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The Florida Living Will form serves as a crucial document for individuals wishing to express their healthcare preferences in the event that they become unable to communicate their wishes due to a medical condition. This form outlines specific instructions regarding life-sustaining treatments, such as resuscitation efforts and the use of feeding tubes, ensuring that a person's desires are respected even when they cannot advocate for themselves. It is important for individuals to consider their values and beliefs when completing this document, as it provides clarity for family members and healthcare providers during emotionally challenging times. Additionally, the Florida Living Will must be signed in the presence of two witnesses or a notary public to be legally valid. By taking the time to prepare this essential document, individuals can alleviate potential burdens on loved ones and ensure their healthcare choices align with their personal wishes. Understanding the implications and requirements of the Florida Living Will form is vital for anyone considering their end-of-life care options.
PDF Specifics
| Fact Name | Description |
|---|---|
| Definition | A Florida Living Will is a legal document that outlines a person's wishes regarding medical treatment in the event they become unable to communicate their preferences. |
| Governing Law | The Florida Living Will is governed by Florida Statutes, Chapter 765. |
| Eligibility | Any adult who is of sound mind can create a Living Will in Florida. |
| Witness Requirement | The document must be signed in the presence of two witnesses who are not related to the individual or entitled to any portion of their estate. |
| Revocation | A Living Will can be revoked at any time by the individual, verbally or in writing. |
| Storage | It is recommended to keep the Living Will in an accessible location and share copies with family members and healthcare providers. |
| Healthcare Proxy | A Living Will can be used alongside a healthcare proxy, which designates someone to make medical decisions on behalf of the individual. |
How to Write Florida Living Will
Filling out the Florida Living Will form is an important step in planning for your future healthcare decisions. Once you have completed the form, it will need to be signed and witnessed to ensure it is valid. Follow the steps below to fill out the form correctly.
- Obtain the Florida Living Will form. You can find it online or request a copy from a legal office.
- Begin by entering your full name at the top of the form.
- Next, fill in your address, including city, state, and zip code.
- Provide the date of birth to clearly identify yourself.
- Indicate your preferences regarding medical treatment in the event you become unable to communicate your wishes.
- Review your choices carefully to ensure they reflect your desires.
- Sign and date the form at the designated area. Make sure to do this in front of witnesses.
- Have two witnesses sign the form. They should also provide their addresses. Ensure that the witnesses are not related to you or entitled to any part of your estate.
- Keep a copy of the completed form for your records and provide copies to your healthcare provider and family members.
Florida Living Will Example
Florida Living Will Template
This Living Will is created in accordance with Florida state laws, specifically Chapter 765 of the Florida Statutes. This document expresses your wishes regarding medical treatment in the event that you become unable to make your own health care decisions.
Personal Information
- Name: ________________________________
- Date of Birth: ________________________
- Address: ______________________________
- City: _________________________________
- State: ________________________________
- Zip Code: ____________________________
Directive
I, the undersigned, being of sound mind, voluntarily make this declaration to be used in the event that I am unable to participate in decisions regarding my medical treatment.
General Statement of Desire
If I am diagnosed with a terminal condition or if I am in a persistent vegetative state, I do not want my life to be prolonged by any artificial means. I desire that my natural dying process be allowed to occur.
Options for Medical Treatment
- In the event I am unable to communicate or express my wishes, I do not wish to receive:
- Artificial nutrition and hydration
- Life-sustaining treatment
- If I am diagnosed with a condition that is not terminal, I wish to receive appropriate care including:
- Palliative care
- Comfort measures
Appointment of Health Care Surrogate
I hereby designate the following individual as my health care surrogate:
- Name: ________________________________
- Relationship: _________________________
- Phone Number: ________________________
This designation is intended to remain in effect even if I become incapacitated. If this surrogate is unable or unwilling to act, I appoint the following individual as an alternate:
- Name: ________________________________
- Relationship: _________________________
- Phone Number: ________________________
Signature
By signing below, I confirm that I am of sound mind and that I understand the implications of this Living Will. I execute this document voluntarily, without any coercion.
Signature: _______________________________
Date: __________________________________
Witnesses
This Living Will must be witnessed by two individuals who are not related to me by blood or marriage, and who are not entitled to any portion of my estate. Witness signatures follow:
- Witness 1: ___________________________
- Witness 2: ___________________________
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