Illinois Living Will

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

  1. Life-Sustaining Treatment:

    • I do/do not wish to receive life-sustaining treatment if my condition is deemed terminal.

    • Specify any specific treatments you wish to accept or decline.

  2. Pain Management:

    • I request appropriate pain relief measures be administered, even if they may hasten my death.

  3. Organ Donation:

    • I authorize/deny the donation of my organs for transplant or research purposes.

B. Mental Health Treatment Preferences

  1. Mental Health Care:

    • I wish to receive mental health treatment through the guidance provided by my appointed healthcare agent.

  2. Preferred Healthcare Agent:

    • Name: [YOUR HEALTHCARE AGENT'S NAME]

    • Contact Information: [YOUR HEALTHCARE AGENT'S CONTACT DETAILS]

III. End-of-Life Care

A. End-of-Life Decisions

  1. Artificial Nutrition and Hydration:

    • Specify your preferences regarding tube feeding or intravenous hydration in end-of-life situations.

  2. Comfort Care:

    • I request comfort care measures to be provided for the alleviation of suffering.

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]


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