Today, life support systems can keep an individual's body alive for years, even if the brain is no longer functioning or the person is in constant pain. As competent adults, we have the right to make advance decisions as to whether or not we would like to decline life support when it is clear that death is imminent or a state of coma or vegetation becomes permanent. A living will is a document which states that you do not want artificial life support if you become terminally ill or are in a state of coma.
Simply fill out the following questions and a template will be filled out for you to print and be signed by the appropriate people. PLEASE NOTE that no personal information is saved, redistributed, saw by anyone other than you and the people you want to see the information, or in any other way used for purposes other than to generate the proceeding document.
Your Name:
Person to enforce declaration:
I do not want cardiopulmonary resuscitation (CPR). I do not want mechanical respiration. I do not want antibiotics. I do not want to be taken to a hospital, if at all avoidable. I do not want blood or blood products. I do not want kidney dialysis. I do want maximum pain relief, even if it may hasten my death.
PLEASE NOTE that no personal information is saved, redistributed, saw by anyone other than you and the people you want to see the information, or in any other way used for purposes other than to generate the proceeding document.
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