Hawaii Living Will
Hawaii Living Will
I. Introduction
This document serves as the Living Will of [YOUR NAME], a resident of the State of Hawaii. It outlines my preferences regarding medical treatment and end-of-life care if I am unable to communicate my wishes due to incapacitation.
II. Declaration of Intent
I, [YOUR NAME], being of sound mind, hereby declare this document to be my Living Will. I wish to have my healthcare providers and family members understand and respect my decisions regarding medical treatment.
III. Healthcare Agent
If I am unable to make medical decisions for myself, I appoint [YOUR HEALTHCARE AGENT'S NAME] as my healthcare agent. They are authorized to make healthcare decisions on my behalf according to the guidelines outlined in this Living Will.
IV. Medical Preferences
A. End-of-Life Care
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Comfort Measures: I request all necessary measures to be taken to keep me comfortable and free of pain, even if this may hasten my death.
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Life-Sustaining Treatment: I do/do not wish to receive life-sustaining treatment if I have an incurable or irreversible condition and am unable to communicate.
B. Specific Instructions
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Artificial Nutrition and Hydration: I do/do not wish to receive artificial nutrition and hydration under specific circumstances.
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Mechanical Ventilation: I do/do not wish to be placed on mechanical ventilation if I am unable to breathe on my own.
V. Organ Donation
Upon my demise, it is a fervent desire of mine to make a meaningful contribution to the field of medicine by choosing to offer my organs as part of a medical transplantation process or to conduct research. However, I would like to clarify that such an act of my volition is solely dependent on the fact that it must, in every circumstance, comply with the guidelines and stipulations that are set forth by the respective authorities in the State of Hawaii, under whose jurisdiction these matters fall.
VI. Signature
I sign this Living Will on this [DATE] day of [MONTH], [YEAR].
[YOUR NAME]
VII. Witness Declaration
This document was signed in my presence by [YOUR NAME] who appears to be of sound mind and free of duress. The Principal has affirmed that they are fully informed as to the contents of this directive and understand the full import of this grant of powers to the agent named herein.
Witness 1:
[WITNESS 1'S NAME]
[DATE SIGNED]
Witness 2:
[WITNESS 2'S NAME]
[DATE SIGNED]
