Alabama Living Will
Alabama Living Will
This document serves as a directive regarding the health care decisions of the undersigned, [Your Name], hereafter referred to as the "Principal". This Living Will is made by the laws of the State of Alabama to guide my family, doctors, and healthcare agents when I am not capable of making decisions regarding my medical treatment.
I. Declaration
I, [Your Name], residing at [Your Company Address], being of sound mind and not under duress, fraud, or undue influence, do hereby declare my wishes concerning the withholding or withdrawal of life-sustaining treatment.
II. Effective Date
This Living Will shall become effective when I am unable to make or communicate my own health-care decisions, as verified in writing by my attending physician and one other qualified physician.
III. Appointment of Health Care Proxy
I designate [Name of Primary Agent], residing at [Address of Primary Agent], as my primary Health Care Proxy to make healthcare decisions on my behalf as authorized in this document. If my primary agent is unwilling, unable, or ineligible to act, I designate [Name of Alternate Agent], residing at [Address of Alternate Agent], as my alternate Health Care Proxy.
IV. General Powers of Health Care Proxy
My Health Care Proxy shall have the power to make all health care decisions for me, including decisions to provide, withhold, or withdraw artificial nutrition and hydration, and all other forms of health care to keep me alive, except as I state otherwise in this document.
V. Specific Wishes
Where my intentions are clear, I expect my family, physicians, and Health Care Proxy to honor the directives outlined in this Living Will:
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I do not desire any form of life-sustaining treatment, including CPR, if my condition is deemed terminal and irreversible, and my death is imminent.
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Do not administer treatment that would only serve to artificially delay the moment of my death if I am diagnosed in a persistent vegetative state.
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I prefer to receive maximum pain relief, even if it may hasten my death.
VI. Declaration of Preferences for Post-Mortal Decisions
Upon my death, I direct that my body shall be [Cremated/Buried].
The disposition of my ashes or burial location shall be at [Location or Address]. I designate [Name of Person Handling Disposition] to oversee the procedures of my post-mortal decisions.
VII. Organ Donation
I [Do/Do Not] wish to donate my organs and tissues at the time of my death for purposes of organ transplantation, therapy, research, or education.
VIII. Revocation
I affirm my right to revoke this declaration at any time during my lifetime. Such revocation must be made in writing and signed in the presence of witnesses who are not beneficiaries named in this Will. This revocation shall only be considered valid upon proper documentation and notification to all concerned parties, including my designated Healthcare Proxy and legal representatives.
IX. Signature and Witnesses
I sign this Living Will on [Date] in the presence of the following witnesses, who also sign in my presence.
Principal
[Your Name]
Witness 1
Name: [Witness 1 Name]
Address: [Witness 1 Address]
Witness 2
Name: [Witness 2 Name]
Address: [Witness 2 Address]
X. Notary Acknowledgment
County of [County Name], State of Alabama
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]
