Indiana Living Will Form

An Indiana living will is completed while an individual is of sound mind to ensure medical staff have a signed statement of their end-of-life care wishes. The form is only used if the individual loses the ability to give instructions themselves. It requests that life-prolonging procedures be provided, withheld, or left to the discretion of the individual’s health care representative.

Indiana Living Will Form

Last updated December 12th, 2025

An Indiana living will is completed while an individual is of sound mind to ensure medical staff have a signed statement of their end-of-life care wishes. The form is only used if the individual loses the ability to give instructions themselves. It requests that life-prolonging procedures be provided, withheld, or left to the discretion of the individual’s health care representative.