Article Map
Preview - Florida Living Will Form
Florida Living Will Template
This Living Will is created in accordance with Florida Statutes, Chapter 765. It allows an individual to outline their healthcare preferences regarding life-sustaining treatments in the event that they become unable to communicate those wishes.
Please fill out the information below:
- Full Name: ________________________________
- Address: ________________________________
- City, State, ZIP Code: ________________________________
- Date of Birth: ________________________________
- Phone Number: ________________________________
Declaration:
I, ______________________, being of sound mind, willfully and voluntarily make this declaration to be followed in the event I am unable to make healthcare decisions for myself.
Instructions:
- If I am diagnosed with a terminal condition or an end-stage condition, I do not want my life to be prolonged by life-sustaining treatment.
- If I am in a persistent vegetative state, I do not want the use of life-sustaining treatment to extend my life.
- I wish to receive comfort care, including pain relief, even if it might hasten my death.
Additional Preferences:
If there are specific wishes regarding other treatments or organ donation, please specify:
___________________________________________________________
___________________________________________________________
Signature:
_____________________________ Date: ____________
Witnesses:
This document must be witnessed by two individuals who are not family members, not entitled to a part of my estate, and who can attest to my competency:
- Witness 1: ________________________ Date: __________
- Witness 2: ________________________ Date: __________
It is advisable to review this Living Will with a healthcare provider or legal advisor to ensure that your intentions are clear and comply with all applicable laws.
Create Other Common Living Will Forms for Different States
North Carolina Living Will Template - A Living Will is a core component of advance healthcare planning.
The Pennsylvania Bill of Sale form serves as a crucial legal document that records the transfer of ownership for various types of personal property. This form provides both the seller and buyer with a written acknowledgment of the transaction, reducing the likelihood of disputes in the future. For those interested in securing their transactions, filling out this form is a recommended step; you can access it at https://pdftemplates.info/pennsylvania-bill-of-sale-form.
Advanced Directive Texas - This document is legally binding in most states when properly signed.
Similar forms
- Advance Directive: Like a Living Will, an Advance Directive outlines a person's wishes regarding medical treatment if they become unable to communicate. It can include both a Living Will and a Durable Power of Attorney for Healthcare.
- Durable Power of Attorney for Healthcare: This document allows someone to make medical decisions on your behalf if you are incapacitated. While a Living Will specifies treatment preferences, a Durable Power of Attorney designates a specific person to make those choices.
- Do Not Resuscitate (DNR) Order: A DNR order is a specific request not to have CPR performed if your heart stops. It complements a Living Will by providing clear instructions about resuscitation efforts.
- Healthcare Proxy: This document appoints someone to make healthcare decisions for you when you cannot. It works alongside a Living Will, ensuring that your medical preferences are honored by your chosen representative.
- POLST (Physician Orders for Life-Sustaining Treatment): A POLST form translates your treatment preferences into actionable medical orders. It is similar to a Living Will but is intended for individuals with serious health conditions who want immediate medical guidance.
- Trailer Bill of Sale: In Maryland, the important Motor Vehicle Bill of Sale form serves to ensure that the transfer of ownership for trailers is completed legally and efficiently, capturing essential details like the sales date and the identity of both parties involved.
- End-of-Life Care Plan: This plan details your preferences for care as you approach the end of life. It may include wishes about comfort care, resuscitation, and other treatments, similar to what is found in a Living Will.
- Patient Advocate Designation: This document allows you to appoint someone to advocate for your healthcare needs. It is similar to a Living Will in that it conveys your healthcare wishes, but it focuses more on ensuring your voice is heard during treatment decisions.