Tennessee Living Will

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I. Introduction

This document is an Advance Directive for Healthcare, also known as a Living Will, created by [Your Name], residing at [Your Address], in the state of Tennessee, on [Date].

II. Declaration of Intent

I, [Your Name], being of sound mind, declare that this Advance Directive for Healthcare reflects my wishes and preferences regarding medical treatment and healthcare decisions in the event I become incapacitated and unable to communicate my desires.

III. Healthcare Agent Appointment

A. Appointment of Healthcare Agent

I hereby appoint [Healthcare Agent Name], residing at [Healthcare Agent's Company Address], as my healthcare agent to make medical decisions on my behalf by the instructions provided in this document.

B. Alternate Healthcare Agent

If [Healthcare Agent Name] is unable or unwilling to serve as my healthcare agent, I hereby appoint [Alternate Healthcare Agent Name], residing at [Alternate Healthcare Agent Address], as my alternate healthcare agent.

IV. Healthcare Preferences

A. General Healthcare Instructions

If I am unable to make or communicate my healthcare decisions, I direct that my healthcare providers and agents follow the instructions outlined in this section:

1. [End-of-Life Care Preferences]:

   • I wish to receive all necessary medical treatment to prolong my life if there is a reasonable chance of recovery.

   • I do not wish to be kept alive by artificial means if I have no reasonable chance of recovery and if my condition is terminal.

2. [Pain Management Preferences]:

   • I request aggressive pain management measures to ensure my comfort and quality of life.

B. Specific Treatment Preferences

In addition to the general instructions provided above, I have specific preferences regarding the following medical treatments:

1. [Cardiopulmonary Resuscitation (CPR)]:

   • I request that CPR be performed if my heart stops beating.

2. [Mechanical Ventilation]:

   • I request that mechanical ventilation be used if necessary to support my breathing.

3. [Artificial Nutrition and Hydration]:

   • I request artificial nutrition and hydration be provided if I am unable to eat or drink.

4. [Organ Donation Preferences]:

   • I wish to donate my organs for transplantation upon my death, as indicated on my driver's license or organ donor card.

V. Signature and Witness

I, [Your Full Name], have signed this Advance Directive for Healthcare on this day, [Date], in the presence of the following witnesses, declaring it to be an amendment to my last will.

Testator

[Your Name]

[Your Address]

Witness 1

Name: [Witness Name 1]

Address: [Witness Address 1]

Witness 2

Name: [Witness Name 2]

Address: [Witness Address 2]

This Advance Directive for Healthcare is executed by the laws of the state of Tennessee. It is important to consult with legal counsel to ensure compliance with state laws and to address any specific concerns or circumstances.

V. Notarization

State of Tennessee

County of [County Name]

On this 1st day of January 2050, before me, a Notary Public in and for the State and County aforesaid, personally appeared [Your Name], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he/she executed the same for the purposes therein contained.

Witness my hand and official seal.

Notary Public

[Printed Name of Notary Public]
[Commission Number of Notary Public]
My Commission Expires: [Expiry Date of Notary Public's Commission]

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