This is a state specific form specifying your desires if at any time you have an incurable injury, disease, or illness determined to be a terminal condition. The form is your request for the use of life prolonging procedures that would extend your life, including appropriate nutrition and hydration, the administration of medication, and the performance of all other medical procedures necessary to extend my life, to provide comfort care, or to alleviate pain.
South Bend Indiana Life Prolonging Procedures Declaration — Statutory Form is a legal document that allows individuals in South Bend, Indiana to express their desires regarding life-sustaining medical treatments in the event they are unable to communicate these decisions themselves. This form is recognized and regulated by the state of Indiana and can be used to guide healthcare professionals and loved ones in making medical decisions on behalf of the individual. The South Bend Indiana Life Prolonging Procedures Declaration — Statutory Form is designed to provide clear instructions on the types of life-sustaining treatments an individual wishes to receive or refuse. By completing this form, individuals can outline their preferences regarding procedures such as cardiopulmonary resuscitation (CPR), artificial nutrition and hydration, mechanical ventilation, dialysis, and other interventions commonly used to prolong life. It is important to note that the South Bend Indiana Life Prolonging Procedures Declaration — Statutory Form is not limited to a single type or version. The form may have different variations or specific versions, each catering to the individual's unique needs and circumstances. However, the overall purpose of these forms remains the same — to ensure that an individual's healthcare wishes are respected and followed when they are unable to express them directly. In South Bend, Indiana, individuals have the option to incorporate specific instructions related to their medical treatment preferences, including the extent to which they want life-prolonging measures taken and under what conditions. The form allows individuals to appoint a healthcare representative, also known as a healthcare proxy, who can advocate for their medical choices if they are unable to do so themselves. These Life Prolonging Procedures Declaration forms are often stored and accessed through electronic databases or in the individual's medical records. It is crucial to communicate the existence and location of one's South Bend Indiana Life Prolonging Procedures Declaration — Statutory Form to loved ones, physicians, and other involved parties to ensure that it can be promptly utilized in the event of a medical emergency. In summary, the South Bend Indiana Life Prolonging Procedures Declaration — Statutory Form is a legally recognized document providing guidance to healthcare professionals and loved ones regarding an individual's preferences for life-sustaining medical treatments. By completing this form, individuals can have peace of mind knowing that their healthcare wishes will be honored when they are unable to communicate them effectively.
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.
