Louisiana Advance Directive Form

Create Document

A Louisiana advance directive defines an individual’s end-of-life preferences and assigns a health care agent certain powers. This two-part document enables the individual to provide instructions on the life-sustaining treatments they wish to accept or reject, and to select what powers their agent will have in the event of their incapacity.

Louisiana Advance Directive Form

A Louisiana advance directive defines an individual’s end-of-life preferences and assigns a health care agent certain powers. This two-part document enables the individual to provide instructions on the life-sustaining treatments they wish to accept or reject, and to select what powers their agent will have in the event of their incapacity.

Create Document
PDF
PDF

Last updated May 8th, 2024

Document Preview

A Louisiana advance directive defines an individual’s end-of-life preferences and assigns a health care agent certain powers. This two-part document enables the individual to provide instructions on the life-sustaining treatments they wish to accept or reject, and to select what powers their agent will have in the event of their incapacity.

Downloads: 650
  1. Home »
  2. Power of Attorney »
  3. Louisiana »
  4. Advance Directive

Signing Requirements

Two witnesses must sign the advance directive to make it effective.[1]

Advance Directive (Preview)

Revocation

Regardless of mental capacity, the principal may revoke the document by defacing, burning, or destroying it or by submitting a written revocation that they have signed and dated.[2]

The principal can revoke their declaration at any time by communicating their intention verbally or nonverbally. Revocation is effective once the attending physician is informed.

Registering

Any resident with a completed living will may register the document with the Secretary of State by mailing the completed form and filing fee to[3]:

Louisiana Secretary of State
Elections Services
P.O. Box 94125
Baton Rouge, LA 70804-9125

Sources

  1. § 1151.2(A)(2)
  2. § 1151.3
  3. Louisiana Secretary of State – End-of-Life Registry Programs