Maine Health Care Advance Directive

Optional agent appointment, treatment instructions, provider designation, donation and funeral directions are distinct sections.

Jurisdiction
Maine
Purpose
Medical & health care
Source / form version
Revised March 2023; seventeen-page fillable packet
Resource format
PDF
Signing
Sign and date Part 6 with two witnesses at the same time. The separate DNR section also requires an authorized clinician’s signature.
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Sources checked: 2026-11-13. General information, not individual legal advice.

Choose the parts that serve your needs

This Maine packet contains an agent appointment, treatment preferences, a primary-provider designation, donation instructions, funeral choices, signatures, and a separate DNR form. You may complete the parts you want, but the advance directive requires the Part 6 signatures. Filling in an agent’s name alone does not complete it.

Sources: [1] [4] [2] [3]

Set the agent’s role and your treatment wishes

The agent section allows you to describe limitations and when authority should begin. Discuss the choices with the person you select. Treatment instructions can guide an agent or stand separately when no agent is named. If you add or cross out language, follow the packet’s directions for initialing and dating changes so your choices remain clear.

Sources: [1] [4] [2] [3]

Distinguish the directive from emergency orders

The packet requests two witnesses when you sign Part 6. Its DNR section is a different document for emergency resuscitation and must also be signed by a physician, nurse practitioner, or physician assistant. Do not assume that signing the advance directive alone creates a DNR order. Share the completed directive with your agent, providers, and anyone keeping a copy.

Sources: [1] [2] [3]

Common questions

Must I complete all seventeen pages?

No. The packet identifies optional parts. Complete the signature section for your directive and follow the separate requirements if you want the DNR document.

Sources: [2] [1]

Related forms and guides

Sources and verification

  1. Legal Services for Maine Elders / Maine Hospital Association: source and instructions (opens in a new tab)
  2. Signing and legal requirements (opens in a new tab)
  3. Authority and statutory guidance (opens in a new tab)
  4. Legal Services for Maine Elders / Maine Hospital Association: complete document (opens in a new tab)

HTTP200; seventeen pages; 78 PDF fields. Revised March 2023 visible throughout. Separate clinician-signed DNR requirement retained.

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.