VTAD Week 2025: Start planning today! Vermont Advance Directive Week: April 13-19 | National Health Care Decisions Day: April 16
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Forms in More Languages

Vermont advance directive forms are now available in 14 languages, including American Sign Language. Our newest addition? Forms in Russian!

Helpful tip:

Upon download of a form, please save a blank copy to your computer prior to filling it out to ensure that your information is retained.

Forms in American Sign Language

Appointment of a Health Care Agent (ASL)

Video translation of the Appointment of a Health Care Agent form.

Watch Video Download Form

Advance Directive Short Form (ASL)

Video translation of the Advance Directive Short Form.

Watch Video Download Form

VADR Registration Agreement/Authorization to Change Form (ASL)

Video translation of the VADR Registration Agreement/Authorization to Change form. This form is required for all submissions to the Vermont Advance Directive Registry (VADR).

Watch Video Download Form

Forms in Arabic

Appointment of a a Health Care Agent Form (Arabic)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Arabic)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Bosnian

Appointment of a Health Care Agent Form (Bosnian)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Bosnian)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Burmese

Appointment of a Health Care Agent Form (Burmese)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Burmese)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Chinese

Appointment of a Health Care Agent Form (Chinese)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Chinese)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Farsi

Appointment of a Health Care Agent Form (Farsi)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Farsi)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in French

Appointment of a Health Care Agent Form (French)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (French)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Kirundi

Appointment of a Health Care Agent Form (Kirundi)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Kirundi)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Nepali

Appointment of a Health Care Agent Form (Nepali)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Nepali)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Russian

Appointment of a Health Care Agent Form (Russian)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Russian)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Somali

Appointment of a Health Care Agent Form (Somali)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Somali)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Spanish

Appointment of a Health Care Agent Form (Spanish)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Spanish)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Swahili

Appointment of a Health Care Agent Form (Swahili)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Swahili)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Forms in Vietnamese

Appointment of a Health Care Agent Form (Vietnamese)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Advance Directive Short Form (Vietnamese)

Includes VADR Registration Agreement & Authorization to Change form

Download Form

Don’t see the language you’re looking for?

Vermont Advance Directives can be completed on any form, as long as they are signed and witnessed according to Vermont law. Check out California’s Prepare for Your Care initiative to find forms in more languages.

Vermont law requires that an advance directive must be signed by the principal and two adult witnesses. Witnesses CANNOT be your health care agents, spouse, children, parents, siblings, or grandchildren.