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Wyoming Advance Directive Form

The Wyoming advance directive is a health care form that can be completed by an individual who wishes to appoint a health care agent and communicate certain end-of-life medical treatment preferences. This document also has sections for the donation of organs and tissues, and the contact information of the principal’s health care provider. Depending on the conditions outlined by the principal, an advance directive comes into effect when and if the principal is incapacitated from an illness as determined by their primary physician (if available) or as necessary upon the completion of the form.

In the event of the principal’s incapacitation, the agent will be authorized to make health care decisions on their behalf. Furthermore, medical staff will refer to the living will portion of the form to administer or avoid certain life-prolonging treatments, operating in accordance with the decisions made by the principal when they were of sound mind.

LawsTitle 35, Chapter 22, Article 4

Agent duties § 35-22-406

Signing Requirements (§ 35-22-403(b)) – Two (2) Witnesses or a Notary Public


State Definition

Statute§ 35-22-402(a)(i)

“Advance health care directive” means an individual instruction or a power of attorney for health care, or both.