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LIVING WILL TO: My family, physicians and all those concerned with my care I, presently residing at, and being an adult of sound mind, make this declaration as a directive to be followed if for any
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I will use every effort to give and to encourage a loving and nurturing environment to be created under the direction and supervision of my parents. If I die without this present direction, I would like this not to be perceived as a failure of will. I have my own family now that is dependent on me, their welfare, and the care and assistance of my attending physician. This will affect my need for care, and will prevent me from seeking and receiving this care on my own. I have a loving and nurturing relationship with all of them. However, my parents, physician, and friends will be aware that I have no will of my own. I believe that it is possible without the intervention of this attending physician that I may decide to discontinue all medical treatment, but I would require that the attending physician's cooperation be given so that this cannot occur, and that I may continue to have the treatment and to receive the benefits of it, regardless of my mental condition, which may be worsened or improved by that of my present condition. My wishes are to give to my family the care so that my need to be on medication and under observation will not be unduly burdensome. It is my intention that I be given a terminal diagnosis, and that I be given hospice care to facilitate the loss of bodily functions. I have the following conditions: I am experiencing a physical and mental condition that is incurable, progressive and incurable. I am at least fourteen (14) years of age as of May 31, 1989. Furthermore, I understand that this condition will not respond to any medical treatment. Furthermore, I understand that any and all attempts to prolong this condition may hasten my death. Furthermore, I understand that my condition may worsen, and I am at risk of death at any time. To: My family, doctors and concerned citizens Physician or other health care professional. Medical institution or institution on my behalf. Other concerned persons. I would like to thank those who have supported my efforts in the past and would like to request an opportunity to state my wishes. Regards, _______ (name) SUBJECT LINE: Please notify family, physician Or hospital, if necessary. I want my relatives, or any persons competent to make decisions concerning my care, to know of my condition. I would like to say, for my own record: I will be living in the community with my family of my choice.

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Sample living with family refers to the situation where an individual resides together with their family members in a shared household.
There is no specific filing requirement for sample living with family. It may be relevant for demographic surveys or research purposes.
Filling out sample living with family typically involves providing information about the composition of the household and the relationships between its members. This can be done through surveys or questionnaires.
The purpose of collecting information on sample living with family is to gain insights into the living arrangements and family structures of a population. It can be used for research, policy-making, or planning purposes.
Information that may need to be reported on sample living with family includes the names of family members, their relationships to the primary individual, their ages, and their living arrangements within the household.
There is no specific deadline to file sample living with family in 2023 as it is not a formal filing requirement. It is dependent on the purpose and timeline of the survey or research project.
As sample living with family is not a formal filing requirement, there are no penalties for late filing.
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