Wisconsin Living Will

I. Introduction

This document is my Living Will, made on [DATE], following the laws of the State of Wisconsin, to express my wishes regarding life-sustaining treatments in the event of my incapacity.

II. Declaration of Intent

• I, [YOUR NAME], being of sound mind and acting of my own free will, hereby declare this to be my Living Will.

• I intend that this Living Will shall be honored by my family, healthcare providers, and any other relevant parties if I am unable to communicate my wishes due to illness, injury, or incapacitation.

III. Preferences for Life-Sustaining Treatments

I do hereby provide the following instructions regarding life-sustaining treatments:

1. Artificial Respiration:

   • If I am unable to breathe on my own and require mechanical ventilation to sustain life, I direct that:

     • [Specify preferences, such as whether you wish to receive artificial respiration under certain circumstances or if you do not want it at all.]

2. Tube Feeding:

   • If I am unable to swallow food or water and require tube feeding to sustain life, I direct that:

     • [Specify preferences, such as whether you wish to receive tube feeding under certain circumstances or if you do not want it at all.]

3. Resuscitation:

   • If my heart stops beating or if I experience cardiac arrest, I direct that:

     • [Specify preferences, such as whether you wish to receive cardiopulmonary resuscitation (CPR) or other life-saving measures under certain circumstances or if you do not want them at all.]

IV. Healthcare Agent

In addition to the directives provided in this Living Will, I designate [insert name of healthcare agent] as my healthcare agent to make medical decisions on my behalf if I am unable to do so myself.

V. Revocation of Prior Directives

I hereby revoke any prior Living Will, Advance Directive, or similar documents that I may have executed.

VI. Signature and Witnesses

Signed this [DATE], at [insert city or town], Wisconsin.

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]

VII. Notarization (if applicable)

Notary Public Name: [NOTARY'S NAME]

Commission Expires: [EXPIRATION DATE]

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