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Colorado living will declaration
Download the August 2026 Colorado Declaration as to Medical or Surgical Treatment, Colorado's living will under the Medical Treatment Decision Act (C.R.S. §§ 15-18-101 to -113), for directing that life-sustaining procedures be withheld or withdrawn if you have a terminal condition or are in a persistent vegetative state and cannot make your own decisions. Get it in editable Word and true fillable PDF. Add the completed sample PDF if you want a filled-in reference.
A state-specific declaration as to medical or surgical treatment packet, reviewed against the current Colorado statute and ready for instant secure access.
Colorado no longer prints an official form, so this declaration is built element-by-element from the current statute: the terminal-condition and persistent-vegetative-state triggers, the three artificial nutrition and hydration elections, optional consultation designations, and your individual directives, without the seven-day rule or pregnancy exclusion repealed years ago.
Sign before two qualified witnesses or a notary public, either one makes the declaration valid, and both alternative blocks are built in. Colorado’s directed-signing provisions are also included if you are physically unable to sign.
Download the files, complete them on your own device, then print and sign before your witnesses or notary. Your personal details are never entered into an online form builder.
This download includes 1 document in editable Word and fillable PDF formats. Use the Word version for editing; the fillable PDF can be completed on screen, then printed and signed.
Review the complete form text below before purchasing. Your licensed download (editable Word and fillable PDF) is delivered after checkout.
COLORADO DECLARATION AS TO MEDICAL OR SURGICAL TREATMENT
(Colorado Medical Treatment Decision Act, C.R.S. §§ 15-18-101 to -113)
Statutory basis. This independently prepared declaration is intended to satisfy the Colorado Medical Treatment Decision Act, including C.R.S. §§ 15-18-104 through 15-18-109. It is not an official state publication.
I, ______________________________________________________________________
being an adult with decisional capacity, direct that life-sustaining procedures be withheld or withdrawn if I have a terminal condition or am in a persistent vegetative state and lack decisional capacity. This declaration expresses my own wishes concerning medical or surgical treatment. (C.R.S. § 15-18-104(1).)
I understand that I, or someone acting for me, should provide this declaration to my attending physician or advanced practice registered nurse so it can be made part of my medical record.
Artificial Nutrition and Hydration
Initial ONE option. If life-sustaining procedures are withheld or withdrawn, I direct that artificial nutrition and hydration:
☐ (I) not be continued.
☐ (II) be continued for the following specified period: ______________________________.
☐ (III) be continued.
Artificial nutrition and hydration may nevertheless be continued to the extent necessary to provide comfort and alleviate pain. (C.R.S. § 15-18-104(3)(b), (4).)
Individuals Medical Professionals May Consult
Optional. Consistent with applicable privacy law, my physicians and other medical professionals may speak with the following individuals concerning my medical condition before a final determination is made under this declaration (C.R.S. § 15-18-104(8)):
1. Name: ________________________________________________________________
2. Name: ________________________________________________________________
Individual Medical Directives
Optional. My additional directions concerning medical or surgical treatment are stated below. Attach and identify additional pages if needed. (C.R.S. § 15-18-104(9).)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
How This Declaration Works
My attending physician and one other physician must examine me and both must certify in writing that I have a terminal condition or am in a persistent vegetative state and that I lack decisional capacity. The certification and this declaration are entered in my medical record.
Reasonable efforts must be made to notify the appropriate known person identified by C.R.S. § 15-18-107. Life-sustaining procedures may be withheld or withdrawn only if no challenge to this declaration’s validity is filed within 48 hours after certification.
I may revoke this declaration orally, in writing, or by burning, tearing, canceling, obliterating, or destroying it. (C.R.S. § 15-18-109.)
Execution
Complete EITHER the Two-Witness Alternative OR the Notary Acknowledgment Alternative. Do not complete both.
Date: _____________________________
Declarant’s printed name: _____________________________________________________
Declarant’s signature: ________________________________________________________
If I am physically unable to sign, another person may sign in my presence and at my direction. (C.R.S. § 15-18-105.)
Directed signer’s printed name (if applicable): ________________________________________
Directed signer’s signature (if applicable): ____________________________________________
A directed signer may not be a physician; an employee of the attending physician or of the health-care facility where I am a patient; a person with a claim against any part of my estate at my death; or a person who knows or believes that they are entitled to any part of my estate as a will beneficiary or heir. (C.R.S. § 15-18-105.)
Two-Witness Alternative
We witnessed the declarant sign this declaration, or direct another person to sign it in the declarant’s presence, and believe the declarant acted voluntarily and had decisional capacity.
Neither witness is the attending physician or another physician; an employee of the attending physician or the facility where the declarant is a patient; a person with a claim against the declarant’s estate; or a person who knows or believes that they are entitled to any part of the estate as a will beneficiary or heir. (C.R.S. §§ 15-18-105, 15-18-106(2).)
Witness 1 printed name: _____________________________________________________
Witness 1 address: __________________________________________________________
Witness 1 signature: ________________________________________________________
Witness 2 printed name: _____________________________________________________
Witness 2 address: __________________________________________________________
Witness 2 signature: ________________________________________________________
Notary Acknowledgment Alternative
State of _______________________________
County of _______________________________
This declaration was acknowledged before me on ________________________ by ___________________________.
Notary public’s printed name: _________________________________________________
Notary public’s signature: ___________________________________________________
My commission expires: ________________________________
Legal currency, verified
This Colorado living will lets an adult with decisional capacity direct that life-sustaining procedures be withheld or withdrawn if the adult has a terminal condition or is in a persistent vegetative state and lacks decisional capacity. It is independently prepared under the Colorado Medical Treatment Decision Act, C.R.S. §§ 15-18-101 to -113.
The declaration reflects current C.R.S. § 15-18-104 and does not use the repealed pre-2010 seven-day certification rule or the repealed pregnancy exclusion. It was reviewed against the current Colorado Revised Statutes (2025 C.R.S.) and 2026 session laws in August 2026.
The form includes the three statutory artificial nutrition and hydration choices, optional consultation designations, optional individual medical directives, the two-physician certification and 48-hour challenge mechanics, revocation information, and alternative witness or notary execution blocks.
Complete either the two-witness alternative or the notary acknowledgment alternative. Colorado also permits directed signing when the declarant is physically unable to sign, subject to the disqualifications stated in C.R.S. §§ 15-18-105 and 15-18-106.
Your purchase includes the declaration in editable Word format and as a true fillable PDF, plus an optional completed sample PDF.
This form is not legal advice and does not replace advice from a Colorado attorney about your circumstances.
ILRG is committed to top quality legal forms that are valid in all states. If you are not 100 percent satisfied after purchase, contact us for a full refund.
Colorado no longer prescribes an official form, the suggested form printed in the statute was repealed effective September 7, 2021. This declaration is independently prepared to contain every element the current Medical Treatment Decision Act (C.R.S. §§ 15-18-101 to -113) requires. Reviewed against the current Colorado Revised Statutes and 2026 session laws in August 2026.
Either one works. Sign before two qualified witnesses or acknowledge your signature before a notary public, both alternative execution blocks are printed in the form and you complete only one. If you are physically unable to sign, Colorado also permits a directed signing under the disqualification rules in C.R.S. §§ 15-18-105 and 15-18-106.
When your attending physician and one other physician certify that you have a terminal condition or are in a persistent vegetative state and that you lack decisional capacity. Life-sustaining procedures are then withheld or withdrawn under your directions, with comfort care always continued.
You initial one of the three elections about artificial nutrition and hydration, you may name people you want your physician to consult, and you may add individual directives about specific treatments. Everything else follows the statute’s operative terms.
Both contain the same form text. Use the editable Word (.docx) file to type in your details, or the fillable PDF to complete the form on screen. Either way, print the finished declaration, initial your elections, and sign before your witnesses or notary, initials and signatures belong on paper.