Georgia Advance Directive Form

Overview: The Georgia Advance Directive form allows you to name a Health Care Proxy, allows choices about withholding or withdrawing life support and accepting or refusing nutrition and/or hydration (formerly Living Will) and allows you to nominate someone to be appointed as Guardian if a court determines a guardian is necessary.

Required Information: You and two (2) witnesses must sign your GA Advance Directive for it to be considered valid. Witnesses must meet the following criterion:

• At least 18 years of age
• CAN NOT be related to the person whose Living Will is being created
• CAN NOT be a person who will inherit property or money from the person in the Living Will
• CAN NOT be responsible for paying the medical bills of the person whose Living Will is being created
• The first and second witness CAN NOT be a doctor or an employee of the hospital or nursing home where the person whose Living Will is being created is being cared for
• The following is also required: if a Living Will is created while the patient is in a hospital or skilled care nursing home, he/or she MUST have an additional person sign the form. This third witness MUST be the medical director of the skilled nursing home OR staff physician NOT participating in the care of the patient. If in a hospital, it MUST be the chief of the hospital staff or staff physician NOT participating in the care of the patient.

Download the Georgia Advance Directive Form Here (NOTE: When you click the link it will auto-download a PDF to your computer)
(Via Georgia Department of Human Services)

Remember to add your completed form to your Everplan!

See our complete list of resources for Georgia.