Declaration in Conformance with Missouri Statutes 459.015 I have the primary right to make my own decisions concerning treatment that might unduly prolong the dying process. By this declaration I express to my physician, family and friends my intent. If I should have a terminal condition it is my desire that my dying not be […]
Continue reading...Tuesday, December 2, 2008
Declaration as Provided by Montana Stats. 50-9-104 DECLARATION If I should have an incurable or irreversible condition that will cause my death within a reasonable 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 in decisions […]
Continue reading...Sunday, November 30, 2008
Declaration as Provided by Maryland Health-General Code Section 5-602 DECLARATION On this _________________ day of ___________, I ________ ______, being of sound mind, willfully and voluntarily direct that my dying shall not be artificially prolonged under the circumstances set forth in this declaration: If at any time I should have an incurable injury, disease, or […]
Continue reading...Sunday, November 30, 2008
Declaration as Provided by Hawaii Revised Statutes Chapter 327D, Section 4 DECLARATION A. Statement of Declarant 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, and do hereby declare: […]
Continue reading...Monday, November 24, 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...Tuesday, November 18, 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...Monday, November 17, 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 […]
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Wednesday, December 17, 2008
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