Living Will Form
A living will form gives directions about one’s medical care in case they fall critically ill and are unable to make decisions at a future time. For instance, if one is in a coma or on life support. The will shows the duration and type of medical care that they would wish to receive. A sample living will form is shown below.
Sample Living Will Form
Living will declaration of __________________________________
To my family, friends, doctors, surgeons, caregivers and all those concerned:
I being of sound mind and good judgment, voluntarily and willfully declare that in case I become incapacitated or incompetent such that I am not able to express my desires or communicate my wishes, this declaration should be followed.
Declaration
In case I become incapacitated or in a coma so that I need life support, my doctor or primary caregiver should do the following:
1.________________________________
2.___________________________________
3.__________________________________
Declaration made on Date: ____________________
Witness 1._____________________________
Witness 2. _____________________________
Category: Will Forms
