Form for Preparation of
Georgia Advance Health Care Directive
This advance directive for health care has four parts, listed below. Please read through the explanatory information (links provided) and then complete the online form. This will allow us to get documents ready for your signature, in the presence of witnesses.
- Part One: Health Care Agent
This part allows you to choose someone to make health care decisions for you when you cannot (or do not want to) make health care decisions for yourself. The person you choose is called a health care agent. You may also have your health care agent make decisions for you after your death with respect to an autopsy, organ donation, body donation, and final disposition of your body. You should talk to your health care agent about this important role. - Part Two: Treatment Preferences
This part allows you to state your treatment preferences if you have a terminal condition or if you are in a state of permanent unconsciousness. PART TWO will become effective only if you are unable to communicate your treatment preferences. Reasonable and appropriate efforts will be made to communicate with you about your treatment preferences before PART TWO becomes effective. You should talk to your family and others close to you about your treatment preferences. - Part Three: Guardianship
This part allows you to nominate a person to be your guardian should one ever be needed. - Part Four: Effectiveness and Signatures
This part requires your signature and the signatures of two witnesses. You must complete PART FOUR if you have filled out any other part of this form.