This is Georgia’s official form for naming a health care agent and writing down your treatment wishes. It replaces the old Georgia living will and durable power of attorney for health care. It does not cover finances — for that, use a Georgia Statutory Form Power of Attorney. You may fill out any of Parts One to Three, but you must complete Part Four. This is Georgia’s official form for naming a health care agent and writing down your treatment wishes.
Georgia residents and families reviewing advance directive for health care.
What you'll need
Read the packet’s instructions before completing its fields.
Follow the packet’s signing, witness and identification instructions.
How to complete it
Name your agent (Part One) Name the person who will make health care decisions when you cannot, plus optional back-up agents. Your doctor or another provider directly involved in your care cannot serve.
After-death choices (Section 5) Initial only if you want to limit autopsy, organ or body donation, or to name someone else for final arrangements and choose burial or cremation.
Treatment preferences (Part Two) Initial the conditions in Section 6 and ONE choice in Section 7 — (A), (B) or (C). Add anything else in Section 8. Initials must be handwritten in ink.
Guardian (Part Three — optional) Initial (A) to nominate your agent, or (B) to name someone else.
Sign before two qualified witnesses (Part Four) Witnesses must be 18+ and cannot be your agent, someone who inherits from you, or anyone directly involved in your care. Our notary can bring qualified witnesses for an additional fee and notarize the optional acknowledgment, which helps if you travel or move to another state.
This notarized affidavit lets you choose who will make your funeral, burial or cremation decisions, and record your wishes. Without one, Georgia law gives that right to family in a fixed order, starting with a spouse, which can lead to disputes. A health care agent named in your Georgia Advance Directive still comes first, so make sure the two documents agree.
This form lets doctors, hospitals and insurers share your medical information with a family member, agent, attorney or anyone else you choose. It is often signed alongside a power of attorney or advance directive so your agent can get records quickly. Many providers, insurers and attorneys prefer a notarized authorization because it proves the signature is yours.
Use this form to cancel all or part of a Georgia Advance Directive for Health Care, or an older Georgia living will or durable power of attorney for health care. A signed, notarized revocation is clear written proof for hospitals, doctors and your former agent. If you want new instructions, sign a new Georgia Advance Directive for Health Care, which automatically replaces earlier ones.
This is Georgia’s official statutory form for naming someone (your “agent”) to handle your financial and legal affairs. It is durable, meaning it stays in effect if you become incapacitated, unless you say otherwise in the Special Instructions. It does not cover medical decisions. For health care, use a Georgia Advance Directive for Health Care.
These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.