Kansas Living Will Form

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A Kansas living will is a person’s written instruction to be allowed a natural death if they enter into a terminal condition. By completing this form, the person authorizes medical personnel to withhold treatment that may prolong their life, including CPR, artificial hydration, or ventilation. A living will is only used if the person can no longer express their wishes due to incapacitation.

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Kansas Living Will Form

Last updated December 10th, 2025

A Kansas living will is a person’s written instruction to be allowed a natural death if they enter into a terminal condition. By completing this form, the person authorizes medical personnel to withhold treatment that may prolong their life, including CPR, artificial hydration, or ventilation. A living will is only used if the person can no longer express their wishes due to incapacitation.

  • Laws – K.S.A. 65-28,103
  • Signing Requirements – Two witnesses or notary, who cannot be any of the following[1]:
    • Under 18 years old.
    • The person who signed on behalf of the principal.
    • Related to the principal by blood or marriage.
    • A beneficiary of the principal’s estate.
    • Financially responsible for the principal’s health care.
  • Statutory Form – K.S.A. 65-28,103(c)

Statutory Definition

“Declaration” means a witnessed document in writing, voluntarily executed by the declarant in accordance with the requirements of K.S.A. 65-28,103.[2]

Living Will (preview)

Sources

  1. K.S.A. 65-28,103(a)(4)
  2. K.S.A 65-28,102(b)