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Pennsylvania Advance Directive Form

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A Pennsylvania advance directive is a combination of forms to allow a person to set up their health care plans and preferences. The form also allows an agent to be selected to carry out the health care preferences in the chance the patient cannot speak for themselves. After completing and signing with two (2) witnesses, they form may be used only after the patient becomes incapacitated.

Advance Directive Includes

Table of Contents

Laws

Statute – Title 20, Chapter 54 (Health Care)

Signing Requirements (§ 5442) – Two (2) witnesses.

State Definition (§ 5422) -“Advance health care directive.”  A health care power of attorney, living will or a written combination of a health care power of attorney and living will.

Versions (10)


AARP

Download: Adobe PDF

 

 

 


Bryn Mawr Medical Specialists Assoc.

Download: Adobe PDF

 

 

 


Catholic Church

Download: Adobe PDF

 

 

 


Guthrie

Download: Adobe PDF

 

 

 


Lancaster General Health

Download: Adobe PDF

 

 

 


Main Line Health

Download: Adobe PDF

 

 

 


Mental Health

Download: Adobe PDF

 

 

 


Spanish (Español) Version

Download: Adobe PDF

 

 

 


Summit Health

Download: Adobe PDF

 

 

 


University of Pittsburgh Medical Center

Download: Adobe PDF

 

 

 


How to Write

Download: Adobe PDF

Step 1

Related Forms


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word, OpenDocument

 

 

 


Last Will and Testament

Download: Adobe PDF, MS Word, OpenDocument



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