Tennessee Advance Directive Form

Tennessee Advance Directive Form

Last updated September 1st, 2022

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The Tennessee advance directive is a medical document that is used by an individual to declare end-of-life wishes to health care providers and to appoint a health care agent to make decisions on their behalf. The first page of the document contains two (2) parts: the first part enables the principal to name their agent, and the second indicates the principal’s wishes for quality of life in certain irreversible medical conditions. It is up to the principal whether or not they would like to complete one or both parts.

If the principal does not complete part 2, their agent will make medical decisions that they believe would line up with their values and wishes. On the second page of the advance directive, the principal can enter additional instructions for their agent or medical staff as well as their wishes regarding organ donation.

Agent’s Duties§ 68-11-1806

LawsTitle 68, Chapter 11, Part 18

Signing Requirements (§ 68-11-1803(b)) – Two (2) Witnesses or Notary Public

State Definition

Statute§ 68-11-1802(a)(1)

“Advance directive” means an individual instruction or a written statement relating to the subsequent provision of health care for the individual, including, but not limited to, a living will or a durable power of attorney for health care.