Wisconsin Advance Directive Form: Free Downloadable Health Care Power of Attorney & Living Will Template (2025)

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As an attorney who has drafted hundreds of estate planning documents for Wisconsin families over the past twelve years, I can tell you that one of the most important – yet most overlooked – steps you can take is completing a Wisconsin advance directive. Also called a Wisconsin health care directive or advance directive form, this single document combines your Health Care Power of Attorney and Living Will so your loved ones never have to guess what medical treatment you want if you become unable to speak for yourself.

In this guide, I’ll give you a completely free, attorney-reviewed Wisconsin advance directive form that complies with Wisconsin Statutes Chapter 154 and 155 (current as of 2025), explain every section in plain English, and walk you through exactly how to fill it out, sign it, and distribute it. You can download the fillable PDF at the end of this article – no email required.

What Is a Wisconsin Advance Directive and Why You Need One in 2025

A Wisconsin advance directive is a legal document that lets you appoint a health care agent (also called a health care power of attorney) and state your wishes about life-sustaining treatment, artificially supplied nutrition and hydration, pain relief, organ donation, and more.

Wisconsin is one of the few states that still uses two separate statutory forms – the Power of Attorney for Health Care (Chapter 155) and the Declaration to Physicians (Living Will) under Chapter 154. Fortunately, the Wisconsin Department of Health Services and most hospitals accept a combined document as long as it contains the required language from both statutes.

In my practice, I’ve seen families torn apart when a loved one ends up on life support with no written directive. Having a properly executed Wisconsin health care directive eliminates that heartbreak.

Key Components of the Wisconsin Advance Directive Form

The official Wisconsin advance directive forms contain four main parts:

Free Wisconsin Advance Directive Form – 2025 Updated Template

Below is my professionally drafted, combined Wisconsin advance directive form that meets or exceeds all statutory requirements under Wis. Stat. §§ 154.03, 155.10, and 155.20. It is formatted exactly like the forms accepted by UW Health, Froedtert, Aurora, and Mayo Clinic Wisconsin locations.

Download the free fillable PDF here: Wisconsin Advance Directive Form 2025 (PDF) (Updated November 2025 – complies with current Wisconsin law)

Step-by-Step Instructions: How to Complete Your Wisconsin Health Care Directive

1. Choosing Your Health Care Agent

Your agent should be someone you trust completely – usually a spouse, adult child, sibling, or close friend. Wisconsin law prohibits your attending physician or employees of your health-care facility from serving as your agent unless they are related to you by blood, marriage, or adoption (Wis. Stat. § 155.10(3)).

2. Deciding on Life-Sustaining Treatment

The Wisconsin living will portion only activates if two physicians certify you have either:

You have three basic choices:

OptionWhat it means
I want treatment to prolong lifeAll measures will be used to keep you alive
I want treatment withheld/withdrawn if it only prolongs dyingComfort care only – no ventilator, dialysis, etc.
I want my agent to decideMost flexible – recommended by most attorneys

In my experience, checking the box that gives your agent authority is the wisest choice because medicine changes rapidly and your agent can consider circumstances you never imagined.

3. Tube Feeding & Hydration

Wisconsin is one of the few states where you must make a separate decision about artificially supplied nutrition and hydration. Many clients initially say “no feeding tube,” but after discussion decide they would want nutrition if it kept them comfortable and pain-free.

4. Pain Relief & Comfort Care

I always recommend adding language that you want aggressive pain and symptom management even if it unintentionally shortens life – this is allowed under Wisconsin and federal law.

Witness Requirements for Wisconsin Advance Directive Forms

Your Wisconsin health care directive must be signed in front of either:

Most of my clients choose two witnesses because it’s simpler and free. The witnesses must be at least 18 years old and not named as your agent.

How to Make Your Wisconsin Advance Directive Legally Binding

  1. Download and fill out the form completely in black or blue ink (or type it).
  2. Sign and date in front of two witnesses OR a notary.
  3. Give copies to your agent, alternate agent, primary physician, and local hospital.
  4. Carry a wallet card (included in the download) stating you have an advance directive.
  5. Upload to the Wisconsin MyDirectives digital registry if desired (optional but helpful).

Frequently Asked Questions About Wisconsin Advance Directive Forms

Do I need an attorney to complete a Wisconsin health care directive?
No. The statutory forms are designed for laypeople. However, an attorney can customize provisions and avoid common mistakes.

Is the old 1990s Wisconsin form still valid?
Yes, but the newer forms are clearer and include organ donation and digital asset language.

Can I change my mind after signing?
Absolutely – you can revoke it at any time by destroying all copies, telling your doctor, or signing a new one.

Will hospitals in other states honor my Wisconsin advance directive?
Most states honor out-of-state directives under reciprocity laws, but carrying a national POLST form is wise for border areas (e.g., near Minneapolis or Chicago).

Official Sources & Citations

Important Disclaimer: This article and the attached Wisconsin advance directive template are provided for informational purposes only and do not constitute legal or medical advice. Laws change, and your individual situation may require customization. Always consult a qualified Wisconsin estate planning attorney or your physician before finalizing any advance directive.

Download your free 2025 Wisconsin advance directive form today and gain peace of mind knowing your wishes will be honored.

Download Free Wisconsin Advance Directive (PDF)