Kentucky Health Care Surrogate and Living Will Form
Names a health care surrogate and backup for loss of decisional capacity, with separate treatment and organ-donation choices.
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Names a health care surrogate and backup for loss of decisional capacity, with separate treatment and organ-donation choices.
The statutory form is durable and immediately effective unless special instructions provide otherwise. It does not grant health care authority.
Sources checked: 2026-11-13. General information, not individual legal advice.
Kentucky’s financial statutory form is available below as an explicitly labeled Justia-hosted copy, with the official legislature source linked separately. Norton Healthcare supplies the medical surrogate and living-will form. Their signing methods differ; the medical download also has a preprinted notary county that must match the actual acknowledgment.
| Purpose | Form and guide | Document |
|---|---|---|
| Financial and property matters | Kentucky Statutory Durable Financial Power of Attorney Form | Publisher PDF · read complete instructions |
| Health care decisions | Kentucky Health Care Surrogate and Living Will Form | Publisher PDF · read complete instructions |
Use each form page for the complete document, the named publisher and its instructions. A financial appointment and a health care appointment serve different purposes.
Financial and property matters: Principal signs. Complete the supplied notarial acknowledgment; under KRS 457.050 acknowledgment creates a presumption that the signature is genuine..
Health care decisions: Sign and date with two qualified adult witnesses together in the principal’s presence, OR acknowledge before a qualified notary. Read KRS 311.625 witness/notary conflict restrictions..
These summaries identify the arrangements described by the cited law or selected form. Read the detail page for witness eligibility, exceptions and any differences between a publisher’s instructions and current law.
Discuss the role with your proposed agent and any successor. Read every page before signing, including notices, special powers, treatment choices and agent acknowledgments. Keep the instructions with the form, and give complete copies to the people or institutions that will rely on it.
The directory identifies the publisher and edition instead of implying that all documents come from government. Agency transactions, real estate recording and unusual arrangements can require additional steps.
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.