Questionnaire1


DIRECTORY

*WILLS
*INSTRUCTION

DOCUMENTS FOR PERIODS OF
PHYSICAL/MENTAL INCAPACITY

DIRECTIVE TO PHYSICIANS (LIVING WILL)

DECLARATION REGARDING
MENTAL HEALTH TREATMENT

MEDICAL POWER OF ATTORNEY

DURABLE POWER OF ATTORNEY

DESIGNATION OF A GUARDIAN

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DIRECTIVE TO PHYSICIAN (LIVING WILL): This document directs the physician treating you to give or withhold life-sustaining treatment in the event such physician determines you are suffering from a terminal condition and you are expected to die within six months. Your condition must be such that you are unable to make such health decisions yourself. The document also direct the physician treating you to give or withhold life-sustaining treatment in the event such physician determines that you have an irreversible condition that prevents you from taking care of yourself or making health decisions for yourself and your are expected to die from such condition without life- sustaining treatment. You make the decision in advance about life-sustaining treatment. Following are abbreviated definitions of the terms used in the directive.

Terminal Condition is an incurable condition which will cause death within six months even with available life-sustaining treatment.
Irreversible Condition is a condition, injury, or illness, that (a) can be treated, but never cured, (b) that leaves you unable to care or make decisions for yourself, and (c) that, without life-sustaining treatment, is fatal.
Life-Sustaining Treatment is treatment that sustains your life, without which you will die. The term includes both life-sustaining medications and artificial life support such as mechanical breathing machines, kidney dialysis treatment, and artificial hydration and nutrition. The term DOES NOT include pain medication and any other medication and medical care provided to alleviate pain.
Revocation of the Directive can be done any time by you without regard to your mental state or competency.
Directive is Invalid during period of pregnancy.