Free Wyoming Advance Directive & Living Will

Build a complete Wyoming 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 Wyoming's correct signing requirements.

A free directive — not legal or medical advice.

This builds a Wyoming 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 Wyoming 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 Wyoming, your agent cannot be The agent may not be the patient's supervising/treating health care provider, an employee of the health care institution where the patient is receiving care, or an operator/employee of a community or residential care facility where the patient resides, UNLESS related to the patient (Sec. 35-22-403).

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:

Other wishes (optional)

Before you sign — Wyoming notes

This directive has NO legal effect until you sign it. To make it valid in Wyoming: Any competent adult may make an Advance Health Care Directive combining end-of-life instructions and the appointment of a health care agent. A written individual instruction is valid even without witnesses, but the recommended (statutory optional) form is signed before a notary public OR two adult witnesses who are not your health care provider/employee, your named agent, or a care-facility operator/employee. No pregnancy exclusion applies.

Witness rules: a witness must NOT be Wyoming follows the Uniform Health Care Decisions Act: a written individual instruction need not be witnessed to be valid, but the optional statutory form (and prudent practice) calls for the directive to be signed before a notary public OR witnessed by two adult witnesses. A witness may NOT be: the patient's treating health care provider or an employee of the provider; the agent (attorney-in-fact) named in the directive; or the operator/employee of a community care facility or residential care facility where the patient is receiving care.

Your agent cannot be The agent may not be the patient's supervising/treating health care provider, an employee of the health care institution where the patient is receiving care, or an operator/employee of a community or residential care facility where the patient resides, UNLESS related to the patient (Sec. 35-22-403).

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

Wyoming also publishes an official statutory directive form (Wyo. Stat. Sec. 35-22-403 (optional Advance Health Care Directive form)); 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], Wyoming, 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.

PART IV — GENERAL PROVISIONS

This directive is governed by the laws of Wyoming 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], Wyoming.

____________________________________

[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, Wyoming 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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