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Pennsylvania Testamento en vida reglamentario - Instrucciones...

Allentown Pennsylvania Testamento en vida reglamentario - Instrucciones anticipadas para la atención médica - Formulario reglamentario - Pennsylvania Statutory Living Will - Advance Directive for Healthcare - Statutory form

Category:

Poder notarial - Cuidado de la salud - Testamentos en vida - Alaska

State:

Pennsylvania

City:

Allentown

Control #:

PA-P023

Format:

Instant download

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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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How to fill out Pennsylvania Testamento En Vida Reglamentario - Instrucciones Anticipadas Para La Atención Médica - Formulario Reglamentario?

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Testamento en vida reglamentario - Instrucciones anticipadas para la atención médica - Formulario reglamentario

STATUTORY REFERENCE

ALL REFERENCES ARE TO THE PENNSYLVANIA STATUTES

DECLARATION (Advance Directive for Health Care)

(Chapter 54 - Advance Directive for Health Care Act)

Definitions

A "declaration" is a written document voluntarily executed by the declarant in accordance with this chapter.

"Life sustaining treatment" is any medical procedure or intervention that, when administered to a qualified patient, will serve only to prolong the process of dying or to maintain the patient in a state of permanent unconsciousness. Life sustaining treatment includes nutrition and hydration administered by gastric tube or intravenously or any other artificial or invasive means if the declaration of a qualified patient specifically provides.

"Permanently unconscious" is a medical condition that has been diagnosed in accordance with currently accepted medical standards.

A "qualified patient" is a person who has executed a declaration and who has been determined to be in a terminal condition or to be permanently unconscious.

A "terminal condition" is an incurable and irreversible medical condition caused by injury, disease or physical illness which will, in the opinion of the attending physician, to a reasonable degree of medical certainty, result in death regardless of the continued application of life sustaining treatment.

Execution of Declaration

An individual of sound mind who is 18 years of age or older or who has graduated from high school or has married may execute at any time a declaration governing the initiation, continuation, withholding or withdrawal of life sustaining treatment.

Witnesses

The declaration must be signed by the declarant, or by another on behalf of and at the direction of the declarant, and must be witnessed by two individuals each of whom is 18 years of age or older. A witness shall not be the person who signed the declaration on behalf of and at the direction of the declarant.

Form

A declaration is not required to be in the statutory form and may include other specific directions, including, but not limited to, the designation of another person to make the treatment decision for the declarant if the declarant is incompetent and is determined to be in a terminal condition or to be permanently unconscious.

Revocation

A declaration may be revoked at any time and in any manner by the declarant without regard to the declarant's mental or physical condition.

A revocation is effective upon communication to the attending physician or other health care provider by the declarant or a witness to the revocation.

Note: All Information and Previews are subject to the Disclaimer located on the main forms page, and also linked at the bottom of all search results.

Testamento en vida reglamentario - Instrucciones anticipadas para la atención médica - Formulario reglamentario

STATUTORY REFERENCE

ALL REFERENCES ARE TO THE PENNSYLVANIA STATUTES

DECLARATION (Advance Directive for Health Care)

(Chapter 54 - Advance Directive for Health Care Act)

Definitions

A "declaration" is a written document voluntarily executed by the declarant in accordance with this chapter.

"Permanently unconscious" is a medical condition that has been diagnosed in accordance with currently accepted medical standards.

A "qualified patient" is a person who has executed a declaration and who has been determined to be in a terminal condition or to be permanently unconscious.

Execution of Declaration

Witnesses

Form

Revocation

A declaration may be revoked at any time and in any manner by the declarant without regard to the declarant's mental or physical condition.

A revocation is effective upon communication to the attending physician or other health care provider by the declarant or a witness to the revocation.

Note: All Information and Previews are subject to the Disclaimer located on the main forms page, and also linked at the bottom of all search results.

Allentown Pennsylvania Testamento en vida reglamentario - Instrucciones anticipadas para la atención médica - Formulario reglamentario - Pennsylvania Statutory Living Will - Advance Directive for Healthcare - Statutory form

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