VA Form 10-0137
- Form name:VA Advance Directive: Durable Power of Attorney for Health Care and Living Will
- Form revision date: March 2024
- Related to: Health care
When to use this form
Use VA Form 10-0137 to give specific people permission to make health care decisions for you, and to let VA health care providers know your wishes for medical, mental health, long-term, and other types of care.
Downloadable PDF
Related forms and instructions
VA Form 10-0137A
Form name: What You Should Know About Advance Directives
Use this form to learn about your rights to accept or refuse medical treatment, and to complete a power of attorney for health care or a living will.