LIVING WILL AND MEDICAL DIRECTIVE
Acknowledging that I have the primary right to make my own decisions concerning treatment that might unduly prolong the dying process, by this declaration I, ________________________, express my firm and considered intent to my physician, family and friends to follow my instructions as set forth below.
If my attending physician and one additional physician certify that I have an incurable, irreversible and terminal condition, I direct that life-sustaining treatment be withheld or discontinued and that I be given all medically appropriate care to make me comfortable and to relieve pain. I do not want artificial feeding as part of my treatment. I do