New York Living Will

---

I. Introduction

This Living Will template is intended to express your wishes regarding medical treatment and end-of-life care in the event you are unable to communicate your preferences. It complies with the laws of the State of New York.

II. Declaration of Intent

I, [Your Name], of [Your City], New York, being of sound mind, declare this to be my Living Will and Health Care Proxy Directive.

III. Health Care Agent

1. I hereby appoint [Your Health Care Agent] as my Health Care Agent to make health care decisions on my behalf.

2. If [Your Health Care Agent] is unable or unwilling to serve, I appoint [Alternate Health Care Agent] as my alternate Health Care Agent.

IV. Health Care Instructions

1. End-of-Life Treatment Preferences:

   • If I am diagnosed with a terminal condition and am unable to communicate my wishes, I direct that life-sustaining treatment be withheld or withdrawn.

   • I understand that life-sustaining treatment includes, but is not limited to, artificial respiration, tube feeding, and artificial hydration.

   • I wish to be kept as comfortable as possible and to receive palliative care to alleviate pain and suffering.

2. Artificial Nutrition and Hydration:

   • I do not wish to receive artificial nutrition and hydration if I am unable to take food and fluids orally.

   • I prefer to receive artificial nutrition and hydration if deemed necessary by my attending physician.

3. Organ and Tissue Donation:

   • I hereby express my desire to donate any needed organs, tissues, or parts of my body for transplantation, therapy, research, or education, subject to applicable laws and medical suitability.

V. Specific Instructions

1. DNR (Do Not Resuscitate) Order:

   • I do not want a Do Not Resuscitate order in place.

2. Funeral and Burial Instructions:

   • I prefer to be cremated, and my ashes scattered at sea.

VI. Miscellaneous Provisions

1. Revocation: I reserve the right to revoke or amend this Living Will at any time, provided I am of sound mind.

2. Severability: If any provision of this Living Will is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

3. Governing Law: This Living Will shall be governed by the laws of the State of New York.

VII. Signatures

In Witness Whereof, I have executed this Living Will on this day of                , 20.

Declarant

[Your Name]

[YOUR ADDRESS]

Witness 1

Name: [WITNESS NAME 1]

Address: [WITNESS ADDRESS 1]

Witness 2

Name: [WITNESS NAME 2]

Address: [WITNESS ADDRESS 2]

VIII. Notary

This Living Will has been acknowledged before me on this day of                   , 20, by [Your Name], the declarant, who is personally known to me or who has provided satisfactory evidence of identity.

Witness my hand and official seal.

Notary Public: [NOTARY'S NAME]
Notary Public, State of New York

My Commission Expires: [EXPIRATION DATE]

Will Templates @ Template.net