SimpleWill

Selected Plan: Directive To Physicians

Welcome to Simple Will

You’re just a few steps away from completing your online plan. Please start by entering your contact information below. Once you begin, the process will guide you through each section — from personal details to beneficiaries — and should take about 15 minutes to complete. Take your time and know that you can save your progress and return at any point.

First Name *

Middle Name

Last Name *

Email *

Password *

Phone Number *

Directive to Physicians

A Directive to Physicians, or Living Will, is a legal document that lets individuals state their wishes for medical treatment if they become unable to communicate. It typically covers the use or withdrawal of life-sustaining procedures in terminal or irreversible conditions, ensuring healthcare providers and family follow the person’s preferences.

Are you sure you want to purchase this plan?

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Yes

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Your Contact Details
Please submit all answers with the proper capitalization and do not abbreviate any addresses or states. Your full legal name is required for your estate planning documents. This would be the name you are referred to on your driver’s license, social security card, passport or other federal government ID. Do not forget to add your full middle name if you have one. If your driver’s license, social security card, passport, or other forms of identification do not match, use the full name indicated on your driver’s license and list the other names in the “also known as” field.

Name:

Date Of Birth *

Suffix(optional)

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III

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Other

Gender

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Male

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Female

Your Address

Full Address: *

State

County

Submission Screen

If you’d like to review your responses, you can navigate to any screen to check your answers, or simply use the "Previous" button to go back through the questionnaire. Click the “Submit” button below to be directed to the payment page for your selected plan. Once payment is complete, your information will be securely sent to our office for processing.

Your Progress