West Virginia Advance Directive Form

A West Virginia advance directive outlines preferences regarding life-prolonging treatments and names a healthcare representative. The form’s instructions take effect if the document’s preparer becomes incapacitated and unable to make decisions for themselves.

West Virginia Advance Directive Form

A West Virginia advance directive outlines preferences regarding life-prolonging treatments and names a healthcare representative. The form’s instructions take effect if the document’s preparer becomes incapacitated and unable to make decisions for themselves.

Last updated April 13th, 2024

A West Virginia advance directive outlines preferences regarding life-prolonging treatments and names a healthcare representative. The form’s instructions take effect if the document’s preparer becomes incapacitated and unable to make decisions for themselves.

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Signing Requirements

Advance directives require the signatures of two witnesses and a notary public.[1]

The following persons may not serve as a witness:

  • An individual who signed the advance directive on the principal’s behalf
  • A relative by blood or marriage
  • A beneficiary named in the principal’s will (unless unaware at signing)
  • A person who is financially responsible for the principal’s health care
  • The attending physician
  • The attorney or successor attorney named in the medical power of attorney

Advance Directive (Preview)

West Virginia Advance Directive

Revocation

An advance directive can be revoked by the principal or an individual at their direction using the following methods[2]:

  • Destruction of the document
  • Execution of written revocation and delivery thereof to the attending physician
  • A verbal revocation in the presence of an adult witness, who must then execute a written record of the revocation and deliver it to the attending physician

Registering

Advance directives may be filed with the E-Directive Registry by submitting it with the completed E-Directive Registry Opt-In form by mail to the following address[3]:

PO Box 9022
64 Medical Center Drive
Morgantown, WV 26506