Five Wishes is the first living will that talks about your personal, emotional and spiritual needs as well as your medical wishes. It lets you choose the person you want to make health care decision for you if you are not able to make them for yourself. Five Wishes lets you say exactly how you wish to be treated if you get seriously ill.

Five Wishes is for anyone 18 or older – married, single, parents, adult children, and friends.

You may already have a living will or a durable power of attorney for health care. If you wish to use Five Wishes instead, all you need to do is fill out and sign a new Five Wishes as directed. As soon as you sign it, it takes away any advance directive you had before. To make sure the right form is used, please do the following:

  • Destroy all copies of your old living will or durable power of attorney for health care. Or you can write “revoked” in large letters across the copy you have. Tell your lawyer if he or she helped prepare those old forms for you.
  • Tell your health care agent, family members and doctor that you have filled out a new Five Wishes. Make sure they know about your new wishes.


To order a copy of Five Wishes, please contact:

Aging with Dignity

P.O. Box 1661

Tallahassee, Florida 32302-1661

Phone: (850) 681-2010

Hours: Monday – Friday, 9 a.m. to 5 p.m. EST



There is no cost to you to register your Advance Directive. There is no cost to health care providers to have access to your Advance Directive.

If you register your Advance Directive, you always have the right to revoke it.