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(a) I direct that life-sustaining treatments and procedures shall be withheld or withdrawn if:
My condition is terminal and incurable.
I am in a persistent vegetative state.
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:
I direct that all treatments that only prolong the dying process be withheld or discontinued, including artificially administered feeding and hydration.
I wish to receive maximum comfort care, including pain relief and palliative care.
I [do/do not] authorize the use of life-sustaining procedures if I am in a persistent vegetative state.
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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