• info@docscreator.com
  • +1 #########

Specific Instructions


Do you wish to provide specific instructions for your service provider?

Where you have not selected an Agent to make decisions for you, you may wish to leave specific instructions for your service provider.

Skip this step for now

Determination of Incapacity


Do you wish to designate the individuals who will determine your incapacity?


Skip this step for now

Confidential Information


I wish to provide instructions with respect to access to my confidential information.


Skip this step for now

Designate Agent for temporary care of minor children


Do you wish to designate an Agent for temporary care and education of minor children?


Skip this step for now

Organ Donation


Do you want to give directions about organ donation?


Skip this step for now

Revocation & Agent Acknowledgment


This Personal Directive may be revoked:

Do you want your Agent to sign and acknowledge your Personal Directive?


Skip this step for now

Notification of Incapacity


Do you wish to designate people who need to be notified in case you become incapacitated?

Other than yourself and your Agent, who else do you wish to be notified if you are declared incapable of making decisions for yourself.

Skip this step for now

Additional Instructions


Do you want to include additional instructions?


Skip this step for now