Advance Healthcare Directives

Forms

Updated Refund Policy

Refund requests must be made within 45 consecutive days of receipt of funds and will only be issued for amounts over $10.00.

Notice

Emergency Video Notarization Emergency Video Notarization is back! Following a vote in the NC Senate to override the veto of House Bill 556, Emergency Video Notarization (EVN) is again available to all NC Notaries. Emergency Video Notarizations are extended until July 1, 2025 at 12:01 am.

Advance Health Care Brochure (PDF)
Registration Form (PDF)

Registration Form (Word)
Removal Form (PDF)

Removal Form (Word)
Health Care Power of Attorney (PDF)

Health Care Power of Attorney (Word)
Advance Directive for a Natural Death ("Living Will")(PDF)

Advance Directive for a Natural Death ("Living Will") (Word)
Advance Directive for Mental Health Treatment (PDF)

Advance Directive for Mental Health Treatment (Word)
Organ/Tissue Donor Card (PDF)

Organ/Tissue Donor Card (Word)

Fees

The fee for each Advance Health Care Directive to be registered is $10.00. After the documents are filed, a Registry Card containing a unique file number and password will be issued to the applicant. The applicant can use the file number and password to access the directive(s) online 24 hours a day, 7 days a week, 365 days per year.

If paying by check, make checks payable to: "North Carolina Secretary of State"