Printable blank Virginia Advance Health Care Directive Form

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What is Virginia Advance Directive for Health Care Form?

The fillable Virginia Advance Directive for Health Care is a mix of attorney medical power and the living will that provides a person with the selection of end-of-life treatment. This is not a business agreement, and yet, it must be signed by the official. After you download the Virginia Advance Directive for Health Care form and complete it also must be signed by two witnesses.

What I need the Virginia Advance Directive for Health Care for?

  • The blank of the Virginia Advance Directive for Health Care allows a person to decide which treatment must be provided at the end of life;
  • It is used for the information about the treatment that patient chose to receive when he/she was conscious;
  • The medical establishment may rely on this document as a guide to a future treatment when the person is unconscious;
  • This document must be filled only by the Virginia State resident.

How to fill out the Virginia Advance Directive for Health Care?

You may download the pdf file on this page. It is free of charge. The document is three pages long and it is recommended to make yourself familiar with it online before you print it. Since it must be signed by two witnesses and a notary public, it is better to use the paper version of this form. You have to complete the form with the following information provided:

  • Your name;
  • Name of the primary agent, address, email, phone;
  • Name of successor agent, address, phone, email;
  • Additional powers you want to provide your agent with;
  • Instructions on health care;
  • Possibility of anatomical gifts;
  • Date and signature of you, signatures of both witnesses.

Organizations that work with Virginia Advance Directive for Health Care

  • Virginia State Officials;
  • Any Virginia medical establishment.

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