Advance Directive Forms & Law
West Virginia Legislation

Click on the links below to download the Living Will and Medical Power of Attorney forms in a printable/viewable format. You will need Adobe Acrobat Reader to open them. Adobe Acrobat Reader can be downloaded free from the "Get Acrobat Reader" link below.

• Living Will Form in Adobe Acrobat Reader

• Medical Power of Attorney Form in Adobe Acrobat Reader

• Combined Medical Power of Attorney and Living Will Form in Adobe Acrobat Reader

• Physician Orders for Scope of Treatment (POST)  in Adobe Acrobat Reader - SAMPLE

• Do Not Resuscitate (DNR) Card - SAMPLE

• Directions on How to Copy POST Form

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NEW ADVANCE CARE BULLETINS

• DHHR Obligation to Serve as Health Care Surrogate

• OHFLAC Memo Addressing DNR Issues

• Warning Against Special Directive Attachment

LEGISLATION

• Health Care Decisions Act

• DNR Act

• Management of Intractable Pain Act - H. B. 4275

• Joint Policy Statement on Pain Management at the End of Life

• H.B. 2815 (Continuing Education for End-of-Life Care)

• Model Policy for the Use of Controlled Substances for the Treatment of Pain

ADVANCE CARE PLANNING FORMS AND TOOLS

• Advance Directives for Health Care Decision making: Frequently Asked Questions and Forms  -  (Click Here for Spanish Version)

• Assessing Decision-Making Capacity

• Assessing Decision-Making Capacity Flowchart

• “Job Description” for Medical Power of Attorney Representative and Healthcare Surrogate in West Virginia

• Mature Minor and Emancipated Minor

• Family Conversations - How to Talk with Your Family and Friends About Future Health Care Decisions

• POST Update: Respecting Patients' Wishes at the End of Life (CLICK HERE for Powerpoint presentation)

• Possible Directives for the Special Directives or Limitations section of the Living Will

• Surrogate Selection Checklist

• Uniform Determination of Death