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Who Decides Without a Directive

W.S. 35-22-406 — a surrogate, from the spouse down to an adult grandchild

Where there is no valid directive, and no agent or guardian is reasonably available, a surrogate may make health care decisions for an adult whose doctor has found they lack capacity. A person can name a surrogate by personally telling their primary health care provider.

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Who handles this in Wyoming: legal aid programs, lawyer referral and the state offices, listed in the Wyoming directory.

  • Without one named, the family members reasonably available may act, in this order: a spouse who is not legally separated, an adult child, a parent, a grandparent, an adult brother or sister, an adult grandchild.
  • If none is available, an adult who has shown special care and concern and knows the person's values may act.
  • Where members of the same class disagree, the provider follows the majority of those who have told it their views.

A surrogate decides by the patient's instructions and known wishes, and otherwise by the patient's best interest, considering their personal, religious and ethical values.

Sources for this section (1)
  1. W.S. 35-22-406 — Decisions by surrogate

Legal information, not legal advice. Verified as of October 2026. Applying it to a particular situation is the work of a licensed Wyoming attorney.

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