Download signNow app
4.7 / 5 rating on

Living Will Form

Use a Living Will Form template to make your document workflow more streamlined.

What a living will form does

A Living Will Form records a person’s instructions about certain life-sustaining treatments if they later cannot communicate. It is an advance healthcare directive, not a last will and testament. The form generally identifies the declarant, states treatment preferences, names any relevant healthcare decision-maker, and includes signatures, witnesses, or notarization required by state law. signNow can help prepare, route, sign, and preserve the document workflow, but electronic execution does not replace state-specific formalities. Confirm acceptance requirements with the applicable state authority or qualified attorney before relying on the directive.

Who uses living will forms

Living wills are used by individuals and care organizations to document treatment preferences and provide authorized decision-makers with the correct record.

  • Healthcare practices use living wills to collect patient treatment preferences, route documents to authorized signers, and preserve records for care coordination.
  • Hospice organizations use living wills to document end-of-life instructions, limit access to designated staff, and retrieve signed directives during care transitions.
  • Families and estate-planning offices use living wills to organize state-specific directives, witness requirements, and securely shared copies for designated decision-makers.

These tasks are executed by both individual contributors and centralized administrators depending on organizational policy and required controls.

Why teams look for DocuSign alternatives

Organizations seek alternatives when they need different pricing models, stronger native automation, simpler bulk affidavit workflows, or more flexible identity-verification options than those available in a legacy envelope-based vendor.

Why teams look for DocuSign alternatives

State rules and document limits

Follow state law

State witness rules

Use required notary

Notarization requirement

Check excluded documents

ESIGN exclusions

Use the correct form

Wrong directive

How to complete a living will

Use this workflow to prepare the state-specific directive, capture required signatures, and preserve evidence of completion.

  • Choose the form:

    Select the state-specific Living Will Form and upload the approved document.
  • Check detected fields:

    Let signNow detect fillable fields, then verify treatment preferences and personal details.
  • Add required parties:

    Add required witnesses, notary instructions, or other participants before sending.
  • Complete and store:

    Send the directive, collect signatures, and store the completed file with its audit trail.
be ready to get more
Get legally-binding signatures now!
  • Best ROI. Our customers achieve an average 7x ROI within the first six months.
  • Scales with your use cases. From SMBs to mid-market, airSlate SignNow delivers results for businesses of all sizes.
  • Intuitive UI and API. Sign and send documents from your apps in minutes.

Recommended living will setup

Configure the workflow around signer identity, state-required formalities, audit evidence, and controlled access to health information.

SettingRecommendation
Authentication methodEmail verification with SMS OTP
Signature typeTyped or drawn electronic signature
Audit trailCapture timestamps and signer actions
Document retentionRetain under applicable state policy
EncryptionAES-256 at rest and TLS 1.2/1.3 in transit

Ways to send and sign living wills

  1. Use the web app when staff prepare a state-specific Living Will Form, verify fields, and coordinate required witnesses or notary instructions from a desktop.
  2. Use the mobile app when an authorized signer reviews treatment preferences away from the office and completes available fields on an iOS or Android device.
  3. Use kiosk mode for supervised on-site signing when an organization controls the device and must prevent the next signer from viewing earlier information.
  4. Use a shareable signing link when a designated recipient needs controlled access without repeated email exchanges, subject to identity verification and state-law formalities.

How the living will audit trail works

A signNow audit trail records who handled the living will, what actions occurred, and when the completed record was finalized.

01

Authenticate signer:

Verify signer identity through the selected email, SMS, or advanced authentication method.
02

Capture timestamp:

Record the signing event time and associated action in the audit trail.
03

Hash document:

Generate document integrity evidence for the completed living will file.
04

Seal document:

Seal the completed record so later changes are detectable.
05

Log activity:

Record signer actions, field completion, and delivery events for review.
06

Export evidence:

Retrieve or export the completed living will and its audit trail.

Security for living will records

Data at rest:

AES-256 encryption

Data in transit:

TLS 1.2/1.3 encryption

Security reporting:

SOC 2 Type II certified

Information security:

ISO 27001 certified

Health information:

HIPAA compliant with BAA

Electronic signatures:

ESIGN and UETA compliant

Protect personal information in living wills

  • Personal treatment preferences may expose sensitive health information when emailed, downloaded, or shared without controlled access.
  • Missing electronic consent disclosures can weaken evidence that the signer agreed to receive and sign the directive electronically.
  • Unrestricted template permissions may let unauthorized staff alter treatment instructions before the document reaches the signer.
  • Sending a living will to the wrong recipient can disclose private medical wishes and create a serious confidentiality incident.

Best practices for living will forms

Accurate state selection, careful review, and controlled distribution matter because living wills contain sensitive healthcare instructions.

Use the correct state form

Use the living will form approved or recognized in the patient’s state, and compare every required field against current state guidance before sending it for signature.

Review treatment preferences carefully

Ask the signer to review treatment choices carefully, confirm personal information, and complete every required field before adding a signature or initials.

Confirm witness and notary rules

Verify witness and notary requirements before completion, because an electronically signed document may still fail state formalities if the required witnessing or acknowledgment was omitted.

Secure the completed directive

Store the completed directive with its audit trail, restrict access to authorized personnel, and provide copies only to recipients permitted by the signer or applicable law.

Platform requirements for living wills

Complete a Living Will Form through a current Chrome, Firefox, Safari, or Edge browser on Windows or macOS. signNow uses TLS 1.2/1.3 for data in transit, and its iOS and Android apps support mobile document workflows.

  • Browser support Chrome, Firefox, Safari, Edge
  • Desktop systems Windows and macOS
  • Mobile access iOS and Android apps

Organizations handling living wills should use managed Windows, macOS, iOS, or Android devices with current security updates. Regulated deployments may also require API access, SSO provisioning, and carefully configured access controls. Validate certificate, witness, and notarization procedures separately because platform availability does not determine state-law validity.

Integrations for living will workflows

Connect living will workflows with healthcare records, cloud storage, identity controls, and business systems using named signNow integrations.

Salesforce
Procore
Zapier
Microsoft Teams
Hub spot
Box
Microsoft

Living will workflow examples

Living will workflows differ by state and organization, but each example connects document preparation with controlled signing and record handling.

Healthcare workflow

A healthcare organization can route a living will to the patient and designated parties while preserving a centralized completion record.

  • Patient preferences captured securely
  • Authorized recipients receive the final directive

The workflow keeps treatment instructions attached to the correct patient record and gives authorized personnel a clear completion history. State-specific witness or notarization requirements still control whether the signed document is legally effective, so the organization should validate each directive before relying on it.

Legal services

An estate-planning office can prepare state-specific living will templates and send them for review without repeatedly exchanging paper copies.

  • Templates preserve required fields
  • Audit trails document signing activity

A controlled template and audit trail can reduce transcription errors and clarify which version each client reviewed. The office must still confirm that the selected state form, witnesses, notary, and delivery instructions satisfy applicable advance-directive law.

Living will troubleshooting questions

Resolve signing and compliance issues by separating signNow workflow settings from the state-law requirements governing advance healthcare directives.

signNow Business includes templates and audit trails for routing a Living Will Form. If the workflow requires bulk sending, Business Premium adds bulk send, but state-specific content must still be reviewed individually.

A living will may require witnesses or notarization under state law. signNow can route documents and preserve signing evidence, but its electronic workflow does not eliminate an in-person or notarial requirement imposed by the applicable state.

For healthcare organizations, signNow identifies HIPAA compliance as requiring a business associate agreement. Confirm that the organization has the required BAA and apply access controls before handling protected health information.

If the signer cannot access the document, verify the recipient address, resend the invitation, or use a controlled signing link. Check authentication settings, including SMS OTP, before changing the signer or document.

The Business plan is listed at $8/user/month with annual billing, while Business Premium is $15/user/month and includes bulk send. Month-to-month pricing is higher; confirm the selected plan before rollout.

A completed electronic record should remain reproducible and include its audit trail. ESIGN and UETA recognize qualifying electronic signatures, but state advance-directive law controls witness, notarization, and acceptance requirements.

ROI at a Glance

Key performance indicators that demonstrate SignNow's proven track record.

28M+Documents signed
13+Years in business
4.6/5Average G2 rating

BE READY TO GET MORE

Get this form now!

If you believe that this page should be taken down, please follow our DMCA take-down process.