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Step 3: Mail or Fax Documents

Step 3: Mail or Fax Documents

  • Send copies (DO NOT SEND ORIGINALS) of your health care directive documents along with a completed Registration Agreement / Authorization to Change form (520 KB PDF) to:
    Washington State Department of Health
    Living Will Registry
    P.O. Box 47813
    Olympia, WA  98504-7813

    or Fax to: 908-654-1919
  • Once the Registry receives your Registration Agreement / Authorization to Change form and your health care declaration documents, the Registry will create a unique registration identity number for you and will place your documents on the Registry.  Your documents will appear in date order with the most current document(s) first.

Step 4: What Happens Next?

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Washington State Department of Health
Living Will Registry
101 Israel Rd SE
PO Box 47813
Olympia, WA 98504-7813

Send inquires about DOH and its programs to the Health Consumer Assistance Office
Comments or questions regarding this web site? Send mail to the Web Coordinator

Last Update : 11/02/2009 07:04 AM