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North Carolina Advance Directive Form

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Updated August 13, 2025

A North Carolina advance directive lets a person choose their end-of-life treatment options and select a person, commonly a spouse or family member, to carry out specific instructions. The form becomes effective when the person is no longer able to make decisions for themselves.

Versions (6)

AARP

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Attorney General

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Duke Health

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Mental Health Treatment

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Novant Health

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Spanish (Español) Version

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Registration

Yes, North Carolina maintains a registry where declarants can file their advance directives. Users must mail a completed Registration Form, along with a copy of their directive and a $10 check made payable to NC Secretary of State, to the following address:

North Carolina Secretary of State
Advance Health Care Directive Registry
P. O. Box 29622 Raleigh, NC
27626-0622

Revocation

The declarant can revoke their advance directive at any time, so long as they are capable of making and communicating health care decisions. They may revoke their directive by executing a written revocation or creating a new advance directive, or by any other method that communicates the intent to revoke.[3]

State Definition

North Carolina law refers to advance directives as “declarations.”

Except as provided in § 90-321.1, “declaration” means any signed, witnessed, dated, and proved document meeting the requirements of subsection (c) of § 90-321.[4]

Statutory Form

A legally valid advance directive form is available under North Carolina statute, but its use is not required.[5]

Sample

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