Notice
This document is provided for informational purposes only and is not intended as legal or medical advice. It serves as a general example of expressing your preferences regarding future healthcare decisions. It is recommended to consult with legal and healthcare professionals to tailor the document to your specific circumstances and ensure it complies with local laws. Use of this template is at your own risk, and no liability is assumed for any errors, omissions, or consequences resulting from its use without proper professional guidance.
This template for a Living Will is a sample only. Please customize according to your specific circumstances and legal requirements.
Living Will Template
Parties Involved:
Decedent: Jane Doe
Address: 456 Elm Avenue, New York, NY 10002
Agent/Representative: John Smith
Address: 123 Main Street, New York, NY 10001
Purpose of This Document:
This Living Will expresses the healthcare preferences and end-of-life wishes of the Decedent, to guide medical decisions when they are unable to communicate their wishes.
Medical Treatment Preferences:
The Decedent requests that life-sustaining treatments be administered or withheld according to their preferences, including but not limited to mechanical ventilation, resuscitation, and artificial nutrition or hydration.
Specific Instructions:
The Decedent wishes to decline artificial nutrition and hydration if it prolongs suffering or if death is imminent, and prefers comfort care instead.
Executed on ______________________ by the Decedent:
Jane Doe (Decedent)
John Smith (Agent/Representative)
This document is a guide and should be reviewed periodically. Consider consulting legal or healthcare professionals for personalized advice.