Minnesota Living Will
I. Introduction
This Living Will document is prepared by [Your Name], residing at [Your Address], in the state of Minnesota. This Will is created to provide directives regarding my medical treatment and healthcare decisions in case I become unable to communicate my wishes due to illness or incapacity.
II. Declaration of Intent
I, [Your Name], being of sound mind and under no duress, hereby declare the following:
2.1 Healthcare Agent: I appoint [Your Healthcare Agent] as my healthcare agent to make medical decisions on my behalf if I am unable to do so.
2.2 Healthcare Directives: I provide the following directives concerning my healthcare and medical treatment.
III. Healthcare Directives
3.1 End-of-Life Care
(a) Prolonging Life: If I have a terminal condition and I am unable to communicate my wishes, I direct that:
Life-prolonging procedures, including artificial respiration and tube feeding, be withheld or withdrawn.
I am allowed to die naturally without interventions.
3.2 Specific Instructions
(a) Pain Management: I authorize the use of medications and treatments to alleviate pain and ensure comfort.
(b) Artificial Nutrition and Hydration: I do/do not consent to the provision of food and water artificially through medical means if I am unable to eat or drink.
IV. Organ Donation
I authorize the donation of any needed organs or tissues for transplantation or medical research upon my death.
V. Signature and Witnesses
I affirm that this Living Will expresses my desires regarding medical treatment and end-of-life care.
[Your Name]
[Date]
Witness 1
Name: [Witness 1 Name]
Address: [Witness 1 Address]
Witness 2
Name: [Witness 2 Name]
Address: [Witness 2 Address]
VI. Notary Acknowledgment
County of [County Name], State of Minnesota
On this [Date], before me, [Notary's Name], a notary public in and for the said state, personally appeared [Your Name], known to me to be the person described in and who executed the foregoing instrument, and acknowledged that he/she executed the same as his/her free act and deed.
Witness my hand and official seal.
Notary Public: [NOTARY'S NAME]
My Commission Expires: [EXPIRATION DATE]
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