This is a state specific form specifying your desires about the use of life support systems. It provides instructions to your family and doctors should you have an incurable injury, disease, illness or condition, and you are unable to express your wishes with regard to treatment. The Declaration states that you want to be permitted to die naturally with only the administration of medication or the performance of any medical procedure deemed necessary to provide you with comfort care. See Kansas Statutes Annotated 65-28,103.

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DECLARATION (K.S.A. 65-28,103) Declaration made this day of (month, year). I, being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged
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How to fill out living will kansas

How to fill out a living will in Kansas?
01
Obtain the necessary forms: Start by obtaining the living will forms specific to Kansas. These can be obtained from various sources such as hospitals, nursing homes, estate planning attorneys, or online legal websites.
02
Read and understand the form: Take your time to carefully read and understand the contents of the living will form. Familiarize yourself with the different sections and the choices available to you.
03
Appoint a healthcare agent: Choose a trusted individual to be your healthcare agent or proxy. This person will make medical decisions on your behalf if you become unable to communicate your wishes. Ensure the person you choose understands your values and beliefs regarding medical treatments.
04
Make your decisions: Fill out the form by indicating your preferences for medical treatments and end-of-life care. You may choose to include instructions regarding life-support measures, pain management, organ donation, and any other specific wishes you have.
05
Sign the document: Once you have completed filling out the living will form, sign and date it in the presence of two witnesses. The witnesses must also sign the document, affirming that they saw you sign and that you appeared to be mentally competent.
06
Distribute copies: Make copies of the signed living will, and distribute them to your healthcare agent, family members, and relevant healthcare providers. It is important to keep the original document in a safe but accessible place.
Who needs a living will in Kansas?
01
Individuals of legal age: Any person who is of legal age (18 years or older) can create a living will in Kansas to express their medical treatment preferences in the event they are unable to communicate.
02
Individuals with specific medical conditions: People with chronic illnesses, terminal diseases, or complex medical conditions may benefit from having a living will to ensure their wishes regarding treatment are honored.
03
All adults: While it is never pleasant to think about end-of-life situations, having a living will is a responsible step for all adults, regardless of their current health status. It ensures that your voice is heard and your preferences respected when it comes to medical decisions.
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What is living will kansas?
Living will kansas is a legal document that allows an individual to specify their medical treatment preferences in the event they become incapacitated and are unable to communicate their wishes.
Who is required to file living will kansas?
Any competent adult in Kansas has the right to create and file a living will. It is not mandatory, but it is recommended for individuals who want to have control over their medical treatment decisions.
How to fill out living will kansas?
To fill out a living will in Kansas, you can consult with an attorney specializing in estate planning or use a template available online. The document should clearly state your treatment preferences and be signed in the presence of two witnesses.
What is the purpose of living will kansas?
The purpose of a living will in Kansas is to ensure that an individual's medical treatment preferences are respected in situations where they are unable to communicate their wishes. It provides guidance to healthcare professionals and loved ones.
What information must be reported on living will kansas?
A living will in Kansas should include information such as the types of medical treatments desired or refused, the individual's preferences regarding pain relief, and any specific instructions regarding end-of-life care.
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