What Is a Living Will? How It Works and What to Include

The document that tells doctors and family what end-of-life care you'd want.

By No Brainer Forms Team Updated 3 min read

Key Takeaways

  • A living will is a written statement of the medical treatment you would or wouldn’t want if you’re terminally ill or permanently unconscious and can’t speak for yourself.
  • It typically covers life support, CPR, breathing machines, tube feeding, dialysis and comfort care.
  • It’s different from a last will and testament, which deals with property after death.
  • It works best paired with a health care power of attorney, which names someone to make decisions it doesn’t cover.
  • Every state recognizes living wills, but signing requirements, such as witnesses or a notary, vary.

What is a living will?

A living will is a legal document that tells your doctors and loved ones what kinds of medical treatment you want, or don’t want, if you become seriously ill or injured and can’t communicate. Despite the name, it has nothing to do with property. It’s about medical care while you’re still living.

It’s one type of advance directive, the umbrella term for documents that give instructions about your health care in advance. Some states call it a declaration, a directive to physicians or a health care directive. See living will vs. advance directive for how the terms fit together.

When does a living will take effect?

Usually only when two things are true:

  1. You can’t make or communicate your own decisions, and
  2. You’re in a condition your living will addresses, typically a terminal illness, a permanent vegetative state or end-stage condition, as certified by doctors under your state’s law.

Until then, you make your own decisions.

What a living will usually covers

  • CPR if your heart stops
  • Mechanical ventilation (a breathing machine)
  • Artificial nutrition and hydration (tube feeding and IV fluids)
  • Dialysis
  • Antibiotics and other treatments that prolong life
  • Comfort care and pain relief, often called palliative care, even if it may shorten life
  • Organ and tissue donation, in some forms

Living will vs. other documents

DocumentWhat it doesWhen it applies
Living willStates your wishes about life-sustaining treatmentTerminal illness or permanent unconsciousness when you can’t decide
Health care power of attorneyNames an agent to make medical decisionsWhenever you can’t make decisions
Last will and testamentDirects who receives your propertyAfter death
DNR orderA doctor’s order not to perform CPRSigned by a physician; applies in a medical setting
POLST or MOLSTDoctor’s orders for seriously ill patientsFollows the patient across care settings
How a living will compares with related documents

Why you need a living will

  • It spares your family an agonizing decision. Without instructions, loved ones may disagree, or carry guilt for whatever they choose.
  • It makes sure your values guide your care. Some people want every possible treatment; others prioritize comfort. Both are valid.
  • It avoids conflict and court. High-profile disputes over end-of-life care often involve patients who had no written wishes.

How to make a living will

  1. Think about what matters to you: quality of life, religious beliefs, how you’d feel about long-term life support.
  2. Talk with your doctor about what treatments mean in practice.
  3. Complete a living will that follows your state’s requirements; many states require two witnesses, a notary or both.
  4. Name a health care agent in a medical power of attorney to handle situations your living will doesn’t address.
  5. Give copies to your agent, your doctor and your hospital, and keep one accessible.

Frequently asked questions

Is a living will the same as a will?

No. A living will covers medical treatment while you’re alive but unable to communicate. A last will and testament covers who receives your property after you die.

Do I need a lawyer to make a living will?

No. Many people complete a living will themselves. What matters is that it meets your state’s requirements, such as being signed in front of witnesses or a notary.

Can I change or cancel my living will?

Yes, at any time while you’re competent. Destroy old copies and give your doctor and agent the new version.

Is a living will from one state valid in another?

Most states honor living wills that were valid where they were signed, but some have specific rules. If you move, review it under your new state’s law.

Who should have a copy of my living will?

Your health care agent, your primary doctor, any hospital where you’re treated and close family. Keep a copy where it can be found quickly.

Keep reading

Don’t leave your family guessing

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This guide is general educational information written by the No Brainer Forms Team. It is not legal advice, and No Brainer Forms is not a law firm. Laws and signing requirements vary by state; for advice about your situation, talk to a licensed attorney in your state.