Planning tool

End-of-Life Wishes Organizer

A compassionate space to document what matters most — when your family is ready to have this conversation.

About this document

Name of person this is forDate completedWho helped complete it (optional)

Advance directive status

Has a living will?Location of documentHas healthcare proxy / POA?Proxy nameProxy phoneHas DNR order?Location of DNR

Medical wishes

In the event I cannot speak for myself, my wishes regarding life-sustaining treatment are:My wishes regarding pain management and comfort care:My wishes regarding organ donation:Organ donor registered?

Personal wishes

Where I would like to be at end of life (home, hospice, hospital):Who I want present:Religious or spiritual wishes:Music, readings, or rituals that are meaningful to me:

Funeral & memorial wishes

Burial or cremation preferenceWishes for memorial service:Any specific requests:

Important documents location

Final messages

A message or note I want my loved ones to have: