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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 condition certified in
writing by your attending physician and one other qualified physician to be terminal or you have been unconscious, comatose, or otherwise incompetent so as to
be unable to make or communicate responsible decisions concerning your
person, you may direct 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would only prolong the dying process be withheld or withdrawn, and that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 to provide you comfort care.
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ADDITIONAL INFORMATION ABOUT THIS LIVING WILL |
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Designation of Agent
This
living will gives your health care providers or your designated proxy the
power and guidance to make health care decisions according to your wishes
when you are in a terminal condition and cannot do so. This document
may include what kind of treatment you want or do not want and under what
circumstances you want these decisions to be made. You may state where you
want or do not want to receive any treatment. Your proxy as the same
right as you have to examine your medical records and to consent to their
disclosure for purposes related to your health care or insurance unless
you limit this right in this document.
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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 you have not designated a health care proxy, 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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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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Anatomical Gifts
After you have printed
out your completed document, you will be asked to indicate by placing your initials in a box whether or not you wish to be an organ donor upon your
death.
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Executing and Delivering Your Living Will
After you have completed your
living will you should sign it before a
notary public OR in front of two witnesses. If 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
living will 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.
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SOURCE: Minnesota Statutes §145B.04; Health Care Living Will |
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