Wisconsin Advance Directive Form

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A Wisconsin advance directive allows individuals to relay end-of-life care preferences, including the naming of a health care agent. The form’s instructions come into effect if the individual is unable to give directions relating to their health care. Once completed, it should be kept in a safe place, and copies can be provided to the agent and the attending doctor.

Wisconsin Advance Directive Form

A Wisconsin advance directive allows individuals to relay end-of-life care preferences, including the naming of a health care agent. The form’s instructions come into effect if the individual is unable to give directions relating to their health care. Once completed, it should be kept in a safe place, and copies can be provided to the agent and the attending doctor.

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Last updated May 8th, 2024

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A Wisconsin advance directive allows individuals to relay end-of-life care preferences, including the naming of a health care agent. The form’s instructions come into effect if the individual is unable to give directions relating to their health care. Once completed, it should be kept in a safe place, and copies can be provided to the agent and the attending doctor.

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Signing Requirements

An advance directive must be signed by two witnesses.[1] The witnesses cannot be any of the following:

  • A minor
  • Related to the principal by blood, marriage, or adoption
  • Have knowledge that they are entitled to or have a claim to the principal’s estate
  • Financially responsible for the principal’s care
  • The healthcare provider or an employee of the healthcare provider or healthcare facility (other than a chaplain or social worker)

Advance Directive (Preview)

Revocation

The following actions will revoke an advance directive[2]:

  • Destroying the document
  • Executing a dated and signed written statement of revocation
  • Orally expressing a revocation and informing the attending health care professional
  • Creating a new advance directive

Registering

Registering an advance directive is not required. Nonetheless, advance directives may be filed with the County Probate Court for a fee.[3]

Sources

  1. § 154.03
  2. § 154.05
  3. § 154.13