Wisconsin Living Will Questionnaire

State:
Multi-State
Control #:
US-Q1026
Format:
Word; 
Rich Text
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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FAQ

Living Wills - 10 Most Common QuestionsWhat is an advanced health care directive?What are the components?How are they used?When do they become effective?What happens if I don't have one?Can I change my mind?If I have a living will, does that mean I won't get treatment?Where do I get these forms?More items...

1. I direct that I be given health care treatment to relieve pain or provide comfort even if such treatment might shorten my life, suppress my appetite or my breathing, or be habit forming. 2. I direct that all life prolonging procedures be withheld or withdrawn.

Types of Advance Care DirectivesCommon Law Advance Care Directives which are recognised by the common law (decisions made by judges in the courts) and generally must be followed.Statutory Advance Care Directives which are governed by State and Territory legislation.

You can put any wishes you have for medical care in your living will....What to Put in Your Living WillLife-prolonging medical care. These treatments include: blood transfusions, CPR, diagnostic tests, dialyses, administration of drugs, use of a respirator, and surgery.Food and water.Palliative care.

The forms available are: Declaration to Physicians (Wisconsin Living Will) Power of Attorney for Health Care. Power of Attorney for Finance and Property.

The first is commonly called a living will, an advance directive, or a patient advocate designation, or something similar. Regardless of the name, these documents allow you to instruct physicians and health care providers about the kind of health care you want and don't want if you are unable to tell them yourself.

How to WriteStep 1 Download The Wisconsin Declaration To Health Care Professionals.Step 2 The Wisconsin Declarant Must Review The Introduction.Step 3 Name The Wisconsin Declarant Behind The Living Will.Step 4 Discuss The Wisconsin Patient's Preferred Level Of Care During A Terminal Condition.More items...?

The most common statement in a living will is to the effect that: If I suffer an incurable, irreversible illness, disease, or condition and my attending physician determines that my condition is terminal, I direct that life-sustaining measures that would serve only to prolong my dying be withheld or discontinued.

Overview: In Wisconsin you must fill out two separate forms to have a complete Advance Directive: A Living Will called a "Directive to Physicians and Family or Surrogates" and a "Power of Attorney for Health Care" (a.k.a. Health Care Proxy).

How to WriteStep 1 Download The Wisconsin Declaration To Health Care Professionals.Step 2 The Wisconsin Declarant Must Review The Introduction.Step 3 Name The Wisconsin Declarant Behind The Living Will.Step 4 Discuss The Wisconsin Patient's Preferred Level Of Care During A Terminal Condition.More items...?

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Wisconsin Living Will Questionnaire