West Virginia Living Will

I. Introduction

• I, [YOUR NAME], residing at [YOUR COMPANY ADDRESS], being of sound mind and body, hereby declare this to be my Living Will.

• This Living Will is made following the laws of the State of West Virginia to guide my medical treatment preferences in the event I am unable to communicate my wishes.

II. Declaration of Intent

• I understand that there may come a time when I am unable to make decisions about my medical care due to illness, injury, or incapacitation.

• I desire that my healthcare providers, family members, and designated healthcare agents follow the instructions outlined in this Living Will.

III. End-of-Life Care Preferences

• If I am diagnosed with a terminal condition or in a persistent vegetative state with no reasonable expectation of recovery, I request that no extraordinary life-sustaining measures be taken to prolong my life.

• I do/do not wish to receive artificial hydration and nutrition (tube feeding) if I am unable to eat or drink independently and if there is no reasonable expectation of recovery.

• I do/do not wish to receive cardiopulmonary resuscitation (CPR) if my heart stops beating or if I stop breathing and if there is no reasonable expectation of recovery.

• I do/do not wish to be placed on mechanical ventilation (life support) if I am unable to breathe on my own and if there is no reasonable expectation of recovery.

• I request that I be provided with comfort care, pain relief, and any necessary medications to ensure my comfort and dignity during my final days.

IV. Appointment of Healthcare Agent

• In addition to this Living Will, I have appointed [Name of Healthcare Agent] as my healthcare agent to make medical decisions on my behalf if I am unable to do so.

• My healthcare agent's authority shall only become effective if I am unable to make medical decisions for myself and shall remain in effect until revoked by me or my death.

V. Signature and Witnesses

I have signed this Living Will on this [DATE] in the presence of the following witnesses who attest to the fact that I am of sound mind and under no duress to execute this document.

Testator

[YOUR NAME]

[YOUR COMPANY ADDRESS]

Witness #1

Name: [WITNESS NAME 1]

Address: [WITNESS ADDRESS 1]

Witness #2

Name: [WITNESS NAME 2]

Address: [WITNESS ADDRESS 2]

VI. Notarization (if applicable)

Notary Public Name: [NOTARY'S NAME]

Commission Expires: [EXPIRATION DATE]

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