West Virginia Advance Directive Form

A West Virginia advance directive outlines preferences regarding life-prolonging treatments and names a healthcare representative. The form’s instructions take effect if the document’s preparer becomes incapacitated and unable to make decisions for themselves.

West Virginia Advance Directive Form

A West Virginia advance directive outlines preferences regarding life-prolonging treatments and names a healthcare representative. The form’s instructions take effect if the document’s preparer becomes incapacitated and unable to make decisions for themselves.

Last updated May 4th, 2024

A West Virginia advance directive outlines preferences regarding life-prolonging treatments and names a healthcare representative. The form’s instructions take effect if the document’s preparer becomes incapacitated and unable to make decisions for themselves.

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Signing Requirements

Advance directives require the signatures of two witnesses and a notary public.[1]

The following persons may not serve as a witness:

  • An individual who signed the advance directive on the principal’s behalf
  • A relative by blood or marriage
  • A beneficiary named in the principal’s will (unless unaware at signing)
  • A person who is financially responsible for the principal’s health care
  • The attending physician
  • The healthcare representative or their successor

Advance Directive (Preview)

Revocation

An advance directive can be revoked by the principal or an individual at their direction using the following methods[2]:

  • Destruction of the document
  • Execution of written revocation and delivery to their attending physician
  • A verbal revocation in front of an adult witness, who must then sign a written revocation record and deliver it to the attending physician.

Registering

While not mandatory, an advance directive may be filed with the E-Directive Registry by mailing it with the completed E-Directive Registry Opt-In Form to the following address[3]:

PO Box 9022
64 Medical Center Drive
Morgantown, WV 26506