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  1. If you need help with this form, complete as much of it as you can and call the phone number provided on the letter sent with the form, or contact the person who asked you to complete the form. If you …

  2. Every competent adult has the right to make a written declaration commonly known as a "Living Will." The purpose of this document is to direct the provision, the withholding or withdrawal of life …

  3. GENERAL INSTRUCTIONS: You can use this Advance Directive ("Living Will") form to give instructions for the future if you want your health care providers to withhold or withdraw life-prolonging measures …

  4. Living Will Declaration means a legal document that lets a competent adult (“declarant”) specify what health care the declarant wants or does not want when he or she becomes terminally ill or …

  5. A Living Will only becomes effective if you are determined to have a terminal illness or are at the end-of-life and when you are no longer able to communicate your wishes.

  6. Provide informed consent, refusal of consent, or withdrawal of consent to any and all of my health care, including life-prolonging procedures. Apply on my behalf for private, public, government, or veteran’s …

  7. The Living Will form should be used to let your physician and your family know what kind of life-sustaining treatments you want to receive if you become terminally ill or permanently unconscious …