Indiana Advance Directive Form

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Below is the information you'll need in order to obtain an Advance Directive in Indiana, which is comprised of three separate documents.

Overview: In Indiana you must fill out three separate forms to have a complete Advance Directive. Two forms comprise your Living Will ("Living Will Declaration" and "Life-Prolonging Procedures Declaration") and the third is where you name a "Health Care Representative" (a.k.a. Health Care Proxy).

Required Information for the Living Will: You and two (2) witnesses must sign your IN Living Will for it to be considered valid.

Download the Indiana Living Will Form Here

Required Information for the Life Prolonging Procedures Declaration: You and two (2) witnesses must sign your IN Life-Prolonging Procedures Declaration for it to be considered valid.

Download the Indiana Life-Prolonging Procedures Declaration Form Here

Required Information for naming a Health Care Proxy: You and one (1) witness must sign your IN Health Care Proxy form for it to be considered valid.

Download the Indiana Health Care Proxy Form Here
(Via Indiana University Health)

Remember to add your completed form to your Everplan!

See our complete list of resources for Indiana.

Advance Directives