Free Florida Living Will Form

Updated:

A Florida living will is a written document that lets you state in advance whether you want life-prolonging medical treatment if you later become unable to communicate your own wishes. It is sometimes called an advance directive. It covers health care decisions only, and Florida law requires it to be signed by two witnesses.[1]

Florida living will form preview

Create a free high quality Florida Living Will online now!

Build Your Document

Answer a few simple questions to make your document in minutes

Save and Print

Save progress and finish on any device, download and print anytime

Sign and Use

Your valid, lawyer-approved document is ready

Download the Florida Living Will: PDF or Word (.docx) or OpenDocument (.odt)

If you change your mind later, you can revoke your Florida living will by creating a new one or by telling your health care providers and family that it no longer applies.

Signing Requirements and Laws

When you sign a living will, you state how you want your health care decisions made if you become unable to make or express them yourself. A living will can cover:

  • All consent to medical care, including withdrawing that consent.
  • Decisions about applying for and using benefits that cover the cost of your care.
  • Access to the health records and information needed to make those decisions.

Under Fla. Stat. § 765.303, the declaration takes effect if your primary physician and another consulting physician determine that you have a terminal condition, an end-stage condition, or are in a persistent vegetative state.[2]

A Florida living will is sometimes signed together with a separate designation of health care surrogate, which names someone to make decisions on your behalf. FormsPal’s builder above lets you create both at once. Many Floridians pair this document with a healthcare surrogate designation and instructions about life support, so your medical decisions are covered even if you cannot speak for yourself.

Courts, physicians, and family members can read these terms narrowly, so understand them well before you sign. Florida law requires two witnesses to sign the declaration, and at least one of them cannot be your spouse or a blood relative. If you are physically unable to sign the form yourself, one of the witnesses may sign your name for you, in your presence and at your direction.[1]

The person you name as surrogate may not witness the document that designates them, and at least one witness must be neither your spouse nor a blood relative (Fla. Stat. § 765.202(2)).[5]

Under Fla. Stat. § 765.302(1), any competent adult may make a living will at any time.[1]

If you have no advance directive and no surrogate is available, Florida law hands decisions in order to a court-appointed guardian, your spouse, an adult child (by majority), a parent, an adult sibling (by majority), an adult relative who has shown special care, a close friend, and then a qualifying clinical social worker (Fla. Stat. § 765.401(1)).[4]

Under Fla. Stat. § 765.104, a competent principal may amend or revoke an advance directive at any time by a signed and dated writing, by physically canceling or destroying it, by an oral expression of intent, or by a later, materially different directive. The change takes effect once it is communicated to the surrogate, provider or facility.[3]

Florida Living Will Form Details

Document Name Florida Living Will Form
State Form Name Florida Living Will
Signing Requirements Two Witnesses[1]
Avg. Time to Fill Out 13 minutes
# of Fillable Fields 48
Available Formats Adobe PDF; Microsoft Word
State Laws: Fla. Stat. §§ 765.302[1] and 765.303[2] (see Sources below)

Template Preview
Create a free high quality Florida Living Will online now!

Steps to Fill Out the Form

The screenshots under each step show the FormsPal Florida living will template filled with sample entries in blue, so you can see where each answer goes. The names, addresses, dates and amounts are examples only.

This form combines a living will with a Florida medical power of attorney, so work through it in order: state your health care wishes first, then name the agent who will carry them out if you cannot speak for yourself.

  1. Fill in the declaration. On page 2, enter today’s date and your name and address.
    Florida living will: living will declaration, filled with sample entries
    Step 1: sample entries, not a real living will.
  2. Initial your health care and end-of-life care choices. On pages 2 and 3, initial each condition, terminal condition, end-stage condition, or persistent vegetative state, that should put the declaration into effect, then confirm you are emotionally and mentally competent to make these decisions.
    Florida living will: health care and end of life choices, filled with sample entries
    Step 2: sample entries, not a real living will.
  3. Add additional instructions (optional). Use the blank lines on page 3 if you want to state any other wishes.
    Florida living will: additional instructions, filled with sample entries
    Step 3: sample entries, not a real living will.
  4. Name your health care agent. On page 3, name the person who will act as your medical power of attorney agent, along with their address and phone number.
    Florida living will: health care agent, filled with sample entries
    Step 4: sample entries, not a real living will.
  5. Name a substitute agent. On page 4, name a backup agent to serve if your first choice is unable to.
    Florida living will: substitute agent, filled with sample entries
    Step 5: sample entries, not a real living will.
  6. Review your agent’s powers. Pages 4 through 6 list the specific powers, labeled A through J, that you are giving your agent.
    Florida living will: agent powers
    Step 6: the part of the living will this step covers.
  7. Check when the power of attorney takes effect. Page 6 states that it becomes effective if you are later unable to make your own health care decisions.
    Florida living will: when the medical power of attorney takes effect
    Step 7: the part of the living will this step covers.
  8. Read the remaining provisions. Pages 6 through 8 cover topics such as HIPAA access, what happens if a court appoints a guardian, and how to revoke the document.
    Florida living will: hipaa release
    Step 8: the part of the living will this step covers.
  9. Sign and date the form. Provide your signature on page 8, in front of your two witnesses.
    Florida living will: sign and date, filled with sample entries
    Step 9: sample entries, not a real living will.
  10. Have your witnesses sign. Each witness prints their full name, home address, and phone number, then signs and dates the form on page 8.
    Florida living will: witness acknowledgment, filled with sample entries
    Step 10: sample entries, not a real living will.

Your surrogate may make all health care decisions while you are unable to, consult your providers, access your health information and apply for public benefits on your behalf (Fla. Stat. § 765.205(1)). You may also name an alternate surrogate, who serves if your first choice is unwilling, unable or unavailable (Fla. Stat. § 765.202(3)).[6]

Common Mistakes to Avoid

A few mistakes can keep a Florida living will from working the way you expect. Check for these before you sign, so your health care wishes and your medical power of attorney hold up when your family and physicians need them.

  • Using a generic or another state’s form instead of one written for Florida.
  • Leaving a witness line blank, or using a witness who is disqualified, such as your spouse or a blood relative.[1]
  • Not telling your health care agent, doctor, or family where to find the signed document.
  • Skipping the medical power of attorney section if you want to name a health care agent.

Frequently Asked Questions

Where Can I Get a Florida Living Will Form?

Florida’s living will statute includes a suggested declaration you can use as your own.[2] FormsPal’s builder above walks you through that same declaration, lets you name a health care agent, and produces a completed PDF or Word document you can print, sign, and keep with your medical records.

What Are the Requirements for a Living Will in Florida?

A Florida living will must be signed by the principal in the presence of two subscribing witnesses, and at least one of those witnesses cannot be the principal’s spouse or blood relative. If the principal cannot physically sign, a witness may sign the principal’s name in the principal’s presence and at the principal’s direction.[1] Florida law also provides a suggested form you can adapt for your own declaration.[2]

General information, not legal or tax advice.

Sources

Unless noted otherwise, the sources below are from the Fla. Stat..

  1. Fla. Stat. § 765.302.
  2. Fla. Stat. § 765.303.
  3. Fla. Stat. § 765.104.
  4. Fla. Stat. § 765.401.
  5. Fla. Stat. § 765.202.
  6. Fla. Stat. § 765.205.

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.