Free Maryland Living Will Template

Maryland Living Will

I. Introduction

This Living Will is made by [Your Name], a resident of [Your Address], to express my wishes regarding medical treatment and life-sustaining measures if I am unable to communicate my preferences.


II. Health Care Agent

I appoint [Your Healthcare Agent's Name] as my Health Care Agent to make medical decisions on my behalf if I am unable to do so. If my primary Health Care Agent is unavailable or unwilling to serve, I appoint [Alternate Healthcare Agent's Name] as my alternate Health Care Agent.


III. Health Care Directives

3.1 End-of-Life Care

(a) I direct that life-sustaining treatments and procedures shall be withheld or withdrawn if:

  1. My condition is terminal and incurable.

  2. I am in a persistent vegetative state.

  3. I am unable to recognize or interact meaningfully with my environment.

(b) In situations where I am unable to make decisions regarding my medical treatment or in the event of a terminal condition:

  1. I direct that all treatments that only prolong the dying process be withheld or discontinued, including artificially administered feeding and hydration.

  2. I wish to receive maximum comfort care, including pain relief and palliative care.

  3. I [do/do not] authorize the use of life-sustaining procedures if I am in a persistent vegetative state.

  4. I [do/do not] authorize the use of life-sustaining procedures if I am terminally ill and death is imminent, except as needed to maintain comfort and relieve pain.

3.2 Organ Donation

I authorize the donation of any needed organs or tissues upon my death for transplantation or medical research purposes.

3.3 Comfort Care

I request that measures be taken to ensure my comfort and relieve pain even if they may hasten my death.


IV. Signature and Witnesses

I affirm that this Living Will expresses my desires regarding medical treatment and end-of-life care.

[Your Name]

[Date]

Witness 1

Name: [Witness 1 Name]

Address: [Witness 1 Address]

Witness 2

Name: [Witness 2 Name]

Address: [Witness 2 Address]


V. Notary Acknowledgment

County of [County Name], State of Maryland

On this [Date], before me, [Notary's Name], a notary public in and for the said state, personally appeared [Your Name], known to me to be the person described in and who executed the foregoing instrument, and acknowledged that he/she executed the same as his/her free act and deed.

Witness my hand and official seal.

Notary Public: [Notary's Name]

My Commission Expires: [Expiration Date]

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