US-WI · Customized Agreements · State-informed

Wisconsin Living Will / Health Care Declaration

Locke uses the official-form living-will route for Wisconsin: Declaration to Health Care Professionals (Living Will). Combined-form agent, proxy, or donation sections stay VOID in this product. This document records treatment wishes only. It does not appoint a healthcare agent and is not Wisconsin DNR order / bracelet program.

State-informed coverageWisconsin selectedCounty nextAddress when relevant

Pinned Wisconsin record · not a catalog claim

What this Wisconsin instrument is

Topic	Maintained record
Instrument	Declaration to Health Care Professionals (Living Will)
Route	Official or statutory form, treatment part only
Healthcare agent	Not appointed by this document. Use the separate Advance Healthcare Directive and Medical Power of Attorney.
Medical order	In Wisconsin, do not represent this Living Will as the separate clinician/EMS medical-order instrument identified here. Separate instrument: Wisconsin DNR order / bracelet program.
Execution	Use the Wisconsin DHS F-00060 Living Will structure as Locke’s selected official-form implementation. Do not claim Wisconsin law requires that exact form; preserve current witness and treatment-election rules.
Pregnancy rule	Current law materially limits or suspends treatment instructions during pregnancy. The state pack must disclose the restriction and may not offer a choice that law does not permit.
Authority	Wis. Stat. Ch. 154 (checked 2026-08-20)

Visible coverage maturity · State-informed

What this coverage level means

Coverage area	Status	What that means
Product availability	Available	Living Will / Health Care Declaration is released for purchase and can begin with Wisconsin selected.
Coverage maturity	State-informed	This document resolves maintained state-family configuration blocks. That is not a claim that every action-specific state or local rule has been reviewed.
State configuration	Maintained	living-will-health-care-declaration:healthcare_directive__WI, version 2.2.0, Healthcare Directive.
County and address	Collected when relevant	These facts narrow the document context but do not prove that every local rule has been identified.
Attorney review	Customer-arranged	Legal advice is not included; counsel of the customer's choice may review the completed document.

What Locke collects

Information that shapes this document

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 this document covers

Built for the stated scope

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

Configuration record · living-will-health-care-declaration:healthcare_directive__WI · 2.2.0

How the Wisconsin lane enters this draft

Locke selects this document family’s maintained state configuration after the state answer is saved. County, address, and later interview answers narrow any clauses that use those facts.

Declaration to Health Care Professionals (Living Will)

STATE OF WISCONSIN DECLARATION TO HEALTH CARE PROFESSIONALS (WISCONSIN LIVING WILL) I, the information supplied in the interview, being of sound mind, voluntarily state my desire that my dying not be prolonged under the circumstances specified in this document. Under those circumstances, I direct that I be permitted to die naturally. If I am unable to give directions regarding the use of life-sustaining procedures or feeding tubes, I intend that my family and physician, physician assistant, or advanced practice registered nurse honor this document as the final expression of my legal right to refuse medical or surgical treatment. 1. TERMINAL CONDITION If I have a TERMINAL CONDITION, as determined under Wisconsin law, I do not want my dying to be artificially prolonged and I do not want life-sustaining procedures to be used. Feeding tubes if I have a terminal condition: the information supplied in the interviewYES, I want feeding tubes used if I have a terminal condition.the information supplied in the interview the information supplied in the interviewNO, I do not want feeding tubes used if I have a terminal condition.the information supplied in the interview If neither choice is made, feeding tubes will be used. 2. PERSISTENT VEGETATIVE STATE — LIFE-SUSTAINING PROCEDURES the information supplied in the interviewYES, I want life-sustaining procedures used if I am in a persistent vegetative state.the information supplied in the interview the information supplied in the interviewNO, I do not want life-sustaining procedures used if I am in a persistent vegetative state.the information supplied in the interview If neither choice is made, life-sustaining procedures will be used. 3. PERSISTENT VEGETATIVE STATE — FEEDING TUBES the information supplied in the interviewYES, I want feeding tubes used if I am in a persistent vegetative state.the information supplied in the interview the information supplied in the interviewNO, I do not want feeding tubes used if I am in a persistent vegetative state.the information supplied in the interview If neither choice is made, feeding tubes will be used. ATTENTION: You and the 2 witnesses must sign the document at the same time. Signed: Date: the information supplied in the interview Address: the information supplied in the interview Date of Birth: the information supplied in the interview I believe that the person signing this document is of sound mind. I am an adult and am not related to the person by blood, marriage, or adoption. I am not entitled to and do not have a claim on any portion of the person's estate and am not otherwise restricted by law from being a witness. Witness Signature: Date Signed: Print Name: Witness Signature: Date Signed: Print Name: DIRECTIVES TO ATTENDING PHYSICIAN, PHYSICIAN ASSISTANT, OR ADVANCED PRACTICE REGISTERED NURSE This document authorizes withholding or withdrawal of life-sustaining procedures or feeding tubes only under the conditions and certifications required by Wisconsin law. If a health-care professional cannot comply, the professional must follow Wisconsin's good-faith transfer requirements. If the patient is known to be pregnant, this document has no effect during pregnancy.

Separate Medical Order — Wisconsin

In Wisconsin, do not represent this Living Will as the separate clinician/EMS medical-order instrument identified here. Separate medical-order instrument: Wisconsin DNR order / bracelet program. This Living Will is not represented as that clinician/EMS medical order.

Locke is a document-assistance platform, not a law firm, and does not provide legal advice. Outputs require professional review; consult counsel of your choice.

Known coverage limit

County, municipal, court, and agency rules may still apply

Requirements may also depend on a Wisconsin county, municipality, city ordinance, rent board, local court, recorder, clerk, licensing authority, zoning district, property location, or another local body. Collecting a county and address does not mean Locke has identified every applicable local rule.

Related transactions in the same state lane

Before purchase

Questions about this state-configured document

Does a Wisconsin living will appoint a healthcare agent?

No. This Locke Direct product is treatment-wishes only. Agent appointment is a separate product.

Is the Wisconsin living will a Wisconsin DNR order / bracelet program?

In Wisconsin, do not represent this Living Will as the separate clinician/EMS medical-order instrument identified here.

How do I sign a Wisconsin living will?

Use the Wisconsin DHS F-00060 Living Will structure as Locke’s selected official-form implementation. Do not claim Wisconsin law requires that exact form; preserve current witness and treatment-election rules.

How is the Living Will / Health Care Declaration configured for Wisconsin?

After you select Wisconsin, Locke asks for the county and address, when relevant, and applies the maintained Wisconsin configuration for this document family to your answers.

Is this a guarantee that the Living Will / Health Care Declaration will be valid?

No. Locke assists with document generation and does not guarantee legal validity, enforceability, filing acceptance, or a particular outcome.

When is payment enabled?

You can preview first. Checkout is not enabled until you affirm the required acknowledgment that Locke Direct is not a law firm and does not provide legal advice.

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