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STATE OF LOUISIANA 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 under the circumstances

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How to fill out living will declaration form

01

Read the instructions on the living will declaration form.

02

Provide your personal information such as name, address, and contact details.

03

Specify your healthcare preferences and treatment choices in case of certain medical conditions or emergencies.

04

Sign and date the form in the presence of a witness.

05

Get the form notarized by a notary public if required.

06

Keep a copy of the completed form for your records and give copies to your healthcare agent and family members.

Who needs living will declaration form?

01

Anyone who wants to ensure their medical treatment preferences are known and followed in case they are unable to communicate.

02

Individuals who have specific healthcare wishes and want to legally document them.

03

Those who want to appoint a healthcare agent to make decisions on their behalf if they are incapacitated.

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What is living will declaration form?

Living will declaration form is a legal document that allows an individual to express their wishes regarding medical treatment and end-of-life care in the event they are unable to communicate.

Who is required to file living will declaration form?

Any individual who wants to ensure their medical treatment preferences are known and followed in case of incapacity.

How to fill out living will declaration form?

Living will declaration form can typically be filled out with the assistance of a lawyer or by following the instructions provided with the form.

What is the purpose of living will declaration form?

The purpose of living will declaration form is to provide clear instructions on medical treatment preferences and end-of-life care to healthcare providers and family members.

What information must be reported on living will declaration form?

Information typically included on a living will declaration form may include specific treatments desired or rejected, organ donation preferences, and appointment of a healthcare proxy.

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