- Jurisdiction
- Wyoming
- Purpose
- Medical & health care
- Source / form version
- Revised 2023
- Resource format
- Signing
- Sign and date before a notary OR two eligible witnesses. The agent and specified treating-provider/facility personnel cannot witness.
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.
Use the appointment and instructions together
CaringInfo’s Wyoming packet contains a health care power of attorney, treatment instructions and optional organ-donation and primary-physician sections. It is a nonprofit publisher’s state-specific packet, not a government-issued form. Read the directions, complete the parts that fit your plan and keep the execution section with the chosen provisions.
Review when the agent may act
The form normally waits for the capacity determination described in its appointment clause. It offers an initialed choice for immediate authority. Explain your preferences and limits to the agent and any alternates before signing. While you can make your own decisions, the planning document does not erase that role.
Choose one execution route
Wyoming §35-22-403 allows a notarial acknowledgment or two eligible witnesses. The named agent, treating providers and specified facility personnel cannot serve as witnesses. Follow the declaration language in the form and make sure names and dates are complete. Give copies to your agent and care team, and review the directive when your wishes or contact details change.
Common questions
Do I need both a notary and two witnesses?
Wyoming’s statute provides alternative routes: acknowledgment before a notarial officer or two qualified witnesses. Use the route appropriate to your completed document.
Related forms and guides
Sources and verification
- CaringInfo — National Alliance for Care at Home: source and instructions (opens in a new tab)
- Publisher document download (opens in a new tab)
- Applicable state law or official guidance (opens in a new tab)
The CaringInfo 12-page PDF was downloaded and checked against official Wyo. Stat. §35-22-403. An older court-linked explanatory packet was rejected because it contradicted its own form about whether witnesses and notarization are both needed.
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.