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Item 1: Print your name. Item 2: Cross out any of the statements that do not reflect your wishes.At the top of the form in the designated area, print your full name and birth date. A living will is a legal document that tells doctors how you want to be treated if you cannot make your own decisions about emergency treatment. Decide your preferred treatment options. A Living Will gives you a voice in decisions about your medical care when you are unconscious or too ill to communicate. Living wills and other advance directives describe your treatment preferences in endoflife situations when you can't speak for yourself. If you DO NOT choose someone to make decisions for you, write NONE in the line for the agent's name. How Do I Fill Out The Living Will Form? Complete the following steps: Read the entire form completely and make sure you understand what it says.