Louisiana: Living Will and Advance Health-Care Instruction Requirements

Louisiana's declaration statute covers an adult's instruction to withhold or
withdraw life-sustaining procedures after a terminal and irreversible
condition. It offers a written advance-planning route and a narrower
oral-or-nonverbal route after diagnosis. This page excludes surrogate
declarations, broad health-care mandates, and clinician orders.

Requirements one by one

Written and nonwritten routes have different timing

Under § 40:1151.2(A), an adult may make a written declaration at any time
by personally signing in the presence of two witnesses. The operative rule does
not require a date, although the optional form contains one. An oral or
nonverbal declaration also needs two witnesses but is available only after
diagnosis of a terminal and irreversible condition. The physician records why
the adult could not make a written declaration.

Each witness is a competent adult, unrelated by blood or marriage, and not
entitled to any part of the declarant's estate under § 40:1151.1(15). The
Subpart does not substitute notarization for the two witnesses. Its printed
form is illustrative rather than mandatory and may be supplemented.

Two physicians certify one defined condition

A qualified patient must be diagnosed and certified in writing by two
physicians who personally examined the patient, one the attending physician.
Under § 40:1151.1(14), the terminal and irreversible condition is either a
continual profound coma with no reasonable chance of recovery or an injury,
disease, or illness expected to produce death where life-sustaining procedures
would only postpone death. The adult's own declaration does not require a
separate incapacity certification.

Nutrition, hydration, CPR, and comfort are expressly separated

Section 40:1151.1(8) includes invasive nutrition and hydration and CPR in
the definition of life-sustaining procedure, while excluding measures necessary
for comfort care. The illustrative form in § 40:1151.2(C) separately offers
withdrawal of all life-sustaining procedures including invasive food and water,
or withdrawal except nutrition and hydration. It directs natural dying with
medication and procedures necessary for comfort.

Pregnancy uses a 20-week ambiguity rule

Louisiana does not state blanket suspension throughout pregnancy. Instead,
§ 40:1151.9(E) requires an ambiguity to be interpreted to preserve life,
including unborn life, if an examining obstetrician finds both a probable
postfertilization age of at least 20 weeks and that the qualified patient's life
can reasonably be maintained to permit continued development and live birth.
The finding must be communicated to the statutory family and designated-person
classes.

Section 40:1151.9(A) separately says the Subpart does not authorize
assistance to suicide, mercy killing, euthanasia, or another affirmative or
deliberate act or omission to end life beyond natural dying.

Revocation is broad, but notice controls effectiveness

Under § 40:1151.3, the adult may revoke at any time regardless of mental
state or competency by directed destruction in the adult's presence, signed and
dated writing, or oral or nonverbal expression. Any method becomes effective
when communicated to the attending physician, who records the notice time and
date.

The optional Secretary of State registry accepts an original, multiple
original, or certified copy under § 40:1151.2(D). A registered declaration
also needs written revocation notice filed there; until the office notes it, a
physician or facility may rely on it in good faith. The statute permits a $20
registration fee and $5 revocation-notice fee.

Refusal requires transfer efforts

Once notified, the attending physician takes the steps needed for written
certification. Under § 40:1151.6, a refusing physician makes a reasonable
effort to transfer the patient; a facility whose policy prevents compliance
takes all reasonable transfer steps. Neither physician nor facility has a duty
to search the registry.

Good-faith compliance receives the immunity in § 40:1151.7, and a compliant
declaration is presumed voluntary. A declaration properly executed under
another state's laws is deemed validly executed under § 40:1151.9(D).

What trips people up

• Oral instructions are post-diagnosis only. The written route is available
  at any time.
• A notary does not replace the witnesses. Both adult routes use two
  disinterested witnesses.
• Nutrition and hydration are inside the defined procedure. The form makes
  invasive food and water a separate choice.
• Pregnancy is not a customizable checkbox. The statute uses an
  obstetrician's 20-week and maintainability findings to resolve ambiguity.
• Registered declarations need registry notice too. Physician notice makes
  revocation effective for care, while the filed copy needs written notice to
  the Secretary of State.

Common questions

Must I use the form printed in the statute?

No. Section 40:1151.2 calls it illustrative and allows other directions.

May someone else sign my written declaration?

The execution paragraph says the declarant signs in the witnesses' presence.
It provides no directed-signer substitute for initial execution.

Does the declaration need notarization?

No notary alternative appears. The statute uses two qualified witnesses.

Will Louisiana recognize a declaration signed elsewhere?

Yes. A declaration properly executed under another state's law is deemed
validly executed for Louisiana's Subpart.

Statutes and sources

• La. R.S. § 40:1151.1 — declaration, witness, qualified-patient,
  condition, life-sustaining-procedure, nutrition, CPR, and comfort definitions.
  Official text
  (accessed 2026-07-31).
• La. R.S. § 40:1151.2 — written and nonwritten execution, notice, medical
  record, illustrative form, treatment choices, and optional registry.
  Official text
  (accessed 2026-07-31).
• La. R.S. § 40:1151.3 — revocation methods, effectiveness, record notation,
  and registered-declaration revocation.
  Official text
  (accessed 2026-07-31).
• La. R.S. § 40:1151.6 — certification, transfer, and no registry-search
  duty. Official text
  (accessed 2026-07-31).
• La. R.S. § 40:1151.7 — immunity and voluntary-declaration presumption.
  Official text
  (accessed 2026-07-31).
• La. R.S. § 40:1151.9 — natural-dying boundary, out-of-state execution,
  and pregnancy ambiguity rule.
  Official text
  (accessed 2026-07-31).