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Whether or not your home state calls for an official notarization by a notary public, every state in the U.S. requires your advance directive to be signed by witnesses. Some states require both witnesses and notary publics to sign advance directives.

The two most common advance directives for health care are the living will and the durable power of attorney for health care. Living will: A living will is a legal document that tells doctors how you want to be treated if you cannot make your own decisions about emergency treatment.

No. In the state of Pennsylvania, you do not need to notarize advance directives. What do I do with my advance directive after I fill it out? Most importantly, talk with your loved ones about what your advance directive says.

A POA in Pennsylvania must be dated, signed by the principal, witnessed by two adults, and notarized. If the principal is not able to write, he or she may sign by making a mark (such as an "X") or by directing another person to sign on his or her behalf.

Making an Advance Directive Legal In order to make your wishes document a legal document, you and at least two witnesses must sign it. Witnesses cannot be your care providers, or the health care decision makers you have named on your directive. Alternatively, you can have your wishes document notarized.

The most common types of advance directives are the living will and the durable power of attorney for health care (sometimes known as the medical power of attorney). There are many advance directive formats.