Georgia Living Will Form (Advance Directive)

The Georgia living will is

How to Write

Living Will

Enter principal`s details.

  • Date.
  • Principal`s name.


1) Prolonging Of Treatment

Check box to denote specific conditions where life should not be prolonged.

  • A terminal condition.
  • Coma.
  • Permanent vegetative condition.


Life Sustaining Procedures

Check box to decide to withhold / withdraw life sustaining procedure.

  • Nourishment and hydration.
  • Nourishment but not hydration.
  • Hydration but not nourishment.
  • Neither nourishment nor hydration.


5) Pregnancy

Show understanding of authority of living will regarding pregnancy.

  • Initial to show understanding that living will is void if the principal becomes pregnant.


Principals details

Enter principals details.

  • Signature.
  • City.
  • County.
  • State.



Enter witnesses details and if required additional witness details.

  • Name of witnesses.
  • Address of witnesses.
  • Name of additional witness.
  • Title/position of additional witness.