1. Consent or refuse consent to any care, treatment, service or procedure to maintain, diagnose or otherwise affect a physical or mental condition;
2. Select or discharge health care providers and institutions;
3. Approve or disapprove diagnostic tests, surgical procedures, programs of medication and orders not to resuscitate; and
4. Direct the provision, withholding or withdrawal of artificial nutrition and hydration and all other forms of health care.

1. A treating health care provider or employee of the provider;
2. The attorney-in-fact nominated in the writing;
3. The operator of a community care facility or employee of the operator or facility;
4. The operator of a residential care facility or employee of the operator or facility.

1. An individual may revoke the designation of an agent only by a signed writing or by personally informing the supervising health care provider.
2. An individual may revoke all or part of an advance health care directive, other than the designation of an agent, at any time and in any manner that communicates intent to revoke.
3. A health care provider, agent, guardian or surrogate who is informed of a revocation shall promptly communicate the fact of the revocation to the supervising health care provider and to any health care institution at which the patient is receiving care.
4. A decree of annulment, divorce, dissolution of marriage or legal separation revokes a previous designation of a spouse as agent unless otherwise specified in the decree or in a power of attorney for health care.
5. An advance health care directive that conflicts with an earlier advance health care directive revokes the earlier directive to the extent of the conflict.
6. A surrogate shall communicate his assumption of authority as promptly as practicable to the members of the patient's family specified in subsection (b) of this section who can be readily contacted.
7. If more than one (1) member of a class assumes authority to act as surrogate, and they do not agree on a health care decision and the supervising health care provider is so informed, the supervising health care provider shall comply with the decision of a majority of the members of that class who have communicated their views to the provider. If the class is evenly divided concerning the health care decision and the supervising health care provider is so informed, that class and all individuals having lower priority are disqualified from making the decision.
8. A surrogate shall make a health care decision in accordance with the patient's individual instructions, if any, and other wishes to the extent known to the surrogate. Otherwise, the surrogate shall make the decision in accordance with the surrogate's determination of the patient's best interest. In determining the patient's best interest, the surrogate shall consider the patient's personal, philosophical, religious and ethical values to the extent known to the surrogate and reliable oral or written statements previously made by the patient, including, but not limited to, statements made to family members, friends, health care providers or religious leaders.
9. A health care decision made by a surrogate for a patient is effective without judicial approval.
10. The patient at any time may disqualify another, including a member of the individual's family, from acting as the individual's surrogate by a signed writing or by personally informing the supervising health care provider of the disqualification.
11. Unless related to the patient by blood, marriage or adoption, a surrogate may not be an owner, operator or employee of a residential or community care facility at which the patient is receiving care.
12. A supervising health care provider may require an individual claiming the right to act as surrogate for a patient to provide a written declaration under penalty of perjury stating facts and circumstances reasonably sufficient to establish the claimed authority.

• A guardian shall comply with the ward's individual instructions and may not revoke the ward's advance health care directive unless the appointing court expressly so authorizes.
• Absent a court order to the contrary, a health care decision of an agent takes precedence over that of a guardian.
• A health care decision of a guardian takes precedence over that of a surrogate.
• A health care decision made by a guardian for the ward is effective without judicial approval.

1. Before implementing a health care decision made for a patient, a supervising health care provider, if possible, shall promptly communicate to the patient the decision made and the identity of the person making the decision.
2. A supervising health care provider who knows of the existence of an advance health care directive, a revocation of an advance health care directive, or a designation or disqualification of a surrogate, shall promptly record its existence in the patient's health care record and, if it is in writing, shall request a copy and if one is furnished shall arrange for its maintenance in the health care record.
3. A supervising health care provider who makes or is informed of a determination that a patient lacks or has recovered capacity, or that another condition exists which affects an individual instruction or the authority of an agent, guardian or surrogate, shall promptly record the determination in the patient's health care record and communicate the determination to the patient, if possible, and to any person then authorized to make health care decisions for the patient.
4. Except as provided in subsections (e) and (f) of this section, a health care provider or institution providing care to a patient shall:
5. Comply with an individual instruction of the patient and with a reasonable interpretation of that instruction made by a person then authorized to make health care decisions for the patient; and
6. Comply with a health care decision for the patient made by a person then authorized to make health care decisions for the patient to the same extent as if the decision had been made by the patient while having capacity.
7. A health care provider may decline to comply with an individual instruction or health care decision for reasons of conscience. A health care institution may decline to comply with an individual instruction or health care decision if the instruction or decision is contrary to a written policy of the institution which is expressly based on reasons of conscience and if the policy was timely communicated to the patient or to a person then authorized to make health care decisions for the patient. The provider or institution shall deliver the written policy upon receipt of the patient's advance directive that may conflict with the policy or upon notice from the supervising health care provider that the patient's instruction or decision may be in conflict with the health care institution's policy.
8. A health care provider or institution may decline to comply with an individual instruction or health care decision that requires medically ineffective health care or health care contrary to generally accepted health care standards applicable to the health care provider or institution.
9. A health care provider or institution that declines to comply with an individual instruction or health care decision shall:
   1. Promptly so inform the patient, if possible, and any person then authorized to make health care decisions for the patient;
   2. Provide continuing care, including continuing life sustaining care, to the patient until a transfer can be effected; and
   3. Unless the patient or person then authorized to make health care decisions for the patient refuses assistance, immediately make all reasonable efforts to assist in the transfer of the patient to another health care provider or institution that is willing to comply with the instruction or decision.
10. A health care provider or institution may not require or prohibit the execution or revocation of an advance health care directive as a condition for providing health care.

To better understand the health care and pecuniary related issues our legal articles, frequently asked questions, facts and other law related information may be of interest to you.

• Wyoming Health Care Directive Law Summary
• What Kind of Authorities May I Mention In My Health Care Directive?
• What is Patient Self-Determination Act?
• What is a Durable Power of Attorney for Health Care?
• Health Care Directive Legal Information
• Health Care Directive Articles and News
• Health Care Directive Frequently Asked Questions