Connecticut Living Will
Connecticut Living Will
This document represents a Connecticut Living Will of [YOUR NAME], hereinafter referred to as the "Declarant," made on this day [DATE]. I am currently a resident of [YOUR CITY], Connecticut, and this document is prepared under the laws of the State of Connecticut. The purpose of this document is to clearly state my wishes concerning medical treatment and end-of-life care, as well as the disposition of my estate and personal affairs.
I. Declaration
Being of sound mind, I willingly and voluntarily make known my desire and hereby declare that my family, doctors, and healthcare providers should regard this document as the expression of my legal right to refuse or request medical treatment.
II. End-of-Life Care Instructions
If I am unable to make my own healthcare decisions, especially in the case of a terminal illness or incapacitation, I request the following treatments and care guidelines:
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Hospice Care: I desire to receive hospice care in a manner that prioritizes comfort and pain relief over life-extending measures.
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Life-Sustaining Treatments: I do not wish to receive life-sustaining treatments, including mechanically or technologically assisted breathing, if the likelihood of recovery is deemed medically futile or if I am in a persistent vegetative state.
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Resuscitation: I do not wish to be resuscitated in the event of cardiac or respiratory failure.
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Nutrition and Hydration: I wish to have artificially administered nutrition and hydration withheld if I am permanently unconscious or in an end-stage condition where it would only prolong the process of dying.
III. Health Care Proxy
I hereby appoint [HEALTH CARE PROXY'S NAME] as my health care agent to make decisions about my medical care if I become unable to make these decisions for myself. If [HEALTH CARE PROXY'S NAME] is unable or unwilling to act on my behalf, I appoint [ALTERNATE HEALTH CARE PROXY'S NAME] as my alternate agent.
IV. Last Will
I hereby declare that this document also serves as my last will. Upon my demise:
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All my legal and personal property shall be distributed as follows:
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Beneficiary: [BENEFICIARY'S NAME]
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Relationship: [RELATIONSHIP TO ME]
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PROPERTY/ASSET: [PROPERTY/ASSET]
V. Executor
I appoint [EXECUTOR'S NAME] as the executor of this will. If [EXECUTOR'S NAME] is unable or unwilling to serve, then I appoint [ALTERNATE EXECUTOR'S NAME] as alternate executor.
VI. Signing and Witness
This document has been signed on the day and year first written above under the laws of the state of Connecticut in the presence of witnesses, who in my presence and at my request, and in the presence of each other, have hereunto subscribed their names.
[YOUR NAME]
[DATE SIGNED]
Witnessed by:
Witness 1:
[WITNESS 1'S NAME]
[DATE SIGNED]
Witness 2:
[WITNESS 2'S NAME]
[DATE SIGNED]
