Kentucky Advance Directive Form

Overview: The Kentucky Advance Directive is called a "Living Will Packet" and includes a Living Will and a form for naming a Health Care Surrogate (a.k.a. Health Care Proxy).

Required Information: Your signature must be notarized or two (2) witnesses must sign for it to be considered valid. Witnesses CAN NOT be any of the following:

• A blood relative.
• A beneficiary of the grantor under descent and distribution statutes of the Commonwealth.
• An employee of a health care facility in which the grantor is a patient, unless the employee serves as a notary public.
• An attending physician of the grantor.
• Any person directly financially responsible for the grantor’s health care.

Download the Kentucky Advance Directive Form Here
(Via Kentucy Office of the Attorney General)

Remember to add your completed form to your Everplan!

See our complete list of resources for Kentucky.