This form can be used to:

  • Appoint an agent,
  • Show which powers you want to give your agent,
  • Write down your medical and mental health care instructions,​
  • ​Write down your emergency contacts,
  • Write down instructions about end-of-life care, and
  • Write down instructions about organ donation.

This form is the most inclusive form available. With it, people can cover all of the main areas of their health care that their doctors and agent should know about.

The Integrated Advance Directive Form


This form includes the special power in which you can give your health care agent the power to agree to treatment even when you are objecting to that care.

You can download a PDF here.