Free Missouri Living Will Form

The Living Will Form in Missouri is called The Missouri Advanced Health Care Directive Form (Medical Power of Attorney + Living Will). This document is designed to help you to defend your rights and interests in a medical situation when you are no longer capable of taking responsibility, physically or mentally. With this document, you can plan forward your medical treatment, opt-out of certain procedures, choose a close friend or relative who can be in charge of decisions on your medical condition, and future medical manipulations. You can also decide whether you agree to become an organ donor or not and write your last wishes about your funeral.

missouri living will form

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Signing Requirements and Laws

In Missouri, the Living Will Form is regulated by Chapter 459 (Declarations, Life Support, and  § 459.010(4).

The creation of the Living Will Form according to sections 459.010 to 459.055 requires the following:

  • The age of the principal (the person who creates the form) must be over 18 years, and the principal must be competent.
  • The Lining Will must be written by hand.
  • It should have a signature and date written by the principal.
  • The process of creating a Living Will Form should be witnessed by two (or more) people over 18 years old if the living form is not “wholly” written by the principal.
  • Living Will has no power if the principal is pregnant.
  • The Living Form is active only when the principal falls into such a medical condition when he or she could not make decisions and take responsibility (a coma, dimension, vegetative state, etc.).

Missouri Living Will Form Details

Document Name Missouri Living Will Form
State Form Name Missouri Durable Power of Attorney for Health Care
Signing Requirements Two Witnesses
Validity Requirements Section 459.015
Powers Limitation Section 459.025
Avg. Time to Fill Out 13 minutes
# of Fillable Fields 48
Available Formats Adobe PDF; Microsoft Word
State Laws: Missouri Revised Statutes, Sections 459.010 to 459.055 and 459.250

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Steps to Fill Out the Form

These are the steps you need to complete to create a Living Will Form.

1. Download the form on our website

First of all, you need to download the printable living will and review the information on the top. If you agree with the information, you can continue to fill out the form. For more efficiency, use our convenient Online Forms Building Software to fill out the Living Will form.

You need to put in:

  • The date in dd/mm/yyyy format
  • Your printed name
  • Your signature
  • Your physical address
    Essential information section of Missouri living will document

2. Invite witnesses

There should be two (or more) adult witnesses. They also need to read the information on the top, and if they agree with it, they should fill out this information.

  • Signature of every witness
  • The printed name of every witness
  • The physical address of every witness
    Witnesses information section of document of living will for Missouri

3. Be aware of Revocation Provision

If you (the principal) would like to change your mind about the whole information you put in your Living Will Form or certain parts of it may be revoked any time, you need to provide this information:

  • Your printed name
  • Your signature
  • The date of your signature in mm/dd/yyyy format

4. Put your initials where needed

Put your initials in certain spaces to agree or disagree, to choose or refuse to use a number of medical treatments. Also, you need to decide whether you want someone to serve as your decision-making Agent. If you do, you need to choose Agent and Alternate Agent if the original agent won’t be available in an urgent situation. You have to fill the form and provide the following information:

  • Your name
  • Your complete home address
  • Full name of Attorney in Fact
  • Complete address of Agent
  • Home telephone number
  • Work telephone number
  • Name of Alternate Agent
  • Complete address of Alternative Agent
  • Home Phone number
  • Work Phone number
    Putting initials section of Missouri living will document

5. Acknowledge the Living Will

Read the statement, and if you agree, put in there the following information:

  • Enter your name
  • Date of the document in dd/mm/yyyy format
  • Your signature
    Acknowledgement section of form of Missouri living will

6. Do not forget to Notarize

Once the notary has witnessed all signatures, they will acknowledge by completing the form’s remainder as required by Missouri law and authenticating with the state seal.
Notarization section of living will template for Missouri


Published: Nov 3, 2020
Mara Erlach
Mara Erlach
Writer & Attorney
Mara has been practicing estate planning and trust law in California since 2003, taking pride in helping clients of all backgrounds and asset profiles form a complete and customized estate plan. Her specialties are: estate planning, wills and trusts, trust and probate administration.