Free Minnesota Living Will Template

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  • Life-prolonging procedures, including artificial respiration and tube feeding, be withheld or withdrawn.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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