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Preview - Michigan Living Will Form
MICHIGAN LIVING WILL
This Living Will is created in accordance with Michigan laws regarding advance directives. It expresses your wishes regarding medical treatment in the event you become unable to communicate them yourself.
Personal Information
- Full Name: _______________________________
- Date of Birth: ___________________________
- Address: _________________________________
- City, State, Zip Code: ______________________
Designation of Health Care Agent
If you wish to appoint someone to make health care decisions on your behalf, please fill out the section below:
- Agent's Name: _____________________________
- Agent's Phone Number: _____________________
Health Care Wishes
Please indicate your preferences for life-sustaining treatment:
- I do NOT want to receive life-sustaining treatments if I am terminally ill or in a persistent vegetative state.
- I want my doctors to provide comfort care and palliative treatment to keep me comfortable.
- Other wishes: ___________________________________________
Signatures
Please sign and date below, indicating that you understand this Living Will and its implications:
- Signature: _______________________________
- Date: __________________________________
This document should be kept in a safe place and shared with your health care agent, family, and doctors. Ensure those involved in your care know your wishes.
Create Other Common Living Will Forms for Different States
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Similar forms
- Advance Directive: This document outlines a person's preferences for medical treatment in case they become unable to communicate their wishes. Like a Living Will, it addresses end-of-life decisions but can also include instructions for other medical situations.
- Durable Power of Attorney for Healthcare: This legal document allows an individual to appoint someone else to make healthcare decisions on their behalf. While a Living Will specifies preferences, this document designates a trusted person to make those choices.
- Do Not Resuscitate (DNR) Order: A DNR order instructs medical personnel not to perform CPR if a person's heart stops or they stop breathing. It is similar to a Living Will in that it expresses a desire to avoid certain life-sustaining treatments.
Pennsylvania Motor Vehicle Bill of Sale: The https://pdftemplates.info/pennsylvania-motor-vehicle-bill-of-sale-form is essential for transferring vehicle ownership, requiring key information about the vehicle and the parties involved to ensure a smooth transaction.
- Healthcare Proxy: This document appoints a specific individual to make medical decisions for someone who is incapacitated. It complements a Living Will by ensuring that a person's wishes are respected through a designated representative.
- POLST (Physician Orders for Life-Sustaining Treatment): This is a medical order that reflects a patient's wishes regarding treatments they do or do not want. It is similar to a Living Will but is intended for patients with serious illnesses and is signed by a physician.
- Patient Advocate Designation: This document allows a person to name an advocate to make healthcare decisions if they are unable to do so. It is akin to a Living Will in that it ensures that someone will uphold the individual's healthcare preferences.
- Medical Power of Attorney: This grants someone the authority to make medical decisions on behalf of another person. Like a Living Will, it is focused on healthcare but emphasizes the authority of the appointed individual.
- End-of-Life Care Plan: This plan provides comprehensive guidance on an individual's preferences for end-of-life care. It shares similarities with a Living Will by detailing wishes regarding comfort measures and treatment options.
- Advance Care Plan: This document encompasses a broader scope of healthcare preferences, including end-of-life care, and can be updated over time. It relates to a Living Will by serving as a guide for medical decisions based on personal values.
- Funeral Planning Document: While primarily focused on post-death arrangements, this document can specify preferences for funeral services and burial. It connects to a Living Will by addressing the individual's wishes regarding their final arrangements.