- Jurisdiction
- Alabama
- Purpose
- Medical & health care
- Source / form version
- No revision date printed in the downloaded form.
- Resource format
- Signing
- The principal signs and dates; two qualified witnesses age 19 or older sign. The proxy and alternate have separate acceptance statements. No notary block is supplied.
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Open PDF in a new tab (opens in a new tab)Sources checked: 2026-11-13. General information, not individual legal advice.
Use both parts intentionally
This Alabama form begins with living-will choices and then offers the appointment of a health care proxy. It is designed for a person of sound mind who is at least 19. Choosing a proxy is separate from choosing treatment preferences, so read each section even if you already know whom you want to appoint.
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Tell the proxy how much discretion to use
The proxy section asks how written instructions and the proxy’s judgment should interact. Discuss those choices with the proposed proxy and alternate before obtaining their acceptance. The form separately addresses life-sustaining treatment and artificially provided food and water; a single unchecked item should not be assumed to answer all treatment questions.
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Arrange qualified witnesses
The witnesses attest that they are at least 19, are not the proxy or the person signing for you, are not related by blood, adoption, or marriage, will not inherit from you, and are not directly responsible for your medical bills. Use the signature and acceptance areas on the final pages, then share complete signed copies with your proxy and care team.
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Common questions
Is this a financial power of attorney?
No. A health care proxy addresses medical decisions. Managing bank accounts, property, or business affairs calls for a separate financial document.
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Is a notary the same as the two witnesses?
No. This published Alabama form calls for two qualified witnesses. A notarial stamp is not a substitute for completing its witness section.
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Related forms and guides
Sources and verification
HTTP 200; five pages, printable blanks. Witness qualifications and age 19 were read from the ADPH form; no fresh-edition date invented.
The date above records a source check. It does not certify that a form is suitable for your circumstances or that an attorney has reviewed your document. Read the publisher’s current instructions before use.