Living Will
Prepared by: [YOUR NAME]
Date: August 22, 2050
Introduction:
This Living Will is designed to provide clear instructions regarding my healthcare preferences should I become unable to communicate my wishes due to a serious illness or injury. The following document outlines my decisions on medical treatments and interventions, ensuring that my healthcare preferences are respected.
Living Will
I, [YOUR NAME], of 123 Maple Street, Springfield, FL 12345, being of sound mind, do hereby declare this Living Will to be my directive concerning my healthcare preferences.
Healthcare Preferences:
Terminal Illness or Irreversible Condition
In the event that I am diagnosed with a terminal illness or an irreversible condition and am unable to communicate my wishes, I direct that the following measures be taken:
Comfort Care: Provide comfort care, including pain relief and emotional support, to ensure my dignity.
Life-Sustaining Treatments: Do not administer life-sustaining treatments if there is no reasonable hope of recovery.
Mechanical Ventilation: Do not use mechanical ventilation if my condition is terminal.
Resuscitation: Do not perform cardiopulmonary resuscitation (CPR) if my condition is terminal or irreversible.
Feeding Tubes: Do not use feeding tubes if I cannot ingest food or water and my condition is terminal.
Medical Procedures
Should I be unable to communicate, I request the following regarding medical procedures:
Additional Preferences
Palliative Care: Provide palliative care focused on relief from pain and other distressing symptoms.
Healthcare Proxy: I designate Emily Roberts as my healthcare proxy to make decisions on my behalf if I am unable to do so.
Signatures
[YOUR NAME]
Date: August 22, 2050
Witness 1
Name: [WITNESS 1 NAME]
Date: August 22, 2050
Witness 2
Name: [WITNESS 2 NAME]
Date: August 22, 2050
Contact Information for Further Queries
Email: [YOUR EMAIL]
Company Name: [YOUR COMPANY NAME]
Company Address: [YOUR COMPANY ADDRESS]
Company Social Media: [YOUR COMPANY SOCIAL MEDIA]
This Living Will should be kept in a readily accessible location and shared with my healthcare proxy and family members to ensure my wishes are known and respected.
Will Templates @ Template.net
