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Living Will_ Maryland

anonymous 12/12/2007 | 0 (0) | 152 | 6 | 0 | English

Declaration as Provided by Maryland Health-General Code Section 5-602 DECLARATION On this _________________ day of ___________, I ________ ______, being of sound mind, willfully and voluntarily direct that my dying shall not be artificially prolonged under the circumstances set forth in this declaration: If at any time I should have an inc  ... more>>

Living Will_ Maine

anonymous 12/12/2007 | 0 (0) | 136 | 2 | 0 | English

Declaration Provided by Maine Revised Statutes Title 22 Section 2922 DECLARATION If I should have an incurable or irreversible condition that will cause my death within a short time, and if I am unable to participate in decisions regarding my medical treatment, I direct my attending physician to withhold or withdraw procedures that merel  ... more>>

Living Will_ Louisiana

anonymous 12/12/2007 | 0 (0) | 120 | 4 | 0 | English

Statutory Declaration in Conformance with Louisiana Natural Death Act, Louisiana R. S. 40:1299.58.3 DECLARATION OF _____________________ Declaration made this __________ day of ________________ 20________. I __________________, being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially p  ... more>>

Living Will_ Kansas

anonymous 12/12/2007 | 0 (0) | 132 | 2 | 0 | English

Statutory Declaration in Conformance with Kansas Natural Death Act, Kansas Statutes Section 65-28,103 DECLARATION OF ___________________ Declaration made this __________ day of ________________ 20_____. I ____________, being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under  ... more>>

Living Will_ Iowa

anonymous 12/12/2007 | 0 (0) | 127 | 4 | 0 | English

Declaration as Provided by Iowa Code 144A.3 DECLARATION OF __________________ If I should have an incurable or irreversible condition that will cause my death within a relatively short time, it is my desire that my life not be prolonged by administration of life-sustaining procedures. If my condition is terminal and I am unable to participate  ... more>>

Living Will_ Indiana

anonymous 12/12/2007 | 0 (0) | 123 | 1 | 0 | English

Statutory Declaration in Conformance with Indiana Living Will and Life-Prolonging Procedures Act, Indiana Code 16-8-11-12 LIVING WILL DECLARATION OF ________________ Declaration made this __________ day of _________________ 20________. I, _____________, being at least eighteen (18) years old and of sound mind, willfully and voluntarily mak  ... more>>

Living Will_ Illinois

anonymous 12/12/2007 | 0 (0) | 144 | 3 | 0 | English

Statutory Declaration in Conformance with Illinois Natural Death Act, IL. Stat. 110 ½ Paragraph 703 DECLARATION OF ______________________ This declaration is made this __________ day of __________ 20___________. I, _____________________________, being of sound mind, willfully and voluntarily make known my desires that my moment of death shal  ... more>>

Living Will_ Hawaii

anonymous 12/12/2007 | 0 (0) | 135 | 2 | 0 | English

Declaration as Provided by Hawaii Revised Statutes Chapter 327D, Section 4 DECLARATION A. Statement of Declarant Declaration made this __________________ day of _____________, 20_______. I, _________________ being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circ  ... more>>

Living Will_ Georgia

anonymous 12/12/2007 | 0 (0) | 141 | 1 | 0 | English

Living Will as Provided by Georgia Code, Section 31-32-3 LIVING WILL Living will made this _________________ day of ___________. I _______________________, being of sound mind, willfully and voluntarily make known my desire that my life shall not be prolonged under the circumstances set forth below, and do declare: 1. If at any time I sho  ... more>>

Living Will_ District of Columbia

anonymous 12/12/2007 | 0 (0) | 90 | 1 | 0 | English

Statutory Declaration in Conformance with District of Columbia Natural Death Act of 1981, D.C. Code Section 6-2422 DECLARATION OF __________________ Declaration made this __________ day of ________________ 20________. I, ________________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificia  ... more>>

Living Will_ Connecticut

anonymous 12/12/2007 | 0 (0) | 134 | 4 | 0 | English

Living Testament as Provided by Connecticut Statutes Section 19a-575 TESTAMENT If the time comes when I am incapacitated to the point where I can no longer actively take part in decisions for my own life, and am unable to direct my physician as to my own medical care, I wish this statement to stand as a testament of my wishes. I ____________  ... more>>

Living Will_ Colorado

anonymous 12/12/2007 | 0 (0) | 148 | 3 | 0 | English

Declaration Provided by Colorado Medical Treatment Decision Act: Colorado Statutes 15-18-104 DECLARATION AS TO MEDICAL OR SURGICAL TREATMENT I _____________, being of sound mind and at least eighteen years of age, direct that my life shall not be artificially prolonged under the circumstances set forth below and hereby declare that: 1. I  ... more>>

Living Will_ California

anonymous 12/12/2007 | 0 (0) | 198 | 11 | 0 | English

Directive to Physicians as Provided by the California Health and Safety Code: Section 7187 DIRECTIVE TO PHYSICIANS Directive made this _________________ day of ___________. I, __________________, being of sound mind, willfully and voluntarily make known my desire that my life shall not be artificially prolonged under the circumstances set  ... more>>

Living Will_ Arizona

anonymous 12/12/2007 | 0 (0) | 141 | 4 | 0 | English

Statutory Declaration in Conformance with Arizona Medical Treatment Decision Act, AZ. REV. STAT. 36-3202 DECLARATION OF __________________ Declaration made this __________ day of ________________ 20________. I, ______________, being of sound mind, willfully and artificially prolonged under the circumstances set forth below and declare that:  ... more>>

Living Will_ Alaska

anonymous 12/12/2007 | 0 (0) | 106 | 1 | 0 | English

Declaration as Provided by Alaska Statutes, Section 18.12.010: Life Sustaining Declaration DECLARATION of ______________ If I should have an incurable or irreversible condition that will cause my death within a relatively short time, it is my desire that my life not be prolonged by administration of life- sustaining procedures. If my con  ... more>>

   
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