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Download in Adobe PDF, Microsoft Word (.docx), or Open Document Text (.odt).

This document combines a Health Care Directive, which is your Living Will, along with a Medical Power of Attorney to appoint an agent.

When a person falls seriously ill without a Living Will, painful arguments can arise amongst family and loved ones when deciding on an outcome.

In our example, Greg Smith wishes to withdraw from life support if he falls into a chronic coma or vegetative state.A daughter or son for example would be a good choice, as they are expected to outlive your life.An agent can not be your physician or anyone that directly administers health care to you.Without this document, it’s difficult to judge an ill or incapacitated person’s end-of-life wishes.Medical Power of Attorney – Allows a person to select an “Agent” to make health care decisions when the patient cannot speak for themselves (due to surgery, incapacitation, or incompetency).




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