Free North Dakota Living Will Template
North Dakota Living Will
I. Introduction
I, [Your Name], residing at [Your Address], hereby declare this to be my Advance Health Care Directive, also known as a Living Will, under the laws of the State of North Dakota.
II. Appointment of Healthcare Agent
I appoint [Healthcare Agent's Name], residing at [Healthcare Agent's Address], as my Healthcare Agent to make healthcare decisions on my behalf if I am unable to do so. If [Healthcare Agent's Name] is unable or unwilling to serve, I appoint [Alternate Healthcare Agent's Name], residing at [Alternate Healthcare Agent's Address], as the Alternate Healthcare Agent.
III. Medical Treatment Preferences
If I am unable to communicate my medical treatment preferences due to incapacitation, I hereby express the following preferences:
A. Life-Sustaining Treatment
I direct that if I am suffering from a terminal condition or in a persistent vegetative state with no reasonable expectation of recovery, I do not wish to receive the following life-sustaining treatments:
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Cardiopulmonary resuscitation (CPR)
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Mechanical ventilation
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Artificial nutrition and hydration
B. Pain Management
I authorize the use of all medically appropriate measures for the relief of pain and suffering, even if such measures may hasten my death.
C. Additional Preferences
[Include any additional preferences regarding specific medical treatments, interventions, or procedures]
IV. Organ Donation
I hereby solemnly and officially declare my total agreement and readiness to donate any of my organs, tissues, or body parts for surgical transplantation, for the advancement of medical science, or educational purposes, in line with my desires and intentions. I recognize that the use and implementation of my body parts, tissues, and organs after my death will strictly abide by existing laws and regulations. I aspire for my body to be beneficial to others and contribute to scientific and educational advancements within the confines of permissible law.
V. Revocation of Prior Directives
I am hereby making an official declaration, in my full capacity and of my own conscious will, that any Advance Health Care Directives or Living Wills that have previously been created by me are now being revoked and rendered invalid. I am withdrawing these documents, thereby nullifying any legal power or influence they may have previously had. Please recognize any such directives as no longer reflect my current healthcare preferences or decisions.
VI. Governing Law
The governance and interpretation of this Advance Health Care Directive will be carried out by the established laws of the State of North Dakota.
VII. Signature
By signing this document, I am officially acknowledging an explicit understanding of every provision listed within this Advance Health Care Directive. I want to clarify that I am doing so of my own free will and in a voluntary capacity, and my signature asserts my consent and agreement with all aspects of this directive.
Testator
[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 the given date of [Date], I, a notary public, witnessed [Your Name] personally. I verified their identity, either through personal recognition or satisfactory proof, to be the person who signed the previous document, and they affirmed that their signing of it was for the purposes detailed therein.
Notary Public
[Printed Name of Notary Public]
[Commission Number of Notary Public]
My Commission Expires: [Expiry Date of Notary Public's Commission]
