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.

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.

Last updated May 8th, 2024

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.

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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