Printable blank Pennsylvania Living Will Form

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1. What is Pennsylvania Living Will Form?

Pennsylvania Living Will Form (also Living Will & Health Care Power of Attorney) is a legal state form that lets you appoint a health care agent who will make important health care decisions on your behalf or to provide the health care provider with official instructions on your health care in case you lose the ability to decide yourself.

2. What I need the Pennsylvania Living Will Form for?

  • The living will form is used for appointing legal agents who will make health care decisions on your behalf if you lose the ability to do it yourself;
  • Fill it to give detailed instructions to your health care provider and to ensure they will be respected no matter what;
  • Fill to allow or prohibit the use of your organs for medical/scientific research purposes.

On PDFLiner, you can download Pennsylvania Living Will Form for free. Besides, we provide a 10-day trial for our online PDF editor in which you can fill out the form and print it directly.

3. How to fill out Pennsylvania Living Will Form?

The fillable Pennsylvania Living Will Form includes 3 parts:

  • Part I – read the introductory remarks;
  • Part II – provide information about your health care agents (main and 2 alternate), including names, addresses, phone numbers. Provide instruction for them. 
  • Part III – provide details instructions on your health care if you don’t want to entrust everything to your agents;
  • Sign the blank to make it legal; 
  • Notarization of the form is optional but recommended.

4. Organizations that work with Pennsylvania Living Will Form:

  • Pennsylvania Health Care Providers.

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