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The form also addresses optional decisions about artificially provided nourishment and fluids and includes an organ and/or tissue donation certification. It concludes with witness attestations, notary acknowledgment, and definitions under Tennessee 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does the living will directive apply?","Question",{"text":63,"@type":64},"It applies when the declarant has a terminal condition, the attending physician determines there is no reasonable medical expectation of recovery, and death is likely regardless of life-sustaining treatment.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What choices are available regarding artificially provided nourishment and fluids?",{"text":68,"@type":64},"The declarant can authorize withholding or withdrawal of artificially provided food and water (nourishment/fluids) or choose not to authorize such withholding or withdrawal.",{"name":70,"@type":61,"acceptedAnswer":71},"How does the form address organ and/or tissue donation?",{"text":72,"@type":64},"It allows the declarant to indicate whether to donate organs and/or tissues for transplantation and, if applicable, directs the physician to maintain artificial support only to the extent needed to preserve organ/tissue viability for 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\nIf at any time I should have a terminal condition and my attending physician hasdetermined there is no reasonable medical expectation of recovery and which,as amedical probability,will result in my death,regardless of the use or discontinuance ofmedical treatment implemented for the purpose of sustaining life,or the life process,Idirect that medical care be withheld or withdrawn,and that I be permitted to die naturallywith only the administration of medications or the performance of any medical proceduredeemed necessary to provide me with comfortable care or to alleviate pain.  \n# ARTIFICIALLY PROVIDED NOURISHMENT AND FLUIDS:\n\nBy checking the appropriate line below,I specifically:  \n      Authorize the withholding or withdrawal of artificially provided food,water orother nourishment or fluids.  \n      DO NOT authorize the withholding or withdrawal of artificially provided food,water or other nourishment or fluids.  \n## ORGAN DONOR CERTIFICATION:\n\nNotwithstanding my previous declaration relative to the withholding or withdrawal oflife-prolonging procedures,ifas indicated below I have expressed my desire to donatemy organs and/or tissues for transplantation,or any of them as specifically designatedherein,I do direct my attending physician,ifI have been determined dead according toTennessee Code Annotated,§68-3-501(b),to maintain me on artificial support systemsonly for the period of time required to maintain the viability of and to remove suchorgans and/or tissues.  \nBy checking the appropriate line below,I specifically:  \n      Desire to donate my organs and/or tissues for transplantation.  \n   Desire to donate my                       (Insert specific organs and/or tissues for transplantation)  \n    DONOT desire to donate my organs or tissues for transplantation,  \nIn the absence of my ability to give directions regarding my medical care,it is myintention that this declaration shall be honored by my family and physician as the finalexpression of my legal right to refuse medical care and accept the consequences of suchrefusal.  \nThe definitions of terms used herein shall be as set forth in the Tennessee Right toNatural Death Act,Tennessee Code Annotated,§32-11-103.  \nI understand the full import of this declaration,and I am emotionally and mentallycompetent to make this declaration.  \nIn acknowledgment whereof,I do hereinafter affix my signature on this the   day of    ,20    \nSignature of Declarant  \nWe,the subscribing witnesses hereto,are personally acquainted with and subscribe ournames hereto at the request of the declarant,an adult,whom we believe to be of soundmind,fully aware of the action taken herein and its possible consequence.  \nWe,the undersigned witnesses,further declare that we are not related to the declarantby blood or marriage;that we are not entitled to any portion of the estate of the declarantupon the declarant's decease under any will or codicil thereto presently existing or byoperation of law then existing;that we are not the attending physician,an employee ofthe attending physician or a health facility in which the declarant is a patient;and that weare not persons who,at the present time,have a claim against any portion of the estate ofthe declarant upon the declarant's death.  \n\n| Witness   |\n| --- |\n| Witness   |\n\nCOIJNTY OF                          \nSubscribed,sworn to and acknowledged before me by     .the declarantand subscribed and sworn to before me by   and    ,witnesses,this____day of      ,20____.  \nNotary PublicMy Commission Expires:","cbCaibPOh9u0Hxoc","https://ap.wps.com/l/cbCaibPOh9u0Hxoc","pdf",96400,"English","# Tennessee Statutory Living Will Form\n## Artificially Provided Nourishment and Fluids\n## Organ Donor Certification","[{\"question\":\"When does the living will directive apply?\",\"answer\":\"It applies when the declarant has a terminal condition, the attending physician determines there is no reasonable medical expectation of recovery, and death is likely regardless of life-sustaining treatment.\"},{\"question\":\"What choices are available regarding artificially provided nourishment and fluids?\",\"answer\":\"The declarant can authorize withholding or withdrawal of artificially provided food and water (nourishment/fluids) or choose not to authorize such withholding or withdrawal.\"},{\"question\":\"How does the form address organ and/or tissue donation?\",\"answer\":\"It allows the declarant to indicate whether to donate organs and/or tissues for transplantation and, if applicable, directs the physician to maintain artificial support only to the extent needed to preserve organ/tissue viability for removal.\"}]","Tennessee Statutory Living Will Form - Living Will Declaration - Organ Donor and Artificial Nutrition Options | PDF"]