Tennessee Advance Directive Form (Medical POA + Living Will)

A Tennessee advance directive lets a patient list out distinct medical wishes to which attending physicians and other medical staff may follow in the instance that the patient succumbs to an illness or event that renders them incapacitated. The document includes the choice to assign a medical power of attorney who may assume decision-making authority once the patient cannot speak for themselves.


Signing Requirements (§ 68-11-1803(b)) – Either notarized or signed by two (2) witnesses.

State Definition (§ 68-11-1802(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.

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Versions (4)

Tennessee Department of Health

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Vanderbilt University Medical Center

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blankHonoring Choices

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