handle health care decisions on their behalf in case they become unable to speak or make decisions for themselves. The agent must operate under the instructions of the advance directive and adhere to the requests made by the declarant.
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Versions (6)

AARP

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Louisiana.Gov

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Mark Zinder Version

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Ochsner Health

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Our Lady of the Lake

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Spanish (Español) Version

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Registry

A resident of Louisiana may register their advance directive by submitting a copy and a check for $20 payable to the ‘Louisiana Secretary of State’ and send to:

Louisiana Secretary of State
Elections Services
P.O. Box 94125
Baton Rouge, LA 70804-9125

Attach an additional $20 if a certified copy is requested.[2]

Laws

StatuteAdvance Directives for Behavioral Health Treatment

State Definition – “Advance directive” means a written document voluntarily executed by a principal in accordance with the requirements of this Part and includes a declaration or the appointment of a representative or both.[3]