Living Wills and Advance Directives in Alabama | The Harris Firm LLC
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The Decision Nobody Wants to Make for You. Alabama Lets You Make It in Advance.
An Alabama Advance Directive for Health Care combines a living will, your written wishes about life-sustaining treatment, with a health care proxy, the person who speaks for you when you cannot. The Harris Firm LLC prepares them as part of every estate plan. Phone consultations are free.
Every family that has stood in an ICU hallway arguing about what Mom would have wanted was missing one document. It takes twenty minutes to sign and it settles the question before anyone has to guess. In Alabama it is called an Advance Directive for Health Care, and it does two jobs at once.
In short: Under Alabama’s Natural Death Act, Alabama Code § 22-8A-1 et seq., a competent adult can sign an advance directive that states whether they want life-sustaining treatment and artificially provided nutrition and hydration if they are terminally ill or permanently unconscious, and that names a health care proxy to make treatment decisions on their behalf.
Two parts, one document: The living will section records your instructions. The proxy section names the person who applies them and decides anything the instructions do not cover. You can sign either part alone, but the two together are what keep a family out of court.
How it is signed: In writing, by you, in the presence of two adult witnesses who are not your proxy, not related to you, not entitled to any part of your estate, and not responsible for your medical bills. No notary is required. Copies go to your physician, your proxy, and your hospital.
What it is not: It is not a will; it says nothing about property. It is not a do-not-resuscitate order; a DNR is a separate physician’s order. And it does not take effect while you can speak for yourself. It waits.
How an Alabama Advance Directive Works
The directive sits in a drawer, and in your physician’s file, until two things are true: you can no longer make or communicate your own decisions, and your attending physician and one other physician have determined that you are either terminally ill or injured, or permanently unconscious. Until then, you decide everything. Once those conditions are met, the living will section governs the treatments it addresses, and your proxy decides the rest.
The living will section asks two specific questions. If you are terminally ill or injured, do you want life-sustaining treatment, meaning any medical treatment that serves only to prolong the dying process? And do you want artificially provided nutrition and hydration? You answer each separately, and you answer them again for the permanently unconscious scenario. You can also add instructions of your own: comfort care always, no ventilator beyond a set period, hospice at home if possible.
The proxy section names a person and gives them authority to make health care decisions for you when you cannot, consistent with what you wrote. A proxy can consent to or refuse treatment, choose among physicians and facilities, and access your medical records. Name a backup. A spouse is the usual choice; the second choice is where families should think harder, because it is often the one that matters.
What the Living Will Decides, and What the Proxy Decides
The Living Will Section Covers
- Life-sustaining treatment if you are terminally ill or injured.
- Artificially provided nutrition and hydration in that condition.
- The same two questions if you are permanently unconscious.
- Any specific instructions you add: comfort measures, time limits, hospice preferences.
- Organ and tissue donation, if you choose to address it.
The Proxy Decides Everything Else
- Treatments and conditions the living will does not mention.
- Which physician, which hospital, which facility.
- Consent to surgery, medication, and testing while you are incapacitated but not terminal.
- Access to your records and conversations with your care team.
- Hospice, palliative care, and discharge decisions.
A directive with only the living will section leaves every decision it does not address to Alabama’s surrogate statute, which hands the choice to a spouse, then adult children, then parents, in that order, majority rule. That works for some families and tears others apart. Naming a proxy replaces the statute with your choice.
Four Things That Catch Families Off Guard

It does not include a DNR. A do-not-resuscitate order is a physician’s order, on a specific form, that directs emergency personnel not to attempt CPR. Your advance directive can say you do not want resuscitation in a terminal condition, but paramedics respond to the DNR form, not the directive. If you want a DNR, ask your physician for the order after the directive is signed.
It does not cover money. A proxy cannot pay your bills, manage your accounts, or sign a lease for a care facility. That is the durable power of attorney, a separate document we prepare with the directive. Most families need both, and naming the same person for both is common but not required.
It should travel. Give copies to your physician, your proxy and backup, and the hospital you use. Many clients keep a card in their wallet noting that a directive exists and who the proxy is. A directive nobody can find is a directive nobody follows.
Update it when life changes. A divorce, a proxy who moves away or dies, a diagnosis that changes your thinking. You can revoke or replace a directive at any time while competent, and the newest one controls. Our will attorneys review the whole plan, not just one document, and the review call is free.
Preparing Your Advance Directive
Usually signed with the rest of your estate plan within two to three weeks. On its own, faster.
Free Phone Consultation
We walk through the two scenarios the statute asks about, the proxy choice, and how the directive fits with your will and power of attorney. Flat-fee quote for the set.
Your Instructions
Your answers on life-sustaining treatment and nutrition, any specific wishes, your proxy and backup, and organ donation if you choose.
Drafting and Signing
The directive drafted to the Natural Death Act, signed in front of two qualified witnesses at the office nearest you. No notary required.
Distribution
Copies to your physician, your proxy, and your hospital, with a wallet card. We keep one on file and replace the directive whenever you ask.
Living Wills and Advance Directives — Frequently Asked Questions
1.What is the difference between a living will and an advance directive in Alabama?
In Alabama they are the same document. The Advance Directive for Health Care under the Natural Death Act contains a living will section, your instructions about life-sustaining treatment, and a health care proxy section, the person who decides for you. Most people sign both parts together.
2.When does the advance directive take effect?
Only when you cannot make or communicate your own decisions, and your attending physician and a second physician determine you are terminally ill or injured, or permanently unconscious. While you can speak for yourself, you decide everything and the directive waits.
3.Who can be my health care proxy?
Any competent adult you trust to carry out your wishes: a spouse, an adult child, a sibling, a close friend. Your proxy cannot serve as one of your two witnesses. Name a backup, because the second choice is often the one that ends up serving.
4.Is a living will the same as a DNR?
No. A do-not-resuscitate order is a separate physician’s order on a specific form, and emergency personnel respond to that form, not to your directive. Your directive can state that you do not want resuscitation in a terminal condition; if you want a DNR, ask your physician for the order.
5.Do I need a notary or a lawyer to sign one?
No notary. The directive must be signed by you in the presence of two adult witnesses who are not your proxy, not related to you, not beneficiaries of your estate, and not responsible for your medical bills. An attorney is not legally required, but drafting it with the rest of your estate plan means the proxy and the power of attorney agent are chosen together and the documents do not conflict.
6.What does an advance directive cost at The Harris Firm LLC?
It is a flat fee, quoted at your free phone consultation, and usually prepared with your will and durable power of attorney as one package so you know the whole price up front. In-person consultations are $100.
Put It in Writing. Free Phone Consultation.
One free call covers the two questions the statute asks, the proxy choice, and the flat fee for the directive alone or with the rest of your estate plan.
Our Advance Directive Service Includes
✓ Living will instructions drafted to the Natural Death Act
✓ Health care proxy and backup designation
✓ Specific wishes on comfort care, hospice, and time limits
✓ Signing with two qualified witnesses at the office nearest you
✓ Copies and wallet card for physician, proxy, and hospital
✓ Coordination with your will and durable power of attorney
Call the Office Nearest You
Birmingham — (205) 201-1789
Chelsea — (205) 677-5490
Huntsville — (256) 665-9473
Montgomery — (334) 782-9938
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