Form · Advance care · VA

Virginia advance directive form

The state's own form, from Virginia General Assembly (Legislative Information System, Code of Virginia). Rivvi links it; we do not host or change it. Not legal advice.

Quick answer

Virginia's advance directive form is the Advance Medical Directive (§ 54.1-2984 Suggested form of written advance directives), from Virginia General Assembly (Legislative Information System, Code of Virginia). The same form includes the part that names a health care agent (medical power of attorney). Open the state form

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The state form

Form: Advance Medical Directive (§ 54.1-2984 Suggested form of written advance directives)
Publisher: Virginia General Assembly (Legislative Information System, Code of Virginia)
Law: Va. Code § 54.1-2984
Form link: law.lis.virginia.gov/vacode/title54.1/chapter29/section54.1-
Names a health care agent: Yes, in the same form
Signing (per the source): Form includes signature lines for two witnesses
Link checked: October 23, 2026

Questions

Where do I get Virginia's advance directive form?

Virginia General Assembly (Legislative Information System, Code of Virginia) publishes it: Advance Medical Directive (§ 54.1-2984 Suggested form of written advance directives). The link on this page goes to the state's copy (checked October 23, 2026).

Does Virginia 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 Virginia advance directive need witnesses or a notary?

Per the state source: Form includes signature lines for two witnesses. Read the form's own signing instructions before you sign.