Designation
Names the primary health care agent and at least one successor, with contact details and relationship to the principal to ensure clear delegation of decision authority.
A properly completed Wyoming Advance Directive preserves your treatment preferences, names a trusted decision-maker, and simplifies hospital processes during incapacity. It can prevent disputes, reduce delays in care, and give providers clear legal authority to follow your wishes.
Individuals planning for potential incapacity and families coordinating care preferences typically complete this form in advance.
Keep an executed copy accessible to your agent, primary care provider, and any care facility involved in treatment.
Names the primary health care agent and at least one successor, with contact details and relationship to the principal to ensure clear delegation of decision authority.
Specifies treatment choices such as life-sustaining measures, artificial nutrition, and pain management preferences so providers understand your wishes.
Defines agent powers (consent, withdraw treatment, access records); narrow or broad language affects agent actions and legal exposure.
Provides signature blocks for required witnesses or notary; execution method determines admissibility in medical settings and probate contexts.
Authorizes disclosure of protected health information to the agent so they can obtain medical records and speak with providers.
Explains how to revoke or amend the directive, and requests that providers follow the most recent document on file.
| Field | Configuration |
|---|---|
| Signer authentication | Email plus optional SMS code |
| Signature type | Typed, drawn, or uploaded signature |
| Document format | PDF/A recommended for archival |
| Storage | Encrypted cloud with audit trail |
Use an eSignature platform that supports secure authentication, audit trails, and export of signed PDFs for clinical records.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | Yes, 7-day trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
A patient scheduled for major surgery completes a directive in advance to document no extraordinary life-sustaining measures
An older adult with progressive disease designates a trusted agent and includes specific comfort-care preferences
Review upon any new serious medical diagnosis
Confirm preferences and agent contact details
Verify state requirements if you move jurisdictions
Reassess every 3–5 years or after major changes
Execute a revocation statement and notify providers