Form · Advance care · WV
West Virginia advance directive form
The state's own form, from West Virginia Legislature (West Virginia Code). Rivvi links it; we do not host or change it. Not legal advice.
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The state form
- Form
- Living Will / Medical Power of Attorney / Combined Medical Power of Attorney and Living Will (§16-30-4 forms)
- Publisher
- West Virginia Legislature (West Virginia Code)
- Law
- W. Va. Code §16-30-4 (West Virginia Health Care Decisions Act)
- Form link
- code.wvlegislature.gov/16-30-4/
- Names a health care agent
- Yes, in the same form
- Signing (per the source)
- Signed in the presence of two or more witnesses at least 18, whose signatures and attestations are acknowledged before a notary public (W. Va. Code §16-30-4)
- Link checked
- October 23, 2026
Related pages
Questions
Where do I get West Virginia's advance directive form?
West Virginia Legislature (West Virginia Code) publishes it: Living Will / Medical Power of Attorney / Combined Medical Power of Attorney and Living Will (§16-30-4 forms). The link on this page goes to the state's copy (checked October 23, 2026).
Does West 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 West Virginia advance directive need witnesses or a notary?
Per the state source: Signed in the presence of two or more witnesses at least 18, whose signatures and attestations are acknowledged before a notary public (W. Va. Code §16-30-4). Read the form's own signing instructions before you sign.