Legal Living Will Template for New York State Get Your Living Will Now

Legal Living Will Template for New York State

A New York Living Will form is a legal document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This form is crucial for ensuring that your healthcare decisions are respected, even when you cannot voice them. Understanding how to create and use this document can provide peace of mind for you and your loved ones.

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Example - New York Living Will Form

New York Living Will Template

This Living Will is designed for residents of New York State. It serves as a legal document that outlines your preferences for medical treatment in case you become unable to communicate your wishes.

Instructions: Fill in the blanks with your personal information and any specific wishes you may have regarding your medical care.

I, [Your Full Name], of [Your Address], being of sound mind and at least 18 years of age, do hereby declare this to be my Living Will, pursuant to New York Public Health Law, Article 29-C.

Medical Preferences: In the event that I am diagnosed with an incurable and terminal condition or am in a state of permanent unconsciousness, I wish for my healthcare providers to follow these directives regarding my medical treatment:

  • Do not resuscitate me should my heart stop or I stop breathing.
  • Do not provide artificial nutrition or hydration if I am unable to eat or drink naturally.
  • Utilize pain relief methods as needed, even if it may hasten my death.

If I am in a condition where I can no longer communicate my wishes, I designate the following person to make healthcare decisions on my behalf:

Healthcare Proxy Name: [Proxy Full Name]

Proxy Address: [Proxy Address]

Proxy Phone Number: [Proxy Phone Number]

This Living Will is effective as of [Effective Date] and will remain in effect until my death or until I revoke it in writing.

This document was signed by me on [Date of Signature] in the presence of the following witnesses:

  1. [Witness 1 Full Name] - Signature: _______________________ Date: ___________
  2. [Witness 2 Full Name] - Signature: _______________________ Date: ___________

By signing this Living Will, I indicate that I am fully aware of its contents and that I am executing it voluntarily.

Signature: ___________________________ Date: ________________

Documents used along the form

A New York Living Will is an important document that outlines an individual's wishes regarding medical treatment in the event they become unable to communicate. However, several other forms and documents are often used in conjunction with a Living Will to ensure comprehensive planning for healthcare and legal matters. Below is a list of these documents, each serving a specific purpose.

  • Health Care Proxy: This document allows you to appoint someone to make medical decisions on your behalf if you are unable to do so. The appointed person is known as your health care agent.
  • Durable Power of Attorney: This form grants someone the authority to manage your financial affairs, including paying bills and handling assets, if you become incapacitated.
  • Do Not Resuscitate (DNR) Order: A DNR order is a medical directive that prevents healthcare providers from performing CPR if your heart stops or you stop breathing.
  • POLST (Physician Orders for Life-Sustaining Treatment): This is a medical order that specifies the types of medical treatment you want or do not want, often used for individuals with serious illnesses.
  • Release of Liability: This important form safeguards organizations or individuals from liability for injuries that may occur during specific activities. To properly manage risks, be sure to complete the form available at California PDF Forms.
  • Advance Directive: An advance directive is a broader term that encompasses both Living Wills and Health Care Proxies, detailing your healthcare preferences and appointing an agent.
  • Organ Donation Form: This document indicates your wishes regarding organ donation after death. It can be included in your Living Will or as a separate form.
  • Funeral Planning Documents: These documents outline your preferences for funeral arrangements, including burial or cremation, and can relieve your family from making difficult decisions.
  • Financial Planning Documents: This includes wills, trusts, and other estate planning tools that help manage your assets and ensure they are distributed according to your wishes after your death.

Using these documents together with a New York Living Will can help ensure that your healthcare and financial wishes are respected. It is advisable to review these forms periodically and update them as necessary to reflect any changes in your preferences or circumstances.