[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-167761-105":53,"doc-detail-167761-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","living-will-declaration-advance-directive-template","LIVING WILL (DECLARATION) - Advance Directive Template","","This living will (declaration) template provides two document options to express health care wishes when an individual can no longer communicate. It covers end-of-life decision making, including defining an unacceptable quality of life, directing withdrawal of life-extending treatments, and addressing life-sustaining measures such as CPR, ventilation, feeding tubes, and dialysis. It also includes a health care power of attorney with mental health authority, enabling an appointed agent to make medical and surgical consent decisions, consent to psychiatric hospitalization where selected, manage potential revocation limits during incapacity, and receive health records.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/living-will-declaration-advance-directive-template/167761/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/living-will-declaration-advance-directive-template/167761.png","ImageObject",442,249,{"name":88,"@type":89},"Rowan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-19","2026-08-31",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of a living will in this template?","Question",{"text":109,"@type":110},"It allows a person to state preferences for end-of-life treatment to health care providers when the person cannot communicate their wishes.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What does “unacceptable quality of life” mean in the Health Care Directive section?",{"text":114,"@type":110},"It refers to scenarios such as chronic coma or persistent vegetative state, inability to communicate needs, inability to recognize family or friends, total dependence on others for daily care, or other specified conditions.",{"name":116,"@type":107,"acceptedAnswer":117},"How does the Health Care Power of Attorney with Mental Health Authority work?",{"text":118,"@type":110},"It appoints an agent to make health care decisions, including mental health care decisions and the power to give or refuse consent to medical and surgical treatments, hospitalizations, and related care when the principal can no longer communicate.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},167761,1788219081,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":126,"read_time":73},1099514067415,"https://ap-avatar.wpscdn.com/avatar/100002539d78ffe74a7?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779092875211072502","LIVING WILL (DECLARATION)\nThis document contains two parts. Both parts are for use when you can no longer communicate your health care wishes to your doctors. You may choose to sign one or the other or both.\nThe first form is called a Health Care Directive, also known as a living will.  The Health Care Directive allows you to tell your health care providers your preferences for end of life treatment.\nThe second form is called a Health Care Power of Attorney. This Health Care Power of Attorney allows you to appoint another person to make health care decisions on your behalf taking into account your wishes.\nThis form was completed and signed on ________________, 20____.\nHEALTH CARE DIRECTIVE (LIVING WILL)\n(If you do not wish to fill out this form and just wish to designate a health care agent, draw an “X” through the following section)\nI, ______________________, with a mailing address of ______________________, with the last four (4) digits of my social security number (SSN) being xxx-xx-_______ (Hereinafter may be referred to as the ‘Principal’) desire to advise my doctors and medical providers of my wishes for my health care in the event I am not able to communicate my wishes.\nLIFE SUPPORT\nI desire that my doctor make a concerted effort to return me to an acceptable quality of life using then available treatments and therapies. However, if my quality of life becomes unacceptable as I have defined below and my doctors have determined that my condition will not improve (is irreversible), I direct that all treatments that extend my life be withdrawn.\nAn unacceptable quality of life means (initial and check all that apply):\n______ \u0003☐\u0004 - Chronic coma or persistent vegetative state\n______ \u0003☐\u0004 - No longer able to communicate my needs\n______ \u0003☐\u0004 - No longer able to recognize family or friends\n______ \u0003☐\u0004 - Total dependence on others for daily care\n______ \u0003☐\u0004 - Other: _____________________________________________________.\n\u000f\n(initial and check one)\n______ \u0003☐\u0004 - Even if I have the quality of life described above, I still wish to be treated with food and water by tube or intravenously (IV).\n______ \u0003☐\u0004 - If I have the quality of life described above, I do NOT wish to be treated with food and water by tube or intravenously (IV).\nCERTAIN LIFE-SUSTAINING TREATMENT: (You do not have to initial and check any of these if you do not wish to)\nSome people do not wish to have certain life sustaining treatments under any circumstance, even if recovery is a possibility. Check treatments below, if any, that you do not wish to have under any circumstances (initial and check all that apply):\n______ \u0003☐\u0004 - Cardiopulmonary Resuscitation (CPR)\n______ \u0003☐\u0004 - Ventilation (breathing machine)\n______ \u0003☐\u0004 - Feeding tube\n______ \u0003☐\u0004 - Dialysis\n______ \u0003☐\u0004 - Other: ______________________________________________________.\nEND OF LIFE WISHES (hospice care, funeral arrangements, etc.):\nWhen I am near death, it is important to me that:\n______________________________________________________________________\n______________________________________________________________________\n______________________________________________________________________\n______________________________________________________________________\nHEALTH CARE (MEDICAL) POWER OF ATTORNEY WITH MENTAL HEALTH AUTHORITY\nIt provides peace of mind to be able to choose someone you know and who knows you to make healthcare decisions on your behalf when you no longer can communicate your wishes. It is important that you discuss your wishes with your health care agent so they can be sure to make sure your wishes are carried out by the health care providers. If you DO NOT, however, choose someone to make decisions for you, write NONE in the line for the agent’s name.\nI, ______________________, as Principal, designate ______________________, as my agent to act in all matters relating to my health care (including my mental health care) and including, without limitation, the power to give or refuse consent to all medical a","cbCaiv67ywzGU9qz","https://ap.wps.com/l/cbCaiv67ywzGU9qz","docx",68909,"English","# HEALTH CARE DIRECTIVE (LIVING WILL)\n## LIFE SUPPORT\n## CERTAIN LIFE-SUSTAINING TREATMENT\n## END OF LIFE WISHES\n# HEALTH CARE (MEDICAL) POWER OF ATTORNEY WITH MENTAL HEALTH AUTHORITY\n## DESIGNATION OF AGENT AND EFFECTIVENESS\n## CONSENTS AND RESTRICTIONS\n## SUCCESSOR AGENT AND RECORD ACCESS\n## WITNESS ACKNOWLEDGMENT","[{\"question\":\"What is the purpose of a living will in this template?\",\"answer\":\"It allows a person to state preferences for end-of-life treatment to health care providers when the person cannot communicate their wishes.\"},{\"question\":\"What does “unacceptable quality of life” mean in the Health Care Directive section?\",\"answer\":\"It refers to scenarios such as chronic coma or persistent vegetative state, inability to communicate needs, inability to recognize family or friends, total dependence on others for daily care, or other specified conditions.\"},{\"question\":\"How does the Health Care Power of Attorney with Mental Health Authority work?\",\"answer\":\"It appoints an agent to make health care decisions, including mental health care decisions and the power to give or refuse consent to medical and surgical treatments, hospitalizations, and related care when the principal can no longer communicate.\"}]","LIVING WILL (DECLARATION) - Advance Directive Template | DOCX"]