US Legal Forms
Living Will Questionnaire

Living Will Questionnaire

Category:

Power of Attorney - Healthcare - Living Wills

State:

Multi-State

Control #:

US-Q1026

Format:

Instant download

Description

This form addresses important considerations that may effect the legal rights and obligations of the parties in a living will matter. This questionnaire enables those seeking legal help to effectively identify and prepare their issues and problems. Thorough advance preparation enhances the attorneys case evaluation and can significantly reduce costs associated with case preparation.

This questionnaire may also be used by an attorney as an important information gathering and issue identification tool when forming an attorney-client relationship with a new client. This form helps ensure thorough case preparation and effective evaluation of a new clients needs. It may be used by an attorney or new client to save on attorney fees related to initial interviews.

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How to fill out Living Will Questionnaire?

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FAQ

Step 1 Download Your Living Will. Download in Adobe PDF, Microsoft Word (. Step 2 Health Care Directive. Step 3 Life Support. Step 4 Life-Sustaining Treatment. Step 5 End of Life Wishes. Step 6 Medical Power of Attorney. Step 7 Witness Acknowledgment. Step 8 Notary Acknowledgment.

The living will. Durable power of attorney for health care/Medical power of attorney. POLST (Physician Orders for Life-Sustaining Treatment) Do not resuscitate (DNR) orders. Organ and tissue donation.

The name and contact information of your healthcare agent/proxy. Answers to specific questions about your preferences for care if you become unable to speak for yourself. Names and signatures of individuals who witness your signing your advance directive, if required.

Living will. A living will is a written, legal document that spells out medical treatments you would and would not want to be used to keep you alive, as well as your preferences for other medical decisions, such as pain management or organ donation. In determining your wishes, think about your values.

An advance directive is a set of instructions someone prepares in advance of ill health that determines his healthcare wishes. A living will is one type of advance directive that becomes effective when a person is terminally ill.

A DNR is a document that specifies that the patient does not want to be resuscitated.A Living Will is a legal document wherein the patient designates if they want life support continued if they are incapacitated and in a "terminal condition", an "end stage condition", or in a "persistent vegetative state".