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Forms in More Languages

Vermont advance directive forms are now available in 13 languages, including American Sign Language.

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.

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Advance Directive Short Form (ASL)

Video translation of the Advance Directive Short Form.

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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).

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Forms in Arabic

Appointment of a a Health Care Agent Form (Arabic)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Arabic)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Bosnian

Appointment of a Health Care Agent Form (Bosnian)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Bosnian)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Burmese

Appointment of a Health Care Agent Form (Burmese)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Burmese)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Chinese

Appointment of a Health Care Agent Form (Chinese)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Chinese)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Farsi

Appointment of a Health Care Agent Form (Farsi)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Farsi)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in French

Appointment of a Health Care Agent Form (French)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (French)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Kirundi

Appointment of a Health Care Agent Form (Kirundi)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Kirundi)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Nepali

Appointment of a Health Care Agent Form (Nepali)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Nepali)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Somali

Appointment of a Health Care Agent Form (Somali)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Somali)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Spanish

Appointment of a Health Care Agent Form (Spanish)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Spanish)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Swahili

Appointment of a Health Care Agent Form (Swahili)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Swahili)

Includes VADR Registration Agreement & Authorization to Change form

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Forms in Vietnamese

Appointment of a Health Care Agent Form (Vietnamese)

Includes VADR Registration Agreement & Authorization to Change form

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Advance Directive Short Form (Vietnamese)

Includes VADR Registration Agreement & Authorization to Change form

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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.