The pennsylvania living will part iii from the commonwealth s advance directive is a legal document that is designed as an avenue for a declarant principal to state in writing prior to an end of life scenario their own choices for how they would like their medical team to direct their end of life wishes without any dependency on relatives to have to make the difficult decision that.
Living will form pa pdf.
This product is intended for informational use only and is not a substitute for form 27 legal advice.
Give each of them a copy of this form.
You should review this form often.
Should you become unable to understand make or communicate decisions about medical care your wishes for.
The pennsylvania living will and medical power of attorney combined is is in accordance to the us statutes 5421 5488 and requires 2 witnesses and is a means of providing the principal with the option of choosing the type of health care they receive if they are no longer able to through serious illness such as permanent unconsciousness brain damage or coma.
This form has 3 parts.
Take a copy of this with you whenever you go to the hospital or on a trip.
How to write a living will step 1 download your living will.
A medical decision maker is a person who can make health care decisions for you if you are too sick to make them yourself.
Pennsylvania advance health care directive this form lets you have a say about how you want to be treated if you get very sick.
Choose a medical decision maker.
Pennsylvania will forms are forms that have been created to assist individuals in the organization of their end of life arrangements into written records to be certain that the disposition of their property is exactly as they wish and that their end of life medical decisions are honored.
Once opened you can then save and edit on your computer.
These state specific living will forms are in word doc and adobe pdf formats and available for free and immediate download.
This product was not prepared by a person licensed to practice law in this state.
Talk about this form with the person you have chosen to make decisions for you your doctor s your family and friends.
This document combines a health care directive which is your living will along with a medical power of attorney to appoint an agent.
Pennsylvania living will author.
State laws vary so consult an attorney on all legal matters.
A last will and testament form would guide the testator through the process of outlining their.
A pennsylvania living will is also known as an advance directive.
Download in adobe pdf microsoft word docx or open document text odt.
It explains your desires related to healthcare and is used if you are unable to make your own decisions for medical care.
You can cancel or change this form at any time.
Combined living will health care power of attorney example form from pennsylvania act 169 of 2006 part i introductory remarks on health care decision making you have the right to decide the type of health care you want.