Signing Requirements
The principal must sign their advance directive in the presence of either two witnesses or a notary public.[1]
Registration
Yes, North Dakota residents can securely store their advance directive with the ND Health Care Directive Registry. Registrants must first create an account with the state’s online services portal before uploading a copy of their directive.
Revocation
The advance directive can be revoked by an oral or written revocation, the execution of a new directive, or the physical destruction of the original form.[2]
State Definition
“Health care directive” means a written instrument that complies with this chapter and includes one or more health care instructions, a power of attorney for health care, or both.[3]
Statutory Form
An optional form is made available under state law, but it is not a required form.[4]




