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CONDITIONS
UNDER WHICH YOU MAY EXECUTE A LIVING WILL
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If at any time you should
have an incurable and irreversible injury, disease, or illness judged to
be a terminal condition by your attending physician who has personally
examined you and has determined that your death is imminent except for
death delaying procedures, this living will directs that such procedures which
would only prolong the dying process be withheld or withdrawn, and that
you be permitted to die naturally with only the administration of
medication deemed necessary by your attending physician to provide you with comfort
care.
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ADDITIONAL INFORMATION ABOUT THIS LIVING WILL |
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Operative Date
Your living will becomes operative when a copy is provided to
your attending physician; and you are determined by
your attending physician to be incompetent and in a terminal condition or
in a state of permanent unconsciousness.
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Duty of Attending
Physician(s)
When your living will becomes
operative, your physician and other health care providers shall act in
accordance with its provisions. If your attending physician or other
health care provider cannot in good conscience comply with the provisions
of your living will or if the policies of the health care provider
preclude compliance, your attending physician or health care provider
shall so inform you, or, if you are incompetent, shall so inform your
agent, or, if an agent is not named in your living will, shall so inform
your family, guardian or other representative. Your physician and
health care provider shall make every reasonable effort to assist in the
your transfer to another physician or health care provider who will comply
with your living will.
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Revocation
You may revoke your declaration at any time
and in any manner. The revocation shall be effective when you
express your intention to revoke the declaration, except that, if you have
made your attending physician aware of the declaration, the revocation
shall be effective upon its communication to the your attending physician
by yourself, a witness to the revocation, or other health care personnel
to whom the revocation
is communicated by such a witness.
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 | Executing and Delivering Your Living Will
After you have completed your directive you should sign it before two witnesses.
Before you sign in front of two
witnesses pay particular attention to the qualifications contained in
the witness statement. You should provide a copy of your completed
advance directive to your attending physician and other health care providers
and they shall make it a part of your medical records. You should also
give a copy to trusted family members. |
SOURCE:
Illinois Compiled Statutes, Chapter
755 Estates, Section 35, Illinois Living Will Act |