Free Alaska Advance Directive & Living Will

Build a complete Alaska advance directive in minutes — free, no account. Name a health care agent, record your end-of-life wishes, and download a ready-to-sign PDF with Alaska's correct signing requirements.

A free directive — not legal or medical advice.

This builds a Alaska advance directive: it names a health care agent to decide for you and records your end-of-life wishes. It works only when you sign it as Alaska requires (see the signing steps). RecordingLaw.com is not a law firm.

About you

Your health care agent

The person who will make medical decisions if you can't speak for yourself — the most important choice.

Note: in Alaska, your agent cannot be The agent may not be the principal's supervising health care provider, or an employee of the health care institution where the principal is a patient, unless that person is a relative of the principal.

Your end-of-life wishes

If you are terminally ill or permanently unconscious with no recovery expected.

If I am dying and will not recover, I want:

Note: Alaska law may suspend these wishes during pregnancy.

Other wishes (optional)

Before you sign — Alaska notes

This directive has NO legal effect until you sign it. To make it valid in Alaska: A competent adult signs the Advance Health Care Directive and either has it notarized or signs before two qualified witnesses who personally know the principal. Witnesses cannot be the agent, the care provider, or its employees; at least one must be unrelated and not an heir. The agent cannot be the supervising provider or facility employee unless a relative. Pregnancy (AS 13.52.055) suspends withdrawal of life-sustaining procedures when the fetus could reach live birth.

Witness rules: a witness must NOT be An advance directive must be signed by the principal and either (a) acknowledged before a notary public, OR (b) signed by at least two qualified witnesses who personally know the principal and witnessed the signing or acknowledgment. A witness may NOT be: the appointed agent; the principal's health care provider; an employee of the health care provider; or an employee of the health care institution/facility where the principal is receiving care. At least one witness must NOT be related to the principal by blood, marriage, or adoption and must not be entitled to a portion of the estate.

Your agent cannot be The agent may not be the principal's supervising health care provider, or an employee of the health care institution where the principal is a patient, unless that person is a relative of the principal.

Alaska lets you use EITHER 2 witnesses OR a notary — you do not need both.

Pregnancy: Alaska law may suspend your living-will instructions while you are pregnant. AS 13.52.055 (Pregnancy): an advance directive or surrogate decision may NOT be given effect if (1) the patient is a pregnant woman who lacks capacity, (2) the directive/decision is to withhold or withdraw life-sustaining procedures, (3) withholding/withdrawing would likely result in the patient's death, AND (4) it is probable the fetus could develop to the point of live birth if life-sustaining procedures are continued. Does not apply to emergency field services.

Alaska also publishes an official statutory directive form (AS 13.52.300 (optional statutory advance health care directive form); execution under AS 13.52.010); this document is a valid alternative that covers the same ground.

After signing, give copies to your agent, your alternate, and your doctor, and keep the original somewhere accessible. An advance directive is not filed with a court.

This is a general-purpose directive and is not legal or medical advice. For complex wishes, a serious illness, or detailed treatment limits, talk to your doctor and an estate-planning attorney. RecordingLaw.com is not a law firm.

Enter your name and your agent's name to download.

Or email yourself a copy (PDF)

Advance Health Care Directive of [YOUR FULL NAME]

PART I — DECLARATION

I, [YOUR FULL NAME], of [CITY], Alaska, being of sound mind, make this Advance Health Care Directive to state my wishes for my medical care and to appoint a person to make health care decisions for me if I cannot make them myself. I revoke any prior advance directive, living will, or health care power of attorney I have made.

PART II — MY HEALTH CARE AGENT

I appoint [AGENT NAME] as my health care agent.

My agent's authority takes effect when my attending physician determines that I am unable to make my own health care decisions, and ends if I regain that ability.

My agent may make any health care decision I could make, including consenting to, refusing, or withdrawing any medical care, treatment, or procedure; choosing and changing my doctors and care facilities; and arranging for my comfort and pain relief. My agent must follow my wishes as stated in this document and otherwise act in my best interest.

I authorize my agent to obtain and review my medical information, and I make my agent my personal representative under the Health Insurance Portability and Accountability Act (HIPAA) for that purpose.

PART III — LIVING WILL — MY END-OF-LIFE WISHES

If I am terminally ill, permanently unconscious, or in an end-stage condition with no reasonable expectation of recovery, I do NOT want life-sustaining treatment (such as CPR, a ventilator, or dialysis) that would only prolong the process of dying. I direct that such treatment be withheld or withdrawn and that I be allowed to die naturally, receiving only care for my comfort.

I do NOT want artificially administered nutrition and hydration if it would serve only to prolong the process of dying.

Regardless of my other choices, I always want to be kept as comfortable and free of pain as possible, even if medication to relieve my pain may hasten my death.

Note about pregnancy: under Alaska law, this living-will instruction may be limited or suspended if I am pregnant. AS 13.52.055 (Pregnancy): an advance directive or surrogate decision may NOT be given effect if (1) the patient is a pregnant woman who lacks capacity, (2) the directive/decision is to withhold or withdraw life-sustaining procedures, (3) withholding/withdrawing would likely result in the patient's death, AND (4) it is probable the fetus could develop to the point of live birth if life-sustaining procedures are continued. Does not apply to emergency field services.

PART IV — GENERAL PROVISIONS

This directive is governed by the laws of Alaska and is intended to be effective in any place where I may be. A copy of this directive has the same effect as the original. I may revoke it at any time by notifying my agent or health care provider, orally or in writing.

If any part of this directive is held invalid, the rest remains in effect. My health care providers and agent who act in good faith reliance on this directive are protected to the fullest extent of the law.

SIGNATURE

I sign this Advance Health Care Directive willingly, on this _____ day of ____________, 20____, at [CITY], Alaska.

____________________________________

[YOUR FULL NAME], Principal

WITNESSES — Each of us declares that the principal signed this directive in our presence, appeared to be of sound mind and free from duress, that we are each at least 18 years old, and that we are not disqualified from witnessing under this state's law (see the signing instructions for who may not witness).

Witness 1: ____________________________ Address: ____________________________

Witness 2: ____________________________ Address: ____________________________

(Alternatively, Alaska lets you have this directive notarized instead of witnessed — sign the notary block below OR use the witnesses above.)

STATE OF __________, COUNTY OF __________. Subscribed and sworn before me on __________.

____________________________________ Notary Public

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