Oklahoma Living Will

Oklahoma Living Will


I. Introduction

The subsequent Living Will has been created by myself, known as [Your Name], who is of legal and permissible age, and currently residing at the address of [Your Address]. From this point forward, throughout this document, I will be referred to as the "Declarant". Please note that the date of creation for this Living Will is [Date of Creation].

II. Declaration of Intent

I, [Your Name], hereby declare this Living Will to express my desires and preferences regarding medical treatment in the event of my incapacity to make decisions for myself.

III. Statement of Wishes

  1. Life-Sustaining Treatment: I request that all reasonable measures be taken to prolong my life if there is a reasonable chance of recovery. However, if my attending physician determines that there is no reasonable expectation of my recovery from physical or mental disability, I do not wish to prolong the process of dying.

  2. Artificial Hydration and Nutrition: I understand that artificial hydration and nutrition may prolong my life. I hereby express my wishes regarding the use of artificial means to provide hydration and nutrition as follows:

    • If I am unable to take food and fluids by mouth and my physician determines that there is no reasonable expectation of my recovery, I do not want artificial hydration and nutrition administered.

    • If I am unable to take food and fluids by mouth but my physician determines that there is a reasonable expectation of my recovery, I want artificial hydration and nutrition administered.

  3. Ventilator Use: If I am unable to breathe on my own, I hereby express my wishes regarding the use of ventilators:

    • If my attending physician determines that there is no reasonable expectation of my recovery, I do not want to be placed on a ventilator.

    • If my attending physician determines that there is a reasonable expectation of my recovery, I want to be placed on a ventilator.

IV. Appointment of Healthcare Agent

I hereby appoint [Healthcare Agent Name] as my healthcare agent to make healthcare decisions on my behalf by the instructions provided in this Living Will. If [Healthcare Agent Name] is unable or unwilling to serve, I appoint [Alternate Healthcare Agent Name] as my alternate healthcare agent.

V. Revocation of Prior Documents

I, the undersigned, officially declare that I am revoking and making null any previous Living Will or Advance Healthcare Directive that may have been made by me, this includes any personal legal instructions for my healthcare treatment given in advance.

VI. General Provisions

  1. Severability: If any particular provision of this Living Will is deemed to be invalid or cannot be enforced due to whatsoever reason, it should be noted that such occurrence will not affect the validity or enforceability of the remaining provisions. These remaining provisions shall continue to remain in full force and effect, sustaining their complete power and influence as originally intended in this Living Will.

  2. Governing Law: This Living Will shall operate and be controlled by the legislation and legal systems that belong to the State of Oklahoma.

VII. Signature

By bearing witness to the creation of this document, I hereby affirm that I fully acknowledge and accept the contents of this Living Will. This acknowledgment is cemented with my intentional and voluntary act of signature, which I have applied to this document on the date indicated as [Date].

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. Notarization

On this [Date], before me, the undersigned notary public, personally appeared [Your Name], known to me (or proved to me based on satisfactory evidence) to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.


Notary Public

[Printed Name of Notary Public]
[Commission Number of Notary Public]

My Commission Expires: [Expiry Date of Notary Public's Commission]


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