Georgia Living Will
This document, known as a Living Will, is a legal declaration concerning your wishes regarding medical treatment in the event that you become unable to communicate those wishes yourself. This document is executed under the laws of the State of Georgia.
By signing this document, I, [Your Full Name], born on [Your Date of Birth], residing at [Your Address], declare my wishes regarding life-sustaining treatment.
I am of sound mind, and I understand that this declaration will apply if I am diagnosed with a terminal condition or in a persistent vegetative state. My preferences regarding medical treatment are as follows:
- If I am unable to communicate and my condition is terminal, I do not wish for my life to be prolonged by any medical procedures or interventions.
- If I am in a persistent vegetative state, I do not want my life sustained through artificial means.
- However, I wish to receive comfort care and relief from pain, even if such care may hasten my death.
In the event that I cannot appoint an agent, I wish to provide the following instructions regarding my care:
- I want to be treated with dignity and respect.
- I want my family to be involved in the decision-making process, as much as possible.
- If I regain the ability to communicate, I desire to reassess my treatment options at that time.
My preferences above apply unless overridden by an advance directive executed independently.
This Living Will is made in the presence of the following witnesses, who testify that I understand the contents of this document and am signing it voluntarily.
Witness 1:
Name: [Witness 1 Name]
Address: [Witness 1 Address]
Signature: ____________________________ Date: _____________
Witness 2:
Name: [Witness 2 Name]
Address: [Witness 2 Address]
Signature: ____________________________ Date: _____________
Signed this [Date] day of [Month], [Year].
Signature: ____________________________
It is recommended to keep a copy of this Living Will with your other important documents and share copies with your healthcare provider and family members.