Louisiana Advance Directive Form (Medical POA + Living Will)

A Louisiana advance directive is a collection of documents that allows an individual to express their medical wishes to providers when they are unable to speak for themselves. The forms are meant to guide physicians and caregivers toward the intent of the patient and involve topics of resuscitation, artificial nutrition and more. The principal may also designate a healthcare representative who is given authority to make medical decisions for the principal if they were to become incapacitated.

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What’s Included?


Signing Requirements (RS 28:224RS 40:1151.4) – Two (2) witnesses.

State Definitions

  • Advance Directive (RS 28:221)  – “Advance directive” means a written document voluntarily executed by a principal in accordance with the requirements of this Part and includes a declaration or the appointment of a representative or both
  • Declaration (LA Rev Stat § 40:1151.1(4)) – “Declaration” means a witnessed document, statement, or expression voluntarily made by the declarant, authorizing the withholding or withdrawal of life-sustaining procedures, in accordance with the requirements of this Subpart. A declaration may be made in writing, orally, or by other means of nonverbal communication.

Versions (4)


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State of Louisiana

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Peoples Health

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