Advance Directive Form With Dignity - Pennsylvania Statutory Living Will - Advance Directive for Healthcare - Statutory form

State:
Pennsylvania
Control #:
PA-P023
Format:
Word
Instant download

Description

This Declaration form functions in the same manner as a living will and allows you to express your wishes and desires if it is determined that your death will occur whether or not life-sustaining procedures are utilized and where the application of life-sustaining procedures would serve only to artificially prolong the dying process. The living will section is where you tell your health care agent and health care providers your choices regarding the initiation, continuation, withholding or withdrawal of life-sustaining treatment and other specific directions. This form also contains provisions for appointing a health care agent to make health care decisions for you when you are unable. An optional provision is included that allows you to tell your health care agent your goals if you have an end-stage medical condition or other extreme and irreversible medical condition, such as advanced Alzheimer's disease. Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
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