Free Illinois Living Will Template
Illinois Living Will
I. Introduction
This Living Will, prepared under the laws of the State of Illinois, enables me, [YOUR NAME], to express my preferences regarding medical treatment and mental health care in the event I am unable to communicate my wishes.
II. Declaration of Health Care Preferences
A. Medical Treatment Preferences
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Life-Sustaining Treatment:
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I do/do not wish to receive life-sustaining treatment if my condition is deemed terminal.
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Specify any specific treatments you wish to accept or decline.
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Pain Management:
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I request appropriate pain relief measures be administered, even if they may hasten my death.
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Organ Donation:
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I authorize/deny the donation of my organs for transplant or research purposes.
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B. Mental Health Treatment Preferences
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Mental Health Care:
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I wish to receive mental health treatment through the guidance provided by my appointed healthcare agent.
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Preferred Healthcare Agent:
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Name: [YOUR HEALTHCARE AGENT'S NAME]
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Contact Information: [YOUR HEALTHCARE AGENT'S CONTACT DETAILS]
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III. End-of-Life Care
A. End-of-Life Decisions
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Artificial Nutrition and Hydration:
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Specify your preferences regarding tube feeding or intravenous hydration in end-of-life situations.
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Comfort Care:
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I request comfort care measures to be provided for the alleviation of suffering.
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IV. Legal Acknowledgement
I, [YOUR NAME], being of sound mind, declare that this Living Will accurately reflects my wishes regarding medical treatment and mental health care. I understand the implications and consequences of these decisions.
[YOUR NAME]
[DATE SIGNED]
V. Witnesses
This document was signed in the presence of:
Witness 1:
[WITNESS 1'S NAME]
[DATE SIGNED]
Witness 2:
[WITNESS 2'S NAME]
[DATE SIGNED]
