Account
Get our app
Account Sign up Sign in

MAKE YOUR FREE North Carolina Advance Directive

Make document
North Carolina Advance Directive document preview

Create Your Document In Just 3 Easy Steps:

Build your document

Build your document

Answer a few simple questions to make your document in minutes

Right-facing arrow
Save now, finish later

Save now, finish later

Start now and save your progress, finish on any device

Right-facing arrow
Download, print & share

Download, print & share

Store securely, share online and make copies

Right-facing arrow
OTHER NAMES North Carolina Living Will North Carolina Advance Healthcare Directive North Carolina Medical Directive North Carolina Advance Medical Directive North Carolina Advance Health Care Directive

What is a North Carolina Advance Directive?

A North Carolina Advance Directive is a legal document that outlines your wishes with regard to medical care, such as your request for or refusal of a specific medical treatment, and/or the naming of a chosen healthcare decision maker or "agent." 
 
The person making an Advance Directive is called the "principal," and the people or entities obtaining permission to carry out the principal's wishes are called "agents." Designed for North Carolina residents, this free Advance Directive can be used in Wake County, Guilford County, Mecklenburg County, and in every other part of the state. Each North Carolina Advance Directive from Rocket Lawyer can be edited to address your particular situation. As a result of this essential document, your healthcare providers will have a point of reference for your preferences, and your agent(s) will be able to provide proof that they have been given the authority to make choices for you.

When to use a North Carolina Advance Directive:

  • You're making sure your loved ones aren't put in the position of making important end-of-life healthcare decisions for you.
  • You're about to draft a complete estate plan, and want to make sure life-sustaining treatments are covered.

Sample North Carolina Advance Directive

The terms in your document will update based on the information you provide

This document has been customized over 13.4K times
Legally binding and enforceable
Complies with relevant laws
Ask a lawyer questions about your document

LIVING WILL

and

HEALTH CARE POWER OF ATTORNEY

DECLARATION

and

HEALTH CARE POWER OF ATTORNEY

(LIVING WILL)

(HEALTH CARE PROXY)

(LIVING WILL AND HEALTH CARE PROXY)

DECLARATION

and

HEALTH CARE PROXY

LIVING WILL

and

MEDICAL DURABLE POWER OF ATTORNEY

DOCUMENT CONCERNING WITHHOLDING OR WITHDRAWAL OF LIFE-SUPPORT SYSTEMS

HEALTH CARE INSTRUCTIONS

DOCUMENT CONCERNING THE APPOINTMENT OF A HEALTH CARE REPRESENTATIVE FOR HEALTH CARE DECISIONS

OF

DECLARATION

and

HEALTH CARE POWER OF ATTORNEY

LIVING WILL

and

DESIGNATION OF HEALTH CARE SURROGATE

DECLARATION

and

STATUTORY FORM

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

A LIVING WILL

A Directive to Withhold or to Provide Treatment

and

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

LIVING WILL DECLARATION

and

COMBINED DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND HEALTH CARE REPRESENTATIVE APPOINTMENT

DECLARATION

and

DESIGNATION OF ADVOCATE FOR HEALTH CARE DECISIONS

HEALTH CARE POWER OF ATTORNEY

DECLARATION OF A DESIRE FOR A NATURAL DEATH

and

HEALTH CARE POWER OF ATTORNEY

HEALTH CARE DIRECTIVE

and

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

ADVANCE HEALTH-CARE DIRECTIVE

INSTRUCTIONS FOR HEALTH CARE

and

HEALTH CARE POWER OF ATTORNEY

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

DECLARATION

HEALTH CARE PROXY OF

ADVANCE DIRECTIVE OF

LIVING WILL DECLARATION

and

HEALTH CARE POWER OF ATTORNEY

ADVANCE CARE PLAN

HEALTH CARE POWER OF ATTORNEY

LIVING WILL

ADVANCE DIRECTIVE

and

MEDICAL POWER OF ATTORNEY

HEALTH CARE DIRECTIVE

and

DURABLE POWER OF ATTORNEY FOR HEALTH CARE

DECLARATION TO PHYSICIANS

(WISCONSIN LIVING WILL)

and

HEALTH CARE POWER OF ATTORNEY

LIVING WILL

AND

MEDICAL POWER OF ATTORNEY

 

I. LIVING WILLI. ADVANCE DIRECTIVEI. DECLARATIONI. DOCUMENT CONCERNING WITHHOLDING OR WITHDRAWAL OF LIFE SUPPORT SYSTEMSI. A LIVING WILL - A DIRECTIVE TO WITHHOLD OR TO PROVIDE TREATMENTI. LIVING WILL DECLARATIONI. HEALTH CARE INSTRUCTIONSI. DECLARATION OF A DESIRE FOR A NATURAL DEATHI. HEALTH CARE DIRECTIVEI. DECLARATION TO PHYSICIANS (WISCONSIN LIVING WILL)Declaration made this ______ day of ____________________, _____. I, , willfully and voluntarily make known my desire that my dying not be artificially prolonged under the circumstances set forth below, and I do hereby declare:This is an important legal document known as an advance directive. It is designed to help you communicate your wishes about medical treatment at some time in the future when you are unable to make your wishes known because of illness or injury. These wishes are usually based on personal values. In particular, you may want to consider what burdens or hardships of treatment you would be willing to accept for a particular amount of benefit obtained if you were seriously ill. You are encouraged to discuss your values and wishes with your family or chosen spokesperson, as well as your physician. Your physician, other health care providers, or medical institution may provide you with various resources to assist you in completing your advance directive. Brief definitions are listed below and may aid you in your discussions and advance planning. Initial the treatment choices that best reflect your personal preferences. Provide a copy of your directive to your physician, usual hospital, and family or spokesperson. Consider a periodic review of this document. By periodic review, you can best assure that the directive reflects your preferences. I, , being of sound mind, willfully and voluntarily make this Declaration for my care to be followed if I become unable to express my desires directly as a consequence of physical or mental incapacity or disability, regardless of whether this is caused by illness, accident, or other injury. This document is intended to direct all persons who are involved with my care including my relatives, physicians or personal representatives which I have appointed, or which hereafter may be appointed by the courts.
even if my attending or treating physician and another consulting physician have determined that there is no reasonable medical probability of my recovery from such condition, I direct that life-prolonging procedures be continued to prolong my life as long as possible within the limits of generally accepted health care standards.

__________ (initial) I have a terminal condition

__________ (initial) or I have an irreversible condition

__________ (initial) or I am in a persistent vegetative state

AND if my attending or treating physician and another consulting physician have determined that there is no reasonable medical probability of my recovery from such condition, I direct that life-prolonging procedures be withheld or withdrawn when the application of such procedures would serve only to prolong artificially the process of dying, and that I be permitted to die naturally with only the administration of medication or the performance of any medical procedure deemed necessary to provide me with comfort care or to alleviate pain.

 

TO RECEIVE artificially administered nutrition and hydration (food and fluids).NOT TO RECEIVE artificially administered nutrition and hydration (food and fluids) procedures, except as deemed necessary to provide me with comfort care.However, if at any point it is determined that it is not possible that the fetus could develop to the point of live birth with continued application of life-prolonging procedures, it is my preference that this document be given effect at that point. If life-prolonging procedures will be physically harmful or unreasonably painful to me in a manner that cannot be alleviated by medication, I request that my desire for personal physical comfort be given consideration in determining whether this document shall be effective if I am pregnant. I have discussed these decisions with my physician and have also completed a Physician Orders for Scope of Treatment (POST) from that contains directions that may be more specific than, but are compatible with, this Directive. I hereby approve of those orders and incorporate them herein as if fully set forth. I have not completed a Physician Orders for Scope of Treatment (POST) form. If a POST form is later signed by my physician, then this living will shall be deemed modified to be compatible with the terms of the POST form.

 

I designate , who may be reached at , as my Primary Physician.

 

 

 

 

 

 

 

 

including but NOT including . unless I initial the following line:

 

(YOU MUST DATE AND SIGN THIS LIVING WILL AND DESIGNATION

(YOU MUST DATE AND SIGN THIS DESIGNATION

IN THE PRESENCE OF TWO WITNESSES)

I affirm that this Living Will and Designation is not being made as a condition of treatment or admission to a health care facility. I have read and understand the contents of this document and the effect of this grant of powers to my . I am emotionally and mentally competent to make this declaration.

I affirm that this Designation is not being made as a condition of treatment or admission to a health care facility. I have read and understand the contents of this document and the effect of this grant of powers to my . I am emotionally and mentally competent to make this declaration.

 

I designate , who may be reached at , as my Primary Physician.

We, the undersigned witnesses, state that in the presence of each other and we have witnessed the signing of this living will by . Further, at least one of us is not a spouse or blood relative of .

We, the undersigned witnesses, state that in the presence of each other and we have witnessed the signing of this Living Will and Designation by . I have not been appointed as 's or Alternate . At least one witness is not 's spouse nor blood relative.

I have not been appointed as 's or Alternate . At least one witness is not 's spouse nor blood relative.

 

Date: ______________________________

 

Date: ______________________________

The foregoing instrument was acknowledged before me this _____ day of ____________________, ______ by , who is personally known to me or who has produced ________________________________ as identification.

Before me, a Notary Public (or justice of the peace) in and for said county, personally appeared the above named , ________________________________, and ________________________________, who acknowledged that they did sign the foregoing instrument, and that the same is their free act and deed. In testimony whereof, I have hereunto subscribed my name at ________________________________, this _____ day of ____________________, ______.

This instrument was acknowledged before me on this _____ day of ____________________, ______ by .

On this _____ day of ____________________, ______, before me personally appeared , to me known to be the person described in and who executed the foregoing instrument, and acknowledged that he/she executed same as his/her free act and deed.

On this _____ day of ____________________, ______, before me, ________________________________, personally appeared , known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same as for the purposes therein contained.

In witness whereof, I hereunto set my hand and official seal.

 

_________________________________

My commission expires _____________

You should sign this document in the presence of a notary public. You should sign this document in the presence of two witnesses who then sign the document in your presence and in each other's presence. You should sign this document in the presence of a notary public and two witnesses who then sign the document in your presence and in each other's presence.

(your Agent)

You should discuss the document and your wishes with any person you want to designate as an Agent before doing so to assure they agree to act on your behalf.

 

Looking for something else?

Try Rocket Lawyer FREE for 7 days

Start your Premium Membership now and get legal services you can trust at prices you can afford. You’ll get:

All the legal documents you need—customize, share, print & more

Unlimited electronic signatures with RocketSign®

Ask a lawyer questions or have them review your document

Dispute protection on all your contracts with Document Defense®

30-minute phone call with a lawyer about any new issue

Discounts! Incorporate for FREE + hire a lawyer with up to 40% off*

*Free incorporation for new members only and excludes state fees. Lawyer must be part of our nationwide network to receive discount.

North Carolina Advance Directive FAQs

Collapse all
|
Expand all
  • How do I write an Advance Directive in North Carolina?

    It's simple and easy to record your medical preferences using a free North Carolina Advance Directive template from Rocket Lawyer:

    1. Make your Advance Directive - Provide a few simple details, and we will do the rest
    2. Send or share - Go over your wishes with your healthcare agent(s) or ask a legal question
    3. Sign and make it legal - Mandatory or not, witnesses and notarization are a best practice

    This method is, in many cases, much more affordable and convenient than meeting and hiring your average law firm. If necessary, you may fill out this Advance Directive on behalf of your spouse, an elderly parent, or another relative, and then help that person sign when ready. Please note that for an Advance Directive to be valid, the principal must be an adult who is mentally competent at the time of signing. If the principal is already unable to make their own decisions, a conservatorship might be necessary. When managing such a scenario, it is important to speak to an attorney .

  • Do I need to have an Advance Directive?

    Everyone over 18 years old ought to have an Advance Healthcare Directive (both a Living Will and a Healthcare Power of Attorney). While it is painful to think about, a time could come when you cannot make healthcare decisions on your own. Here are some common circumstances where you might find it helpful to make or update your Advance Directive:

    • You are planning to move into a community care facility
    • You are currently managing a terminal condition
    • You are getting older or dealing with ongoing health issues
    • You are facing the possibility of surgery or hospitalization

    Whether your North Carolina Advance Directive has been made in response to a recent change in your health or as part of a long-term plan, notarization and witnesses can help to protect your document if a third party questions its legitimacy. Please note that an Advance Directive is considered invalid during pregnancy in North Carolina.

  • Do I need to hire an attorney to review my Advance Directive in North Carolina?

    Making an Advance Directive is normally straightforward, but you or your agent(s) could still need advice. Getting another pair of eyes on the document could take a lot of time if you attempt to do it on your own. Another approach would be via the Rocket Lawyer On Call® network of attorneys. Premium members have the ability to ask for advice from an experienced lawyer or ask other questions. As always, you can live confidently with Rocket Lawyer by your side.

  • How much might it typically cost for an attorney to help me make an Advance Directive in North Carolina?

    The fees associated with finding and working with a law firm to make an Advance Directive could range between two hundred and one thousand dollars, depending on where you are located. Rocket Lawyer can offer much more protection than most other Advance Directive template websites that you might encounter. As a Rocket Lawyer member, you can get up to 40% in savings when hiring an Rocket Lawyer network attorney.

  • Am I required to do anything else after making a North Carolina Advance Directive?

    With a Rocket Lawyer membership, you will be able to make edits, save it as a PDF document or Word file, or print it out. In order to complete your Advance Directive, it should be signed. Your agent(s), care providers, and other impacted parties should get a copy of your final document.

  • Does an Advance Directive need to be notarized or witnessed in North Carolina?

    The laws for Advance Directives will vary in each state; however, in North Carolina, your Advance Directive needs notarization and the signatures of two witnesses. Witnesses to an Advance Directive cannot be your attending physician or mental health provider, nor can they be an employee of any healthcare facility, adult care, or nursing home where you are a patient or resident. Your spouse, relatives, heirs, and other beneficiaries are also prohibited. As a general standard, your witnesses must not be under 18 years old, and no witness should also be designated as your agent.

Ask a lawyer

Our network attorneys are here for you.
0/600 !

You've exceeded the character limit.

Rocket Lawyer On Call® Attorneys
Rocket Lawyer On Call<sup class="sub-6">®</sup> Attorneys

Make your free North Carolina Advance Directive now!

Answer a few simple questions to make your document in minutes.

Make document