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Dle Address City/State/Zip Date of Birth (mm/dd/yyyy) / / Last 4 SSN Gender M F REGISTRY FAX: 304-293-7442 STATE OF WEST VIRGINIA COMBINED MEDICAL POWER OF ATTORNEY AND LIVING WILL The Person I Want to Make Health Care Decisions For Me When I Can t Make Them for Myself And The Kind of Medical Treatment I Want and Don t Want.

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An advance directive, alone, may not be sufficient to stop all forms of life-saving treatment. You may also need specific do not resuscitate, or DNR orders. ... You retain the right to override the decisions or your representative, change the terms of your living will or POA, or completely revoke an advance directive.

A living will is one type of advance directive, which specifically focuses on life-sustaining measures as well as end-of-life treatments. Other types of advance directives offer additional options, such as being able to appoint a healthcare agent to make decisions on your behalf.

A living will is a type of an advance directive. It is also a written document outlining your wishes for your health, to be followed if you cannot make decisions or express your wishes.

Get the living will and medical power of attorney forms for your state, or use a universal form that has been approved by many states. ... Choose your health care agent. ... Fill out the forms, and have them witnessed as your state requires.

A DNR is a request not to have CPR if your heart stops or if you stop breathing. You can use an advance directive form or tell your doctor that you don't want to be resuscitated. Your doctor will put the DNR order in your medical chart. ... They do not have to be part of a living will or other advance directive.

Your advance health care directive should be witnessed by two people who can attest to your mental capacity or signed before a notary public. A witness may not be any of the following: a health care provider, an employee of a health care provider or health care facility, or your agent designated in the directive.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232