Legal & Compliance

Living Will / Advance Healthcare Directive

An advance healthcare directive allowing an individual to specify their medical treatment preferences and end-of-life care wishes in the event of incapacity.

๐Ÿ“„ 3 signers๐Ÿ“… 30-day expiry๐Ÿท Legal & Compliance๐Ÿ”– healthcare, advance-directive, end-of-life, medical

About this template

The Living Will / Advance Healthcare Directive is a ready-to-use legal & compliance template you can send for signature in minutes. It is written for 3 signers (declarant and witness one and witness two) and, by default, expires 30 days after it is sent if left unsigned. It covers healthcare, advance directive, end of life, medical. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Living Will / Advance Healthcare Directive **Declarant Full Legal Name:** ___________ **Declarant Date of Birth:** ___________ **Declarant Address:** ___________ **State of Domicile:** ___________ --- I, ___________, being of sound mind, hereby make this Living Will and Advance Healthcare Directive to express my wishes regarding medical treatment in the event I become unable to make or communicate healthcare decisions for myself. I intend this document to have effect in ___________ and, to the greatest extent possible, in any other jurisdiction in which it may be presented. ## Article I โ€” Statement of Intent It is my intent that my dignity be maintained and that I be permitted to die naturally if I am in a terminal condition or a state of permanent unconsciousness, and that life-sustaining procedures which serve only to prolong the dying process or maintain me in a permanent unconscious state be withheld or withdrawn. I direct that treatment be limited to measures that keep me comfortable and relieve pain, even if those measures are not intended to prolong life. ## Article II โ€” Definitions For purposes of this Directive: **"Terminal Condition"** means an incurable or irreversible condition that, without the administration of life-sustaining treatment, will, in the opinion of my attending physician and one other qualified physician, result in death within a relatively short time. **"Permanent Unconsciousness"** means a permanent and irreversible condition in which I am not aware of myself or my environment and have no capacity to experience pain or suffering, including but not limited to a persistent vegetative state. **"Life-Sustaining Treatment"** means any medical procedure or intervention that uses mechanical or other artificial means to sustain, restore, or supplant a vital bodily function and that, if used, would only serve to delay the moment of death, including but not limited to cardiopulmonary resuscitation (CPR), mechanical ventilation, kidney dialysis, and artificial nutrition and hydration. **"Comfort Care"** means treatment given to prevent or reduce pain, suffering, and discomfort. ## Article III โ€” Directions Regarding Life-Sustaining Treatment **3.1 Terminal Condition.** If I have a terminal condition and my death is expected within a relatively short time, I direct that: ___________ **3.2 Permanent Unconsciousness.** If I am in a state of permanent unconsciousness with no reasonable expectation of recovery: ___________

Fields (27)

declarant name
text ยท required
declarant dob
date ยท required
declarant address
textarea ยท required
domicile state
select ยท required
declarant name
text ยท required
domicile state
select ยท required
terminal life sustaining
radio ยท required
unconscious life sustaining
radio ยท required
end stage life sustaining
radio ยท required
cpr preference
radio ยท required
ventilator preference
radio ยท required
nutrition preference
radio ยท required
dialysis preference
radio ยท required
antibiotics preference
radio ยท required
hospitalization preference
radio ยท required
pain management
radio ยท required
organ donation
radio ยท required
organ donation specifics
textarea
remains preference
radio ยท required
remains specifics
textarea
additional instructions
textarea
pregnancy preference
radio ยท required
declarant signer name
text ยท required
witness one signer name
text ยท required
witness one address
textarea ยท required
witness two signer name
text ยท required
witness two address
textarea ยท required

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Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package sealed in WORM storage.

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