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Kentucky Advance Directive Form

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Updated September 24, 2025

A Kentucky advance directive is a form that gives guidelines to a hospital on how a patient would like to be treated and whether they have a healthcare agent to represent their needs. An advance directive combines a medical power of attorney and a living will to communicate an individual's end-of-life treatment preferences.

Versions (6)

Attorney General

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Catholic Conference of Kentucky

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ENT and Allergy Specialists

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National Alliance on Mental Illness (NAMI)

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Norton Healthcare

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Spanish (Español) Version

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Registration

No advance directive registry in Kentucky. You should keep a copy of your advance directive in your medical records.

Revocation

A Kentucky advance directive can be revoked by a written or oral expression of the grantor’s intention to revoke, or by the physical destruction of the document.[2]

State Definition

“Advance directive” means a living will directive made in accordance with KRS 311.621 to 311.643, a living will or designation of health care surrogate executed prior to July 15, 1994, and any other document that provides directions relative to health care to be provided to the person executing the document.[3]

Statutory Form

Yes, Kentucky has a statutory form that advance directives must substantially comply with, although other specific instructions may also be included as long as they are not prohibited by any other state statute.[4]

Sample

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