Montana Living Will
Montana Living Will
I. Introduction
This Living Will document is created by [Your Name], a resident of Montana, on this [Date]. This document is intended to express my wishes regarding medical treatment and end-of-life decisions if I am unable to communicate my desires due to incapacity.
II. Declaration of Health Care Preferences
A. Appointment of Health Care Agent
I hereby appoint [Healthcare Agent] as my agent to make healthcare decisions on my behalf if I am unable to do so. If my primary agent is unable or unwilling to serve, I appoint [Alternate Healthcare Agent] as my alternate agent.
B. Health Care Instructions
In the event of my incapacity, I direct that medical treatment, care, and procedures be provided, withheld, or withdrawn based on the following guidelines:
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Medical Treatment Preferences:
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Suppose I am diagnosed as being in a persistent vegetative state with no reasonable chance of recovery. In that case, I request that life-sustaining treatment, including artificial nutrition and hydration, be withheld or withdrawn.
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If I am terminally ill and death is imminent despite treatment, I request that life-sustaining treatment, excluding comfort care, be withheld or withdrawn.
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Comfort Measures:
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I request that all efforts be made to keep me comfortable, relieve pain, and alleviate suffering, even if such measures may hasten my death.
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Specific Instructions:
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If I am unable to recognize family members or communicate verbally, I request that my healthcare team prioritize quality of life over prolonging my existence.
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C. Religious or Personal Beliefs
I declare that my decision to withhold or withdraw life-sustaining treatment is not influenced by religious or personal beliefs, but rather by a desire to maintain dignity and avoid unnecessary suffering.
III. Organ and Tissue Donation
I hereby authorize the donation of any of my organs or tissues for transplantation, therapy, research, or education purposes, as permitted by law. I have indicated my decision on organ and tissue donation on my driver's license or state identification card.
IV. Miscellaneous Provisions
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Revocation: I reserve the right to revoke this Living Will at any time, provided it is done so in writing and communicated to my healthcare agent and healthcare providers.
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Severability: If any provision of this Living Will is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.
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Governing Law: This Living Will shall be governed by the laws of the state of Montana.
V. Signature and Witness
I affirm that I am of sound mind and understand the contents of this Living Will. I sign this document in the presence of the following witnesses:
Declarant
[Your Name]
[Your City]
Witness 1
Name: [WITNESS NAME 1]
Address: [WITNESS ADDRESS 1]
Witness 2
Name: [WITNESS NAME 2]
Address: [WITNESS ADDRESS 2]
VI. Notary Acknowledgment
State of Montana
County of [County Name]
On this [Date], before me, the undersigned Notary Public, personally appeared [Your Name], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.
Witness my hand and official seal.
Notary Public: [NOTARY'S NAME]
My Commission Expires: [EXPIRATION DATE]
Notary Public Seal: [SEAL]