Form · Advance care · PA
Pennsylvania advance directive form
The state's own form, from Pennsylvania General Assembly (Pennsylvania Consolidated Statutes). Rivvi links it; we do not host or change it. Not legal advice.
Quick answer
Run it in Rivvi
Understand Pennsylvania's advance directive form
Ask RivviFree to start, no card. Opens Rivvi, the AI workspace for healthcare teams, with this question filled in.
The state form
- Form
- Durable Health Care Power of Attorney and Health Care Treatment Instructions (Living Will) (20 Pa.C.S. § 5471 Example)
- Publisher
- Pennsylvania General Assembly (Pennsylvania Consolidated Statutes)
- Law
- 20 Pa.C.S. § 5471 (Chapter 54, Health Care)
- Names a health care agent
- Yes, in the same form
- Signing (per the source)
- Living will and health care power of attorney must each be witnessed by two individuals, each 18 or older (20 Pa.C.S. §§ 5442, 5452)
- Link checked
- October 23, 2026
Related pages
Questions
Where do I get Pennsylvania's advance directive form?
Pennsylvania General Assembly (Pennsylvania Consolidated Statutes) publishes it: Durable Health Care Power of Attorney and Health Care Treatment Instructions (Living Will) (20 Pa.C.S. § 5471 Example). The link on this page goes to the state's copy (checked October 23, 2026).
Does Pennsylvania have a medical power of attorney form?
The same form includes the part that names a health care agent (medical power of attorney).
Does a Pennsylvania advance directive need witnesses or a notary?
Per the state source: Living will and health care power of attorney must each be witnessed by two individuals, each 18 or older (20 Pa.C.S. §§ 5442, 5452). Read the form's own signing instructions before you sign.