The Delaware Living Will form is a legal document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those wishes themselves. By completing this form, individuals can ensure that their preferences for end-of-life care are respected. This important tool provides clarity and peace of mind for both the individual and their loved ones during challenging times.
In the state of Delaware, a Living Will is an essential document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate their preferences. This form serves as a guide for healthcare providers and loved ones, ensuring that personal values and choices are respected during critical times. It typically covers important decisions about life-sustaining treatments, such as resuscitation efforts and the use of feeding tubes. By clearly outlining one’s desires, the Living Will helps alleviate the burden on family members who might otherwise face difficult choices without guidance. Additionally, it is important to note that this document can be tailored to reflect individual beliefs and preferences, making it a powerful tool for personal autonomy. Understanding the significance of a Living Will can empower individuals to take control of their healthcare decisions, ensuring that their wishes are honored even when they cannot speak for themselves.
Delaware Living Will Template
This Living Will is designed to reflect the desires and directives regarding my health care. It is in compliance with the Delaware Advance Health Care Directive Act. I, ____________________ [insert your full name], residing at ____________________________________ [insert your full address, city, county, and state], being of sound mind, hereby declare the following:
Section 1: Declaration of Authority
I appoint the following individual as my health care agent to make health care decisions for me when I am unable to make those decisions myself:
Name of Health Care Agent: _____________________________
Relationship to me: _____________________________
Primary Phone Number: _____________________________
Alternate Phone Number: _____________________________
Section 2: General Instructions for Health Care
I direct that my health care providers and others involved in my care provide, withhold, or withdraw treatment in accordance with the choices I have marked below:
Section 3: Additional Instructions
(Here, you may include any additional specifics about your care preferences, like pain relief, antibiotics, and the use of ventilators or dialysis machines. Be as detailed as you wish.)
________________________________________________________________
Section 4: Organ Donation
I do/do not (circle one) wish to make an anatomical gift. If I do wish to donate, I specify the following:
Section 5: Declaration
By signing below, I affirm that this living will represents my wishes and revokes any prior directives I have made. I understand the full import of this declaration, and I am emotionally and mentally competent to make this document.
Signature: _____________________________
Date: _____________________________
Section 6: Witnesses
I declare that the person who signed or acknowledged this document as the declarant is personally known to me and that the person signed or acknowledged this living will in my presence:
Witness 1 Signature: _____________________________
Witness 2 Signature: _____________________________
Attestation of Witnesses:
We affirm that at the time of the signing of this Living Will, the declarant appeared to be of sound mind and free from duress, fraud, or undue influence.
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