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[PDF File]NEW YORK Advance Directive
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Part II, Living Will, lets you state your wishes about health care in the event that you can no longer speak for yourself. Part II also allows you to record your organ donation, pain relief, funeral, and other advance planning wishes. If you also complete Part I, your living will is an important source of …
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INDIANA LIVING WILL DECLARATION - IARA: State Forms …
INDIANA LIVING WILL DECLARATION State Form 55316 (6-13) Indiana State Department of Health – IC 16-36-4 This declaration is effective on the date of execution and remains in effect until revocation or the death of the declarant. This declaration should be provided to …
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[PDF File]Florida Living Will - APD
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FLORIDA LIVING WILL (CONTINUED) I wish to designate the following person as my alternate surrogate, to carry out the provisions of this declaration should my surrogate be unwilling or unable to act on my behalf. Name: _____ Address: _____
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[PDF File]ADVANCE DIRECTIVE FOR A NATURAL DEATH (LIVING WILL) …
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The Living Will states what choices you would have made for yourself if you were able to communicate. Talk to your family members, friends, and others you trust about your choices. Also, it is a good idea to talk with professionals such as your doctors, clergypersons, and …
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[PDF File]HEALTH CARE DIRECTIVE (LIVING WILL)
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HEALTH CARE DIRECTIVE (LIVING WILL) I, want everyone who cares for me to know what health care I want, ... SECTION 2: (You may leave this section blank.) ... Power of Attorney and/or the Health Care Directive forms Please ask one person to witness your signature who is not related to you or financially connected to you or your estate.
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[PDF File]StateofOhio LivingWillDeclaration NoticetoDeclarant
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StateofOhio LivingWillDeclaration NoticetoDeclarant The purpose of this Living Will Declaration is to document your wish that life-sustaining treatment, including artificially or technologically supplied nutrition and hydration, be withheld or withdrawn if you are unable to make
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Blank printable living will forms