Updated August 3, 2026. Quick answer: South Carolina calls this instrument Declaration of a Desire for a Natural Death (living will, under the Death with Dignity Act), Health Care Power of Attorney. To execute it you need 2 witnesses — and the state requires witnesses AND a notary — both. Getting that conjunction wrong is the most common way a directive fails when it is needed.
The execution box
| What the state calls it | Declaration of a Desire for a Natural Death (living will, under the Death with Dignity Act), Health Care Power of Attorney |
|---|---|
| Witnesses required | 2 |
| Witnesses or notary? | witnesses AND a notary — both |
| Who may NOT witness | Witnesses may not be: related to the declarant by blood, marriage, or adoption (spouse, lineal ancestor, descendant of the parents of the declarant); directly financially responsible for the person’s medical care; entitled to a portion of the declarant’s estate upon death; a beneficiary of a life insurance policy of the declarant; or the attending physician or an employee of the attending physician. |
| If you are in a care facility | If the declarant is a patient in a hospital or a resident in a nursing care facility, an ombudsman must serve as one of the two witnesses (SC Code §44-77-40(3)). |
| Authority | S.C. Code §44-77-40 (Death with Dignity Act, execution of declaration) |
What the statute says
signed by the declarant in the presence of an officer authorized to administer oaths…and in the presence of two witnesses
— S.C. Code §44-77-40 (Death with Dignity Act, execution of declaration)
The form
The statute refers to a form, but we could not retrieve an official copy to link. Ask your state health department or check the statute itself — many states publish one free. We are not linking a commercial seller in its place.
Why the witness rules matter more than the wording
People spend their effort on what the directive says and almost none on how it is signed. A directive that expresses your wishes perfectly but was witnessed by someone the statute disqualifies may not be honoured. The disqualification lists exist because the people most likely to be in the room — family, the treating doctor, facility staff — are the people with an interest in the outcome.
Two practical consequences. Ask who is signing before the appointment, not during it. And if you are already in a hospital or care facility, check the facility rule row above — several states add a requirement that applies only to patients and residents, and it is the one nobody mentions.
This is the medical instrument, not the financial one
A financial power of attorney is a different document with different execution rules. Having one does not give anyone authority over your medical care, and having this one gives nobody authority over your money. Most people need both, and they are executed separately.
What could not be verified
Living Will (Death with Dignity Act, Title 44 Ch. 77) fully verified with quotes, used as the record’s primary field values. The separate Health Care Power of Attorney execution rule (South Carolina Probate Code, Title 62, Article 5, Part 5, around §62-5-504) could NOT be verified — scstatehouse.gov’s t62c005.php page repeatedly truncated before reaching Part 5 (page content is very long; only Parts 1-4 were retrievable via WebFetch). Do not assume the HCPOA rule mirrors the living will’s AND requirement without separate verification.
Related: all states compared · living will versus healthcare proxy · what it costs.
General information drawn from state statutes and official state materials, not legal or medical advice. Advance-directive law is STATE law and the execution requirements differ in ways that decide whether a document works: some states require witnesses AND a notary, some accept either, and the list of people who may not witness varies. A directive executed the wrong way may not be honoured when it matters. Many states publish a free official form – you should not have to buy one.