Get Indiana Life Prolonging Procedures Declaration - Statutory Form
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How to fill out the Indiana Life Prolonging Procedures Declaration - Statutory Form online
Completing the Indiana Life Prolonging Procedures Declaration - Statutory Form online is an important step in ensuring your medical wishes are respected. This guide will walk you through each section of the form to ensure you are able to clearly express your intentions regarding life-prolonging treatments.
Follow the steps to complete your declaration online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the first section, enter the date of the declaration. This should be written in the format ______ day of ____________________________________ (month, year).
- Next, fill in your full name in the space provided. Ensure that you are at least eighteen years of age and of sound mind.
- Clearly state your desire regarding the use of life-prolonging procedures. Make sure to include your consent for appropriate nutrition, hydration, medication, and any other necessary medical procedures.
- Indicate your intentions for your family and physician. This section clarifies that your wishes should be respected in the absence of your ability to provide direction.
- Read the declaration carefully to confirm your understanding. Then, sign your name in the designated area.
- Provide your city, county, and state of residence after your signature.
- The form requires two witnesses to sign. Each witness should print their name clearly and include the date of signing.
- Once all sections are properly filled out and signed, you can save changes, download, print, or share the completed form as needed.
Take the next step in managing your health care preferences by completing the Indiana Life Prolonging Procedures Declaration online.
A sample wording for an advance directive may begin with, 'I, Your Name, being of sound mind, wish to express my healthcare decisions in the event that I cannot communicate.' The Indiana Life Prolonging Procedures Declaration - Statutory Form provides clear templates to guide you in documenting your wishes effectively. Utilize these samples to help articulate your preferences regarding life-prolonging procedures and other medical treatments. Accessible templates are available through uslegalforms to help you get started.
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