Form VA Form 10-0137 VA Form 10-0137 VA ADVANCE DIRECTIVE:DURABLE POWER OF ATTORNEY FOR HEALT

OMB Approval Number 2900-0556
Estimated Burden Avg: 30 minutes

VA ADVANCE DIRECTIVE:
DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL
This advance directive form is an official document where you can write down your preferences about your
medical care. If some day you become unable to make health care decisions for yourself, this advance
directive can help guide the people who will make decisions for you. You can use this form to name specific
people to make health care decisions for you and/or to describe your preferences about how you want to be
treated. When you complete this form, it is important that you also talk to your doctor, your family, or others
who may be involved in decisions about your care, to make sure they understand what you meant when you
filled out this form. A health care professional can help you with this form and can answer any questions
you might have. If more space is needed for any part of this form, you may attach additional pages. Be
sure to initial and date every page that you attach.
PART I: PERSONAL INFORMATION
SOCIAL SECURITY NUMBER

NAME (Last, First, Middle)

STREET ADDRESS

CITY, STATE AND ZIP CODE

HOME PHONE WITH AREA CODE

WORK PHONE WITH AREA CODE

MOBILE PHONE WITH AREA CODE

Privacy Act Information and Paperwork Reduction Act Notice
The information requested on this form is solicited under the authority of 38.C.F.R. §17.32. It is being collected to document your
preferences about your medical care in the event you are no longer able to express these preferences. The information you provide
may be disclosed outside the VA as permitted by law; possible disclosures include those described in the "routine uses" identified in
the VA system of records 24VA19, Patient Medical Record-VA, published in the Federal Register in accordance with the Privacy Act
of 1974. This is also available in the Compilation of Privacy Act Issuances via online GPO access at http://www.gpoaccess.gov/
privacyact/index.html. Completion of this form is voluntary; however, without this information VA health care providers may have
less information about your preferences. Failure to furnish the information will have no adverse effect on any other benefits which
you may be entitled to receive. The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in
accordance with the clearance requirements of section 3507 of this Act. The public reporting burden for this collection of information
is estimated to average 30 minutes, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. No person will be penalized for failing to
furnish this information if it does not display a currently valid OMB control number.

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VA ADVANCE DIRECTIVE: DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL
SOCIAL SECURITY NUMBER

NAME (Last, First, Middle)

PART II: DURABLE POWER OF ATTORNEY FOR HEALTH CARE
This section of the advance directive form is called a Durable Power of Attorney for Health Care. This section of the
form allows you to appoint a specific person to make health care decisions for you in case you become unable to make
decisions for yourself. This person will be called your Health Care Agent. Your Health Care Agent should be someone
you trust, who knows you well, and is familiar with your values and beliefs. If you become too ill to make decisions for
yourself, your Health Care Agent will have the authority to make all health care decisions for you, including decisions
to admit you to and discharge you from any hospital or other health care institution. Your Health Care Agent can also
decide to start or stop any type of clinical treatment, and can access your personal health information, including
information from your medical records. NOTE: Information about whether you have been tested for HIV or treated
for AIDS, sickle cell anemia, substance abuse or alcoholism cannot be shared with your Health Care Agent
unless you give special written consent. Ask your VA health care provider for the form you must sign (VA
Form 10-5345) if you wish to give permission for VA to share this information with your Health Care Agent.
A - HEALTH CARE AGENT

Initial the box next to your choice. Choose only one.
Initials

I do not wish to designate a Health Care Agent at this time.
(Skip this section and go to Part III, page 3.)

Initials

I appoint the person named below to make decisions about my health care if there ever comes
time when I cannot make those decisions.

Name (Last, First, Middle)
Street Address
Home Phone with Area Code

Relationship
City, State and Zip Code
Work Phone with Area Code

Mobile Phone with Area Code

B - ALTERNATE HEALTH CARE AGENT

Complete this section if you want to appoint a second person to make health care decisions for you in case
the first person you appointed is unavailable.
Initials

If the person named above cannot or will not make decisions for me, I appoint the person named
below to act as my Health Care Agent.
Relationship

Name (Last, First, Middle)
Street Address
Home Phone with Area Code

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City, State and Zip Code
Work Phone with Area Code

Mobile Phone with Area Code

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VA ADVANCE DIRECTIVE: DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL
SOCIAL SECURITY NUMBER

NAME (Last, First, Middle)

PART III: LIVING WILL
This section of the advance directive form is called a Living Will. This section of the form allows you to write
down how you want to be treated in case you become unable to make decisions for yourself. Its purpose is
to inform the people who will be making decisions about your care.
A - SPECIFIC PREFERENCES ABOUT LIFE-SUSTAINING TREATMENTS

This section gives you a place to indicate your preferences about life-sustaining treatments in particular
situations. Some examples of life-sustaining treatments are CPR (cardiopulmonary resuscitation), breathing
machine (mechanical ventilation), kidney dialysis, feeding tubes (artificial nutrition and hydration), and
medicines to fight infection (antibiotics). Think about each situation described on the left and ask yourself,
"In that situation, would I want to have life-sustaining treatments?" Place your initials in the box that best
describes your treatment preference. You may complete some, all, or none of this section. Choose
only one box for each statement.
Yes.
I would want to have lifesustaining treatments.
If I am unconscious, in a
coma, or in a persistent
vegetative state and there
is little or no chance of
recovery
If I have permanent severe
brain damage (for
example, severe dementia)
that makes me unable to
recognize my family or
friends

It would depend on
the circumstances.

No.
I would not want to have
life-sustaining treatments.

Initials

Initials

Initials

Initials

Initials

Initials

Initials

Initials

Initials

If I am confined to bed and
need a breathing machine
for the rest of my life

Initials

Initials

Initials

If I have pain or other
severe symptoms that
cannot be relieved

Initials

Initials

Initials

Initials

Initials

Initials

If I have a permanent
condition that makes me
completely dependent on
others for my daily needs
(for example, eating,
bathing, toileting)

If I have a condition that will
cause me to die very soon,
even with lifesustaining treatments
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VA ADVANCE DIRECTIVE: DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL
SOCIAL SECURITY NUMBER

NAME (Last, First, Middle)

PART III: LIVING WILL (Cont'd)
B - ADDITIONAL PREFERENCES

You may use this space to write any other preferences about your health care that are important to
you and that are not described elsewhere in this document. This may include general preferences
about how you would like to be cared for, or specific requests. For example, you might have clear
opinions about whether you would want a particular treatment (for example, a feeding tube or
blood transfusions). You might want to comment on treatment of pain, or whether you would want
life-sustaining treatments on a trial basis. Or you might want to write about your preferences
regarding treatment of mental illness.

C - HOW STRICTLY YOU WANT YOUR PREFERENCES FOLLOWED

Initial the box next to the statement that reflects how strictly you want your preferences to be followed.
Choose only one.
Initials

Initials

I want my preferences, expressed above in this Living Will, to serve as a general guide. I
understand that in some situations the person making decisions for me may decide
something different from the preferences I express above, if they think it is in my best
interest.
I want my preferences, expressed above in this Living Will, to be followed strictly, even if the
person who is making decisions for me thinks this is not in my best interest.

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VA ADVANCE DIRECTIVE: DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL
SOCIAL SECURITY NUMBER

NAME (Last, First, Middle)

PART IV: SIGNATURES
A - YOUR SIGNATURE
By my signature below, I certify that this form accurately describes my preferences.
SIGNATURE

DATE
B - WITNESSES' SIGNATURES

Two people must witness your signature. VA employees of the Chaplain Service, Psychology Service,
Social Work Service, or nonclinical employees (e.g., Medical Administration Service, Voluntary Service or
Environmental Management Service) may serve as witnesses. Other individuals employed by your VA
facility may not sign as witnesses to the advance directive unless they are your family members.
Witness #1
I personally witnessed the signing of this advance directive. I am not appointed as Health Care Agent in this advance
directive. I am not financially responsible for the care of the person making this advance directive. To the best of my
knowledge, I am not named in the person's will.
SIGNATURE

Date

Name (Printed or Typed)

Street Address

City, State and Zip Code

Witness #2
I personally witnessed the signing of this advance directive. I am not appointed as Health Care Agent in this advance
directive. I am not financially responsible for the care of the person making this advance directive. To the best of my
knowledge, I am not named in the person's will.
SIGNATURE

Date

Name (Printed or Typed)

Street Address

City, State and Zip Code

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VA ADVANCE DIRECTIVE: DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND LIVING WILL
SOCIAL SECURITY NUMBER

NAME (Last, First, Middle)

PART V: SIGNATURE AND SEAL OF NOTARY PUBLIC (Optional)

This VA Advance Directive form does not have to be notarized to be valid in VA facilities. However,
you may need to have this document notarized for it to be recognized outside the VA health care
setting. Space for a Notary's signature and seal is included below.
On this

day of

, in the year of

, personally appeared before

me

,

known by me to be the person who completed this document and acknowledged it as their free act
and deed. IN WITNESS WHEREOF, I have set my hand and affixed my official seal in the County
of

, State of

Notary Public

, on the date written above.
Commission Expires

.

[SEAL]

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