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Pennsylvania Advance Directive Form

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Updated August 18, 2025

A Pennsylvania advance directive is a combination of forms that sets out a person's 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.

Versions (10)

AARP

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Bryn Mawr Medical Specialists Assoc.

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Catholic Church

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Guthrie

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Lancaster General Health

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Main Line Health

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Mental Health

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Spanish (Español) Version

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Summit Health

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University of Pennsylvania Medical Center

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Registration

There is no statewide registry for Pennsylvania advance directives.

Revocation

Regardless of their physical or mental condition, the principal may revoke their advance directive at any time and in any manner.[2]

State Definition

“Advance health care directive” means a health care power of attorney, living will, or a written combination of a health care power of attorney and living will.[3]

Statutory Form

There is no required form that must be used for Pennsylvania advance directives. An example of a combined living will and health care power of attorney form is available under state statute.[4]

Sample

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