If you do not cross out any of these options, your organs may be used for any of these purposes. However, if a court becomes involved for any reason, this paragraph expressly names your agent to serve as guardian. A court does not have to follow your nomination, but normally it will honor your wishes unless there is good reason to override your choice. These items address miscellaneous matters that could affect the implementation of your health care advance directive. Some require only a signature, while others have very detailed witnessing requirements.
Some states simply require notarization.
The procedure in this booklet is likely to be far more complex than your state law requires because it combines the formal requirements from virtually every state. Follow it if you do not know your state's requirements and you want to meet the signature requirements of virtually every state. First, sign and date the document in the presence of two witnesses and a notary.