Attorney-Approved Living Will Template Get Your Living Will Now

Attorney-Approved Living Will Template

A Living Will is a legal document that outlines an individual's preferences regarding medical treatment in the event they become unable to communicate their wishes. This form serves to guide healthcare providers and loved ones in making decisions that align with the individual's values and desires. Understanding the implications of a Living Will is essential for ensuring that one's healthcare choices are respected and honored.

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Common Templates:

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State-specific Living Will Templates

➤ PDF File

Example - Living Will Form

Living Will

By completing this Living Will, you are expressing your wishes regarding medical treatment in accordance with applicable state laws.

This document is created by: [Your Full Name]

Address: [Your Address]

City, State, Zip Code: [City, State, Zip Code]

Date of Birth: [Your Date of Birth]

Medical Record Number (if applicable): [Your Medical Record Number]

I, [Your Full Name], being of sound mind, voluntarily make this declaration to express my wishes about medical treatment.

If I become unable to make my own medical decisions due to illness, injury, or incapacitation, I direct that my healthcare providers, family members, and legal representatives abide by the following instructions:

  1. I do not want life-sustaining treatment or procedures if I am diagnosed with a terminal condition, and I am unable to communicate my wishes.
  2. If I am in a persistent vegetative state or similar condition with no reasonable hope of recovery, I do not want to receive life-prolonging measures.
  3. I want comfort care measures, including pain relief and palliative care, to be provided regardless of my medical condition.

My preferences for organ donation after my passing are as follows:

  • I wish to donate my organs and tissues as permitted by law.
  • I do not wish to donate my organs and tissues.

For clarity, if this Living Will conflicts with my expressed wishes, my healthcare providers should consult with my designated healthcare proxy, if applicable. My proxy is:

Name: [Proxy's Full Name]

Relationship: [Proxy's Relationship to You]

Phone Number: [Proxy's Phone Number]

This Living Will is executed on this date: [Date of Execution].

Signature: ____________________________

Witness Signature: ______________________

It is advisable to discuss this document with family members or a legal professional to ensure your wishes are clearly understood.

Documents used along the form

A Living Will is an essential document for expressing your healthcare wishes in the event that you cannot communicate them yourself. However, several other forms and documents can complement a Living Will, ensuring your preferences are respected and your loved ones are prepared. Here’s a list of some commonly used documents alongside a Living Will.

  • Durable Power of Attorney for Healthcare: This document allows you to appoint someone to make medical decisions on your behalf if you are unable to do so. It provides clarity on who can act for you in healthcare situations.
  • Do Not Resuscitate (DNR) Order: A DNR order instructs medical personnel not to perform CPR if your heart stops or you stop breathing. This document is crucial for those who wish to avoid aggressive life-saving measures.
  • Health Care Proxy: Similar to a Durable Power of Attorney, a health care proxy designates an individual to make medical decisions for you. It’s particularly useful if you have specific preferences about your treatment.
  • Advance Directive: This is a broader term that includes both Living Wills and Durable Powers of Attorney. It outlines your wishes regarding medical treatment and appoints a representative to make decisions on your behalf.
  • Do Not Resuscitate (DNR) Order: This specific medical order states that you do not wish to receive life-saving treatments like CPR in the event of cardiac or respiratory arrest. For more information, you can visit Florida PDF Forms.
  • Organ Donation Form: This document indicates your wishes regarding organ donation after your death. It can be included in your Living Will or as a separate form.
  • Physician Orders for Life-Sustaining Treatment (POLST): A POLST form provides specific medical orders based on your preferences for treatment. It is typically used for patients with serious illnesses.
  • Personal Health Record: Keeping a personal health record helps track your medical history, medications, and allergies. It can be invaluable for healthcare providers and family members in emergencies.
  • Funeral Planning Document: This document outlines your preferences for funeral arrangements, including burial or cremation, service details, and any specific wishes you may have.

Having these documents in place can provide peace of mind for you and your loved ones. They ensure that your healthcare wishes are honored and that your family knows how to act in difficult situations. Consider discussing these options with your family and legal advisor to create a comprehensive plan that reflects your values and desires.