Free Living Will

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Your Information (the Maker)
(e.g. James Smith)
(e.g. 4719-12th Street)
(e.g. Saskatoon)
(Required)
(e.g. V1V 1V1)
(e.g. (999) 999-9999)
Frequently Asked Questions

What is a Personal Directive?What is a Personal Directive?A Personal Directive or Living Will allows you to designate someone who will make health care and personal care decisions for you when you are not able and also to provide instructions for future care while you are still capable of making decisions for yourself.""A Personal Directive provides an opportunity for you to discuss treatment options with your medical staff as well as to discuss and resolve difficult issues with your family and friends.""Your directive must be made while you are still capable of giving consent.""(Also called a Living Will, Advance Directive, Health Care Directive, or Power of Attorney for Personal Care)What is an Personal Directive?An Advance Directive or Living Will allows you to designate someone who will make health care and personal care decisions for you when you are not able and also to provide instructions for future care while you are still capable of making decisions for yourself.""An Advance Directive provides an opportunity for you to discuss treatment options with your medical staff as well as to discuss and resolve difficult issues with your family and friends.""Your directive must be made while you are still capable of giving consent.""(Also called a Living Will, Health Care Directive, or Power of Attorney for Health Care)For an excellent discussion on Advance Directives in Australia click here.Who can write a Personal DirectivePlease select a governing law.In addition the following will apply:
  • You must be mentally competent.
  • You must be fully informed of your treatment options for all possible medical outcomes.
  • You should not be unduly influenced by anyone else during your decision making process.
Your Living WillUpdate Preview

PERSONAL DIRECTIVE
(Living Will)
of ____________________

I, ____________________ (the "Maker"), of ____________________, ____________________, ____________________, phone: ____________________, being of sound mind and at least 18 years of age, make this Personal Directive fully understanding the consequences of my action in doing so. I intend this Personal Directive to be read by my health care providers, family and friends as a true reflection of my wishes and instructions should I lack Capacity and be unable to communicate such wishes and instructions.

  1. Definitions
  2. As used in this document:
    1. "Act" means the sel Personal Directive.
    2. "Capacity" means the individual is able to understand the information pertaining to the personal decision and also is able to understand the reasonably foreseeable consequences of the decision.
  3. Designation of Agent
  4. I do not wish to designate an Agent, but provide the following information and instructions to be followed by a service provider who intends to provide personal services for me.
  5. Revocation
  6. The authority granted in this Personal Directive may be revoked as and where permitted by law.
  7. I understand that, as long as I have Capacity, I may revoke this Personal Directive at any time.
  8. General
  9. A copy of this Personal Directive has the same effect as the original.
  10. If any part or parts of this Personal Directive is found to be invalid or illegal under applicable law by a court of competent jurisdiction, the invalidity or illegality of that part or parts will not in any way affect the remaining parts and this document will be construed as though the invalid or illegal part or parts had never been included in this Personal Directive. But if the intent of this Personal Directive would be substantially changed by such construction, then it shall not be so construed.
  11. This Personal Directive is intended to be governed by the laws of the Province of sel.


Signature

Signed by me under hand and seal in the presence of my witness in the Province of sel, this .

______________________________________
(Signature of the Maker)

______________________________________
(Signature of the witness in the presence of Maker)


______________________________________
(Printed name of the witness)


______________________________________


______________________________________


______________________________________


______________________________________
(Address of witness)


Record of Copies
Record of people and institutions to whom I have given a copy of this Personal Directive:

1.

________________________________________

Date: ____________________

2.

________________________________________

Date: ____________________

3.

________________________________________

Date: ____________________

4.

________________________________________

Date: ____________________

5.

________________________________________

Date: ____________________


General comments regarding your Personal Directive

  1. Read the entire document before you sign in the space provided. Make sure it says what you want it to say.
  2. Do not leave any blank lines above your signature to be filled in after signing. Make sure there are no blank lines before you sign.
  3. Each page should be numbered. (e.g. 1 of 3, 2 of 3, etc.)
  4. You and your witness should initial all the pages.


Signing requirements for your sel Personal Directive

Please select a province (jurisdiction).


Limitations to the authority of your Agent

Please select a province (jurisdiction).

Living Will Information

A Living Will, also known as a Personal Directive or Advance Directive, is a document that you use to define your personal health care wishes in the event of an emergency.

It allows you to name your preferences in relation to resuscitation and comfort care, as well as designate a personal agent to enforce your choices. LawDepot's Living Will may be used in all provinces and territories excluding Quebec and Nunavut.

Do I Need to Name a Personal Agent in my Living Will?

A personal agent is the person who will enforce your health care preferences should you become incapable of doing so yourself. In some provinces, if you do not select an agent, your Living Will can be given to your health care provider to follow.

When you name an agent, you have the option to either give them full authority or limited authority over your health care decisions. Full authority means that your agent may enforce all of your decisions and also make undocumented decisions on your behalf, inform people of your incapacitation, and more.

What is a Statement of Values and Beliefs?

A statement of values and beliefs is a non-binding personal statement given in a Living Will. It specifies your personal beliefs and morals that may be relevant to your health care, but it is not binding to doctors or health care providers.

The purpose of a statement of beliefs and values is to provide any extra information that may affect your treatment if you are hospitalized, such as your definition of quality of life or beliefs regarding specific treatments.

What is Incapacitation in a Living Will?

When a person becomes incapacitated, it means that they are either mentally or physically unable to act for themselves in terms of managing their affairs. Incapacitation can be caused by illness, age, or an accident, and may be temporary or permanent depending on the situation.

In your Living Will, you may select individuals of your choice to determine whether or not you are incapacitated.

You may also choose who you wish to inform in the event of your incapacitation, for example, a spouse or your children.

What Decisions Can I Make in a Living Will?

A Living Will allows you to make decisions for three different instances: terminal illness, persistent unconsciousness, and severe and permanent mental impairment. You will need to determine your preferences for:

  • Life support;
  • Tube feeding;
  • CPR; and
  • Intervening illness.

You may also list whether or not you would like to be on organ donor, if you have any feelings about specific treatments, and how symptoms, such as pain, should be controlled.

A Living Will also allows you to designate a temporary guardian for your children in the event of an emergency.

Related Documents:

  • Last Will and Testament: A document used to allocate personal assets to beneficiaries upon death.
  • Power of Attorney: A document used to name a personal representative to oversee real estate, business, financial, and other matters in the event of incapacitation.
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