Description

Description

A living will, sometimes called an advance directive, is a legal document which conveys the declarant’s wishes with respect to terminating life support and other extreme medical treatment upon determination that the declarant is incapable of conveying their wishes themselves.

Living Will

$75.00

Living Will / Advance Directive

I,(Required)

willfully and voluntarily make known my desire that my dying not be artificially prolonged under the circumstances set forth below, and I do hereby declare that, if at any time I am incapacitated

and:

I have a terminal condition

I have an end stage condition

I am in a persistent vegetative state

Address(Required)

Home Address (required) City (required) State (required) Zip Code (required)

Home Telephone

Mobile Telephone(Required)

Email Address(Required)

Phone

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