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Kansas Advance Directive Form

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

Overview: In Kansas you must fill out two separate forms to have a complete Advance Directive. The first form is a Living Will Declaration and the second is a "Durable Power Of Attorney For Healthcare Decisions" (a.k.a. Health Care Proxy). This packet also includes a HIPAA Privacy Authorization Form and a Pre-Hospital DNR Request Form.

Required Information for the Advance Directive: Your signature must be Notarized OR two (2) witnesses must sign your KS Living Will and Durable Power of Attorney for Healthcare Decisions for them to be considered valid. Witnesses CAN NOT be your agent, relative or beneficiary.

Download the Kansas Advance Directive Form Here
(via Kansas State University)

Remember to add your completed form to your Everplan!

See our complete list of resources for Kansas.

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