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Family and Social Services Administration

Family and Social Services Administration

Aging Home > Forms Forms

Advance Directives

Advance directive is a term that refers to both spoken and written instructions about your future medical care and treatment. By stating your health care choices in advance, you help your family and physician understand your wishes about your medical care. Indiana law pays special attention to advance directives.

Advance directives are normally one or more documents that list your health care instructions. An advance directive may name a person of your choice to make health care choices for you when you cannot make the choices for yourself.  If you want, you may also use an advance directive to prevent certain people from making health care decisions on your behalf.

Advance Directives brochures and forms

The Indiana State Department of Health (ISDH) website contains a brochure that provides information specific to Indiana’s advance directive laws. Please also visit the ISDH website for fill-in forms you can use to inform your family and friends of your personal instructions. In addition to specific information on the Indiana laws that regulate the use of these forms, the ISDH site also has links to further information on advance directives.

Other forms available for your use

Indiana Appointment for Health Care Representative: This form is used appoint an individual as a health care representative. Please note this form must be completed after printing as it is not a fillable form.