Form · Advance care · VT

Vermont advance directive form

The state's own form, from Vermont Department of Health. Rivvi links it; we do not host or change it. Not legal advice.

Quick answer

Vermont's advance directive form is the Advance Directive - Short Form / Long Form (linked from Vermont Department of Health), from Vermont Department of Health. 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 Directive - Short Form / Long Form (linked from Vermont Department of Health)
Publisher: Vermont Department of Health
Form link: www.healthvermont.gov/systems/advance-directives/create-regi
Names a health care agent: Yes, in the same form
Signing (per the source): Two adult witnesses; witnesses cannot be your appointed health care agent, spouse, siblings, parents, children or grandchildren (per VDH page)
Link checked: October 23, 2026

Questions

Where do I get Vermont's advance directive form?

Vermont Department of Health publishes it: Advance Directive - Short Form / Long Form (linked from Vermont Department of Health). The link on this page goes to the state's copy (checked October 23, 2026).

Does Vermont 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 Vermont advance directive need witnesses or a notary?

Per the state source: Two adult witnesses; witnesses cannot be your appointed health care agent, spouse, siblings, parents, children or grandchildren (per VDH page). Read the form's own signing instructions before you sign.