Free Hawaii Living Will Form

A Hawaii living will is a written document that lets you state which medical treatments you want, or want withheld, if illness or injury leaves you unable to communicate your wishes.

Last Updated: September 2026. This guide is reviewed and updated regularly to reflect current Hawaii law. If you notice an error or outdated information, please contact us.

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It is governed by the state’s Uniform Health-Care Decisions Act, Haw. Rev. Stat. Chapter 327E, and it typically guides your family and health care providers on treatments such as artificial nutrition, hydration, and other life-sustaining care.

State law also provides an optional combined form that pairs a power of attorney for health care with your treatment instructions in a single document, so you can name a health care agent and record your wishes together.[2] FormsPal’s builder lets you create your living will, name a health care agent, and download a completed PDF or Word document to sign.

What Are the Signing Requirements for a Hawaii Living Will?

Hawaii’s living will, part of the Advance Health Care Directive under Haw. Rev. Stat. Chapter 327E, must be in writing and signed by you or, if you cannot sign, by someone else in your presence and at your direction. Two witnesses must then confirm that they watched you sign it or that you already told them you had signed it, or you can have the directive acknowledged before a notary public instead.[1]

At least one of your two witnesses cannot be related to you by blood, marriage, or adoption, and cannot be entitled to any part of your estate when you die.[1]

In short, a valid directive needs:

  • Your signature, or another person’s signature made in your presence and at your direction.[1]
  • Two witnesses who watched you sign or acknowledge the document, or a notary public instead.[1]
  • At least one witness who is not related to you and not entitled to your estate.[1]

Agent eligibility. Unless your agent is related to you by blood, marriage, or adoption, your agent cannot be an owner, operator, or employee of the health care institution where you are receiving care.[1]

Following these requirements helps make sure health care providers honor your directive when the time comes.

A witness may not be the agent named in the directive, and may not be a health care provider or an employee of a health care provider or facility (Haw. Rev. Stat. § 327E-3(c)).[1]

Your witnesses must be adults who know you personally, or you may sign before a notary instead (Haw. Rev. Stat. § 327E-16).[2]

You can revoke or replace your advance health care directive at any time (Haw. Rev. Stat. § 327E-16).[2]

Hawaii Living Will Form Details

Document NameHawaii Living Will Form
State Form NameHawaii Advance Health Care Directive
Signing RequirementsTwo Witnesses or Notary Public
Validity RequirementsSection 327E-3 of the Hawaii Revised Statutes
State Laws: Hawaii Revised Statutes, Chapter 327E

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Steps to Fill Out the Form

Filling out this form covers two parts. You give instructions about your care, and you can name a health care agent to decide for you if you cannot. You can fill in the downloaded PDF using FormsPal’s PDF editor before you print and sign it. Follow the form’s sections in order so your directive is complete and ready to sign.

  1. Complete the Declaration (page 2). Enter the date and your name and address to identify yourself as the principal completing the directive.
  2. Initial the Health Care Treatment List (page 2). Initial each treatment you would or would not want, such as CPR, artificial nutrition and hydration, ventilation, dialysis, blood transfusions, or organ transplants.
  3. Initial the End-of-Life Care Conditions (page 2). Initial the conditions under which your treatment choices should apply, such as a terminal condition or permanent unconsciousness.
  4. Add Additional Instructions (page 3). Use the blank space to add any instructions the printed choices do not cover. This section is optional.
  5. Appoint Your Health Care Agent (page 3). Name the person you want to make health care decisions for you, with their address and phone number.
  6. Name a Substitute Agent (page 4). List a backup agent to step in if your first choice is unavailable or unwilling to serve.
  7. Review the Powers Granted to Your Agent (page 4). Read through the listed powers. Leave this section blank for full authority, or note any limits you want to place on it.
  8. Review the Effective Date and HIPAA Release (page 6). Confirm when your agent’s authority begins and that it includes access to your medical records.
  9. Review the General Provisions (page 7). Read the remaining provisions that explain how the directive works.
  10. Review Governing Law and Revocation (page 8). Read how the directive can be revoked and which state’s law applies.
  11. Sign and Date the Form (page 8). Sign and date the directive yourself, or have someone sign it for you in your presence and at your direction.
  12. Complete the Witness Acknowledgment (page 8). Have two witnesses complete the witness acknowledgment and sign in your presence.
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Frequently Asked Questions

How to Make a Living Will in Hawaii?

To make a living will in Hawaii, you sign the directive yourself, or have someone sign it for you in your presence and at your direction. The signing must be witnessed by at least two individuals, or acknowledged before a notary public instead. Unless the agent is related to you by blood, marriage, or adoption, your health care agent cannot be an owner, operator, or employee of the health care institution where you are receiving care.[1]

Hawaii’s optional statutory form is organized in four parts.[2]

  • Part 1. Power of attorney for health care, where you name your agent.[2]
  • Part 2. Specific instructions about treatments such as artificial nutrition and pain relief.[2]
  • Part 3. Organ donation, optional.[2]
  • Part 4. Naming a primary physician, optional.[2]

Keep your signed directive where family members and providers can find it, and give copies to your health care agent and your physician.


General information, not legal or tax advice.

Sources

Unless noted otherwise, the sources below are from the Haw. Rev. Stat..

  1. Haw. Rev. Stat. § 327E-3.
  2. Haw. Rev. Stat. § 327E-16.
Published: Jun 19, 2024
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.