| The purpose of a Living Will declaration is to | | | | individuals in a terminal condition or a permanently |
| document your wish that life-sustaining treatment, | | | | unconscious state. If you wish to direct medical |
| including artificially or technologically supplied nutrition | | | | treatment in other circumstances, you should prepare |
| and hydration, be withheld or withdrawn if you are | | | | a Health Care Power of Attorney.The Health Care |
| unable to make informed medical decisions and are in | | | | Power of Attorney form gives the person you |
| a terminal condition or in a permanently unconscious | | | | designate (agent or attorney-in-fact) the authority to |
| state.1. Life-sustaining treatment means any health | | | | make most health care (including dental, nursing, |
| care, including artificially or technologically supplied | | | | psychological, and surgical) decisions for you if you |
| nutrition and hydration, that will serve mainly to | | | | lose the capacity to make informed health care |
| prolong the process of dying.2. Terminal condition or | | | | decisions for yourself. This authority is effective only |
| terminal illness means an irreversible, incurable and | | | | when your attending physician determines that you |
| untreatable condition caused by disease, illness or | | | | have lost the capacity to make informed health care |
| injury. Your physician and one other physician will | | | | decisions for yourself. As long as you have the |
| have examined you and believe that you cannot | | | | capacity to make informed health care decisions for |
| recover and that death is likely to occur within a | | | | yourself, you retain the right to make all medical and |
| relatively short time if you do not receive | | | | other health care decisions. You may also limit the |
| life-sustaining treatment.3. Permanently unconscious | | | | health care decisions that your agent will have the |
| state means an irreversible condition in which you are | | | | authority to make. The authority of the agent to |
| permanently unaware of yourself and your | | | | make health care decisions for you generally will |
| surroundings. Your physician and one other physician | | | | include the authority to give informed consent, to |
| must examine you and agree that the total loss of | | | | refuse to give informed consent, or to withdraw |
| higher brain function has left you unable to feel pain | | | | informed consent to any care, treatment, service, or |
| or suffering.Having a Living Will does not affect the | | | | procedure to maintain, diagnose, or treat a physical |
| responsibility of health care personnel to provide | | | | or mental condition.Click here to find your state's |
| comfort care to you. Comfort care means any | | | | Living Will Form & Health Care Power of Attorney |
| measure taken to diminish pain or discomfort, but not | | | | Form.Legal Forms Bank.biz, download printable online |
| to postpone death. | | | | legal forms. |
| In most states, a Living Will is applicable only to | | | | |