Wyoming Advance Directive Form (Medical POA + Living Will)

A Wyoming advance directive is a document that tells physicians and other medical personnel how to carry out an individual’s wishes if they are incapacitated and cannot speak for themselves. An agent may be selected who can make decisions and help guide the medical intentions of the patient. The agent may only do so when the principal is no longer of sound mind.


Signing Requirements (§ 35-22-403(b)) – Acknowledged before a notary public or signed by two (2) witnesses.

State Definition (§ 35-22-402(a)(i)) – “Advance health care directive” means an individual instruction or a power of attorney for health care, or both.

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Versions (4)

Cheyenne Regional Health Systems

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Wyoming Medical Center

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National Hospice and Palliative Care Organization

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blankCatholic Diocese of Cheyenne

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