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South Carolina Advance Directive Requirements (2026)

What South Carolina needs for a valid advance directive or living will. Witness rules, notary rules, POLST status, and the official state form.

At-a-glance

2
Witnesses needed
Not required
Notary
Yes
Combined form
No
POLST program

Witness rules

South Carolina requires 2 witnesses when you sign your advance directive. Most states do not let your health care agent, your doctor, or anyone in your will serve as a witness. Check the form for the exact rules.

Notary rules

South Carolina does not require a notary for an advance directive. Witnesses are enough if you follow the witness rules. You can still choose to have it notarized for extra peace of mind.

Living will and health care proxy

South Carolina uses a combined advance directive form. You pick your health care agent and say what treatment you want in the same document.

POLST and MOLST

South Carolina does not have an active POLST program. Your advance directive is the main document that guides your care.

Things to know

State data is being verified. Always confirm current requirements with your state health department before signing any advance directive.

How to make an advance directive in South Carolina

  1. Download the state form

    Get the current South Carolina advance directive form from the state health department. A link is in the "State Resources" section below.

  2. Pick a health care agent

    Choose someone you trust to make medical decisions if you cannot. Talk to them first. Make sure they agree.

  3. Write down your wishes

    Say what treatment you do and do not want. Think about life support, feeding tubes, and pain relief.

  4. Sign with witnesses

    Sign in front of 2 adult witnesses. Your health care agent cannot be a witness.

  5. Store it in DirectiveVault

    Upload the signed form to DirectiveVault. Share read-only access with your health care agent and family so they can pull it up at the ER.

  6. Give a copy to your doctor

    Send a copy to your primary care doctor so it goes in your medical record.

State resources

Form name
South Carolina Advance Directive
Official state form
Search your state health department for the current form.

Frequently asked questions

How many witnesses does South Carolina need for an advance directive?

South Carolina requires 2 witnesses when you sign your advance directive.

Does South Carolina require a notary for an advance directive?

No. South Carolina does not require a notary. Witnesses alone are enough if you follow the witness rules.

Does South Carolina have a POLST program?

South Carolina does not have an active POLST program.

Can I use an out-of-state advance directive in South Carolina?

South Carolina generally honors directives signed in other states if they were legal in the state where signed. To be safe, use the South Carolina form if you live here.

Where do I get the official South Carolina advance directive form?

Search for "advance directive" on your South Carolina state health department website to find the current form.

Not legal advice. This page is for reference. Advance directive rules change. Always confirm current South Carolina requirements with your state health department or a licensed attorney before signing.

Keep your South Carolina directive ready

Once you sign, store it in DirectiveVault. Share it with family. Have it in your pocket when it matters.