Advance Directive (VA)

Virginia

This questionnaire helps you create a Virginia Advance Medical Directive. The form includes five "Options" (or parts):

  • Options I & II: Appointment of Health Care Agent lets you name someone to make decisions about your medical care if you can no longer speak for yourself, including decisions about life support. You can also choose the powers that your agent will have while making health care decisions for you.
  • Option III: Health Care Instructions lets you record instructions for the health care you want to receive or do not want to receive in certain situations.
  • Option IV: End of Life Instructions lets you say if you want life-sustaining procedures if you become terminally ill, are in a persistent vegetative state, or enter into an end-stage condition.
  • Option V: Anatomical Gift lets you record your wishes about organ donation and appoint an agent to make any such anatomical gift or organ, tissue, or eye donation after your death.

Self Service

Price: Free

Included in this service:

Advance Directive - Virginia (Guidance Notes)

Our use of cookies

We use necessary cookies to make our site work. We would also like to set some optional cookies. We won't set these optional cookies unless you enable them. Please choose whether this site may use optional cookies by selecting 'On' or 'Off' for each category below. Using this tool will set a cookie on your device to remember your preferences.

For more detailed information about the cookies we use, see our Cookie notice.

Necessary cookies

Necessary cookies enable core functionality such as security, network management, and accessibility. You may disable these by changing your browser settings, but this may affect how the website functions.

Functionality cookies

We'd like to set cookies to provide you with a better customer experience. For more information on these cookies, please see our cookie notice.