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CONDITIONS
UNDER WHICH YOU MAY EXECUTE A LIVING WILL
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If, in the judgment of your physician, you begin suffering
with a terminal
condition from which you are expected to die within six months
even with available life-sustaining treatment provided in accordance with
prevailing standards of medical care you may specify that such treatment be
discontinued or withheld and that you be allowed to die as gently as possible.
If, in the judgment of your physician, you are suffering with an
irreversible
condition so
that you cannot care for yourself or make decisions for yourself and are
expected to die without life-sustaining treatment provided in accordance
with prevailing standards of care you may specify that such treatment be
discontinued or withheld and that you be allowed to die as gently as
possible.
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ADDITIONAL INFORMATION ABOUT THIS LIVING WILL |
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Designation
of Agent
You will be give the option to
designate two persons to make medical decisions for you if you are
unable to make your wishes known. Your agent must act consistently with
your living will.
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Election of Treatment(s)
When you are submitting your information you will be allowed to elect treatments you want and
don't want. You will be given the option of receiving
artificial nutrition and hydration and other treatment.
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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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Executing and Delivering Your Living Will
After you have completed your directive 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
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.
This directive to physician is approximately three pages in length
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