California Living Will Template
This Living Will is created in accordance with the laws of the state of California. It allows individuals to express their wishes regarding medical treatment in situations where they may be unable to communicate their preferences.
By completing this document, I, [Your Full Name], born on [Your Date of Birth], residing at [Your Address], declare the following:
This directive shall be in effect if I am diagnosed with a terminal illness, am in a persistent vegetative state, or am otherwise unable to make decisions regarding my medical care.
Medical Treatment Preferences
Please indicate your preferences by checking the appropriate boxes:
- [ ] I do not want life-sustaining treatment if I am not able to make my own medical decisions.
- [ ] I want all available life-sustaining treatment for as long as possible, even if the prognosis is poor.
- [ ] I wish to receive comfort care only, avoiding aggressive life-sustaining treatments.
Additional Instructions
Please provide any specific instructions you want to document:
[Your Instructions Here]
Organ Donation
Upon my death, I wish to donate my organs and tissues as follows:
- [ ] I consent to organ and tissue donation.
- [ ] I do not consent to organ and tissue donation.
- [ ] I wish to specify certain organs or tissues: [Your Specifications Here]
Signature
By signing below, I confirm that I understand the contents of this Living Will and willingly consent to its execution.
Signature: ___________________________________________
Date: _________________________________________________
Witnesses
Two witnesses must sign below to validate this document. They should not be related to you by blood, marriage, or adoption, and must be at least 18 years old.
Witness 1: ___________________________________________
Date: _________________________________________________
Witness 2: ___________________________________________
Date: _________________________________________________
This Living Will reflects my wishes for the future regarding medical treatment and organ donation. It is my intent that this document be honored and respected by my healthcare providers.