1. The first step in creating your advance directive is to get two witnesses who know you and can watch you sign the form. The witnesses must meet this criteria:

• They should know you by verifying two forms of identification.
• They cannot be the person named on the form as your power of attorney.
• They cannot be your health care provider.
• They cannot be your relative.
• They must be present to watch you sign the form.

2. Print and complete a Power of Attorney for Health Care form. If you would like a paper copy of this form sent to you, please call 715-464-7342.

3. Sign the form in front of your two witnesses.

4. Make four copies and distribute:

• Your records
• Your health care provider
• Your health care agent
• Your lawyer