Healthcare Directive
Customized Agreements
Living Will / Health Care Declaration
Record your medical-treatment wishes for a future time when you cannot make or communicate healthcare decisions yourself. Locke starts with the state because the legal form, trigger, execution rules, and medical-order boundary are not uniform.
Also called: living will, health care declaration, treatment directive.

What you walk away with
A clean multi-page PDF and DOCX after you finish — not a web-form dump. Preview the document before you pay.
- PDF export
- DOCX export
- E-sign included
- No subscription
Living-will terminology and legal effect vary by state. Where a current official or statutory form body is pinned, that body replaces the generic treatment checklist. Other states receive the base treatment instrument plus that state's execution, pregnancy, and medical-order rules. This product is not a healthcare-agent appointment and is not a clinician/EMS medical order. Locke Direct is not a law firm.
Jurisdiction details
See how this document starts in your state
Choose the state where the document will be used. The state page shows the maintained coverage level, local-rule limits, and a builder link with the canonical state code already selected.
When this fits
Use this document when…
- Advance treatment planning before illness or injury
- Standalone treatment instructions without appointing a healthcare agent
- Coordinating written treatment wishes with an existing healthcare proxy
- Recording pregnancy-related and execution rules that vary by state
Before you start
Information you will need
- State, county, and address from the jurisdiction-first workflow
- Legal name, current address, and signing date
- Treatment elections required by the selected state's directive model
- Optional values/additional instructions where the selected form allows them
- Whether separate agent or clinician-order documents already exist
What you receive
- State-routed treatment directive
- State-specific execution module or state-form route
- PDF and editable DOCX after purchase
- Deterministic structured and free-text conflict checks
Document questions
Questions about this document
What is a Living Will / Health Care Declaration?
Record your medical-treatment wishes for a future time when you cannot make or communicate healthcare decisions yourself. Locke starts with the state because the legal form, trigger, execution rules, and medical-order boundary are not uniform.
How do I create a Living Will / Health Care Declaration?
Advance treatment planning before illness or injury; Standalone treatment instructions without appointing a healthcare agent; Coordinating written treatment wishes with an existing healthcare proxy
What should a Living Will / Health Care Declaration include?
State, county, and address from the jurisdiction-first workflow; Legal name, current address, and signing date; Treatment elections required by the selected state's directive model; Optional values/additional instructions where the selected form allows them; Whether separate agent or clinician-order documents already exist
Special situations
- States requiring substantially prescribed or official form wording
- Pregnancy-related statutory restrictions
- Existing health-care proxy or clinician medical order
- Facility-specific witness or ombudsman requirements
- Conflicting free-text and structured treatment instructions
Product scope
Choose the right level
Current level
This Customized Agreements product
Record treatment wishes without appointing a healthcare agent or creating a medical order.
Not included at this level
- Healthcare-agent appointment
- Healthcare power of attorney
- POLST/MOLST/POST/MOST/DNR/DNI medical order
- Organ-donor registry enrollment
Frequently asked questions
Does this appoint a healthcare agent?
No. This product records treatment wishes. Use the separate Advance Healthcare Directive and Medical Power of Attorney to appoint a decision-maker.
Is this a DNR or POLST?
No. Clinician and EMS medical orders are separate state-specific instruments.
Why do some states ask different questions?
Some states have a pinned official or statutory living-will body, so Locke asks that form's elections instead of translating a national checklist. Other states, including New Jersey, stay on the base treatment instrument plus that state's execution, pregnancy, and medical-order rules because the statute does not require one official form.
What if my free text conflicts with a treatment choice?
Final generation is blocked until the conflict is corrected. Locke checks treatment-directed free text and out-of-scope attempts to appoint an agent.
Does the price appear on the signed document?
No. Catalog price lives in the product tier table. The living will itself does not print a dollar amount, so a later price change does not require rewriting the instrument.
Related documents
Not legal advice
Locke Direct helps structure documents and workflows. It does not replace a qualified lawyer for complex, unusual, or high-risk situations.
Last reviewed August 20, 2026.