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Form of Living Will (Including Health Care Power of Attorney)
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Form of living will, including health care power of attorney (not for use in New York)
Other Document Templates, Wills and Trusts
Estates & Trusts, Health Care
Stocker and Rikoon on Drawing Wills and Trusts
PLI Item #:
"Form of Living Will (Including Health Care Power of Attorney)"
"health care Proxy"
being presently of sound mind
able to make health care decisions
a state of permanent unconsciousness
all health care be withheld or withdrawn
unable to make decisions regarding my medical treatment
life-sustaining treatment be withheld or withdrawn
resuscitation, medication, respiration, nutrition and hydration
extent needed to relieve suffering
severe discomfort or unduly severe pain
administer medication to alleviate pain
undue burden on my family
my attorney(s)-in-fact and proxy(ies) to act severally
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