- Jurisdiction
- Delaware
- Purpose
- Medical & health care
- Source / form version
- Undated 12-page state-hosted packet; PDF metadata September 2017
- Resource format
- Signing
- The linked older packet requests two qualified witnesses. Current §2504(d) requires one qualified adult witness and has updated exclusions; check those current requirements as well.
Preview PDF
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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.
What the state-hosted packet contains
The Delaware packet lets you name a health care agent and alternates, record treatment preferences, and address anatomical gifts. You may cross out optional sections that you do not want. Its opening language revokes earlier health care directives, so compare it with existing instructions before using it.
Read the edition warning first
This PDF remains linked by Delaware’s aging-services agency, but its instructions reflect an older statute. The upload address contains 2026; that is not a legal revision date. Current Delaware law is the Uniform Health-Care Decisions Act (2023). In particular, the newer signing rule differs from the packet’s two-witness and facility instructions.
Apply the current signing safeguards
Section 2504(d) requires a qualified adult witness who is not your agent or the agent’s spouse, domestic partner, or cohabitant. It also restricts facility owners, operators, employees, and contractors for residents or patients in nursing homes or long-term-care facilities. If using the older packet, ask your provider or lawyer to reconcile its instructions with current law, especially in a care facility. Give completed copies to your agent and health care team.
Common questions
Related forms and guides
Sources and verification
- Delaware Department of Health and Social Services: source and instructions (opens in a new tab)
- Signing and legal requirements (opens in a new tab)
- Authority and statutory guidance (opens in a new tab)
- Delaware Department of Health and Social Services: complete document (opens in a new tab)
HTTP200, 12 pages, no fillable fields. Important edition conflict disclosed: old two-witness directions versus current §2504(d). Do not label this PDF a current-law reviewed template.
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.