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
-
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.
-
-
Pain Management:
-
I request appropriate pain relief measures be administered, even if they may hasten my death.
-
-
Organ Donation:
-
I authorize/deny the donation of my organs for transplant or research purposes.
-
B. Mental Health Treatment Preferences
-
Mental Health Care:
-
I wish to receive mental health treatment through the guidance provided by my appointed healthcare agent.
-
-
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
-
Artificial Nutrition and Hydration:
-
Specify your preferences regarding tube feeding or intravenous hydration in end-of-life situations.
-
-
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]