Free Living Will Form for North Carolina
Article Map
Preview - North Carolina Living Will Form
North Carolina Living Will Template
This Living Will is made in accordance with North Carolina General Statute § 90-321. It is intended to express your wishes regarding medical treatment in the event that you become unable to communicate your preferences.
Instructions: Complete the blanks below with your personal information and preferences.
Personal Information:
- Name: _______________________________
- Date of Birth: _______________________
- Address: _____________________________
- City, State, Zip: _____________________
Declaration:
I, _______________________________, being of sound mind, wish to declare my wishes regarding medical treatment in the event that I am diagnosed with a terminal condition, irreversible condition, or become permanently unconscious.
Preferences:
- In the event of a terminal condition, I wish to receive:
- Life-sustaining treatment: Yes / No
- Palliative care only: Yes / No
- If I am in a state of permanent unconsciousness, I wish to receive:
- Life-sustaining treatment: Yes / No
- Palliative care only: Yes / No
Signature:
By signing below, I affirm that I am of sound mind and making this declaration voluntarily.
Signed: ___________________________________
Date: ___________________________________
Witness Information:
- Witness 1 Name: ________________________
- Witness 1 Signature: ___________________
- Witness 2 Name: ________________________
- Witness 2 Signature: ___________________
This Living Will shall be effective upon my incapacity as determined by my physician. It is my intention that this document shall be honored by my family and healthcare providers.
Create Other Common Living Will Forms for Different States
Advance Directives Include - This document outlines your wishes regarding end-of-life care and medical interventions.
When purchasing a trailer, it is essential to have the appropriate documentation to safeguard your interests. The Washington Trailer Bill of Sale form not only authenticates the transaction but also provides all necessary information about the buyer, seller, and the trailer being sold. For those seeking further information or templates, the Motor Vehicle Bill of Sale is a valuable resource to consider. Remember, completing this form accurately is crucial for a smooth transfer of ownership.
Michigan Living Will Form - A valuable resource for medical professionals to understand patient wishes.
Difference Between Trust and Will - This form is a key component of advance healthcare planning.
Advanced Directive Texas - A Living Will is separate from a power of attorney for healthcare decisions.
Similar forms
- Advance Directive: An advance directive is a legal document that outlines a person's preferences for medical treatment in case they become unable to communicate. Like a living will, it provides guidance to healthcare providers regarding the individual's wishes for end-of-life care.
- Durable Power of Attorney for Healthcare: This document allows an individual to appoint someone else to make healthcare decisions on their behalf if they are unable to do so. While a living will specifies medical preferences, a durable power of attorney designates a trusted person to interpret and act on those preferences.
- Do Not Resuscitate (DNR) Order: A DNR order is a medical order that prevents healthcare providers from performing cardiopulmonary resuscitation (CPR) if a person's heart stops. Similar to a living will, it communicates specific wishes regarding life-sustaining treatment.
- Mobile Home Bill of Sale: The Connecticut Mobile Home Bill of Sale form is crucial for documenting the transfer of ownership of a mobile home, providing security for both buyer and seller, and can be accessed through Auto Bill of Sale Forms.
- Healthcare Proxy: A healthcare proxy is a document that appoints an individual to make healthcare decisions on behalf of another person when they cannot do so. Like a living will, it ensures that the individual's healthcare preferences are honored, but it relies on the appointed proxy to make those decisions.