Living will illinois template
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IN WITNESS WHEREOF, I have read and understand this Living Will, and I am freely and voluntarily signing it on this _ in the presence of witnesses.
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Living will illinois template full#
In the event that any terms or provisions of my Living Will are not enforceable or are not valid under the laws of the state of my residence, or the laws of the state where I may be located at the time, then all other provisions which are enforceable or valid shall remain in full force and effect, and all terms and provisions herein are severable. I am also stating the following additional instructions so that my Living Will is as clear as possible: Unless otherwise provided in this Living Will, nothing herein shall prohibit the administering of pain relieving drugs to me, or any other types of care purely for my comfort, even though such drugs or treatment may shorten my life, or be habit forming, or have other adverse side effects.
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If I am unable to make and communicate my own decisions regarding the use of medical life sustaining or life support systems and/or procedures, and if I have a sickness, illness, disease, injury or condition which has been diagnosed by two (2) licensed medical doctors or physicians who have personally examined me, (or more than two (2) if required by applicable law), one of whom shall be my attending physician, as being either (1) terminal or incurable certified to be terminal, or (2) a condition from which there is no reasonable hope of my recovery to a meaningful quality of life, which may reasonably be referred to as hopeless, although not necessarily “terminal” in the medical sense, or (3) has rendered me in a persistent vegetative state, or (4) a condition of extreme mental deterioration, or (5) permanently unconscious, then in the absence of my revoking this Living Will, all medical life sustaining or life support systems and procedures shall be withdrawn, unless I state otherwise in the following provisions. It is my intent, hope and request that my instructions be honored and carried out by my physicians, family and friends, as my legal right. I,, (“Declarant” herein), being of sound mind, and after careful consideration and thought, freely and intentionally make this revocable declaration to state that if I should become unable to make and communicate my own decisions on life sustaining or life support procedures, then my dying shall not be delayed, prolonged or extended artificially by medical science or life sustaining medical procedures, all according to the choices and decisions I have made and which are stated here in my Living Will. Online Living Will – living will template and fill in the blank will form (you can also view a detailed living will sample for your state)Īdditionally, the following example of a living will may serve as a starting point:.Living Will Sampleįor an online living will sample from LegalZoom that you can fill out and complete in a few minutes, visit: Let the living will speak for you in case you can’t. Copy our example of a living will in Microsoft Word to use it as a blank will form or use our affiliate’s online living will template.ĭon’t let the courts or someone else decide what happens to your assets. Use this Living Will Sample as an example of a living will for your estate.