Free Washington Living Will Template
Washington Living Will
I. Declaration
I, [YOUR NAME], residing at [YOUR COMPANY ADDRESS], being of sound mind and understanding, hereby declare this document to be my Living Will, revoking all prior directives and declarations regarding my medical treatment.
II. Statement of Intent
It is my intention that this Living Will shall serve as a guide to my healthcare providers and my family members regarding my preferences for life-sustaining treatments in the event that I am unable to communicate my wishes due to incapacity.
III. Preferences for Life-Sustaining Treatments
I understand that medical situations may arise where I am unable to communicate my wishes regarding life-sustaining treatments. In such circumstances, I hereby provide the following instructions:
a. If I am in a terminal condition with no reasonable expectation of recovery, and the application of life-sustaining treatments will only prolong the process of dying, I do not wish to receive life-sustaining treatments.
b. If I am in a persistent vegetative state with no reasonable expectation of regaining cognitive function, I do not wish to receive life-sustaining treatments.
c. If I am in a coma from which I am unlikely to regain consciousness, and the application of life-sustaining treatments will only prolong the coma, I do not wish to receive life-sustaining treatments.
IV. Appointment of Healthcare Agent
In the event that I am unable to make medical decisions for myself, I hereby appoint [Name of Healthcare Agent] residing at [Agent's Address] as my healthcare agent to make healthcare decisions on my behalf. My healthcare agent shall have the authority to make decisions consistent with the preferences outlined in this Living Will.
V. Revocation of Prior Directives
I hereby revoke any prior Living Will, healthcare proxy, or similar document that I may have executed, to the extent that they are inconsistent with the provisions of this Living Will.
VI. Witnesses and Signatures
Witnesses: I sign this Living Will in the presence of the following witnesses, who attest to my signature and confirm that I am of sound mind:
Testator
[YOUR NAME]
[YOUR COMPANY ADDRESS]
[DATE SIGNED]
Witness #1
Name: [WITNESS NAME 1]
Address: [WITNESS ADDRESS 1]
[DATE SIGNED]
Witness #2
Name: [WITNESS NAME 2]
Address: [WITNESS ADDRESS 2]
[DATE SIGNED]
VII. Certification
Notary Public: I, [Name of Notary Public], a Notary Public in and for the State of Washington, certify that [YOUR NAME] appeared before me and signed or acknowledged this Living Will in my presence on [Date of Execution].
Notary Public Name: [NOTARY'S NAME]
Commission Expires: [EXPIRATION DATE]
