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Statutory Declaration in Conformance with West Virginia Natural Death Act, 16-30-3
Statutory Declaration in Conformance with West Virginia Natural Death Act, 16-30-3 DECLARATION OF _________________ Declaration made this __________ day of ______________ 20______. I, __________________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below, do declare: If at any time […]
Continue reading...Declaration Provided by Maine Revised Statutes Title 22 Section 2922
24. November 2008
Declaration Provided by Maine Revised Statutes Title 22 Section 2922 DECLARATION If I should have an incurable or irreversible condition that will cause my death within a short time, and if I am unable to participate in decisions regarding my medical treatment, I direct my attending physician to withhold or withdraw procedures that merely prolong […]
Continue reading...Statutory Declaration in Conformance with Virginia Natural Death Act VA. Code Section 54-325.8:4
23. November 2008
Statutory Declaration in Conformance with Virginia Natural Death Act VA. Code Section 54-325.8:4 DECLARATION OF ___________________ Declaration made this __________ day of ________________ 20____. I ______________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below, do declare: If at […]
Continue reading...Living Will as Provided by Tennessee Code 32-11-105
21. November 2008
Living Will as Provided by Tennessee Code 32-11-105 LIVING WILL OF ___________________ I, ____________, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below, and do hereby declare: If at any time I should have a terminal condition and my attending physician has determined […]
Continue reading...Statutory Declaration in Conformance with Kansas Natural Death Act, Kansas Statutes Section 65-28,103
21. November 2008
Statutory Declaration in Conformance with Kansas Natural Death Act, Kansas Statutes Section 65-28,103 DECLARATION OF ___________________ Declaration made this __________ day of ________________ 20_____. I ____________, being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, do hereby declare: If […]
Continue reading...Declaration of Intention Provided by Mississippi Withdrawal of Life Saving Mechanisms Act, Mississippi Code 41-41-107
20. November 2008
Declaration of Intention Provided by Mississippi Withdrawal of Life Saving Mechanisms Act, Mississippi Code 41-41-107 DECLARATION made on ___________ by ___________________ of ____________, _______________. I, ________________, being of sound mind, declare that if at any time I should suffer a terminal physical condition which causes me severe distress or unconsciousness, and my physician, with the […]
Continue reading...Statutory Declaration in Conformance with New Hampshire Terminal Care Document Law, N.H. R.S. 137-H: 3
19. November 2008
Statutory Declaration in Conformance with New Hampshire Terminal Care Document Law, N.H. R.S. 137-H: 3 DECLARATION OF ___________________ Declaration made this __________ day of ________________ 20____. I ________________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below, do hereby […]
Continue reading...Declaration Provided by Colorado Medical Treatment Decision Act: Colorado Statutes 15-18-104
18. November 2008
Declaration Provided by Colorado Medical Treatment Decision Act: Colorado Statutes 15-18-104 DECLARATION AS TO MEDICAL OR SURGICAL TREATMENT I _____________, being of sound mind and at least eighteen years of age, direct that my life shall not be artificially prolonged under the circumstances set forth below and hereby declare that: 1. If at any time […]
Continue reading...Declaration as Provided by Iowa Code 144A.3
17. November 2008
Declaration as Provided by Iowa Code 144A.3 DECLARATION OF __________________ If I should have an incurable or irreversible condition that will cause my death within a relatively short time, it is my desire that my life not be prolonged by administration of life-sustaining procedures. If my condition is terminal and I am unable to participate […]
Continue reading...Directive to Physicians as Provided by Idaho Natural Death Act, Idaho Code Section 39-4504
17. November 2008
Directive to Physicians as Provided by Idaho Natural Death Act, Idaho Code Section 39-4504 DIRECTIVE TO PHYSICIANS Directive made this _________________ day of ___________. I _____________________, being of sound mind, willfully and voluntarily make known my desire that my life shall not be artificially prolonged under the circumstances below: 1. In the absence of my […]
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25. November 2008
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