20 04 LIVING WILL DECLARATION

JurisdictionArkansas
LibraryArkansas Form Book - Complete (2023 Ed.)

20-04 LIVING WILL DECLARATION

LIVING WILL DECLARATION

By: [name of declarant]
[address of declarant]

If I should have an incurable or irreversible condition that will cause my death within a relatively short time, and I am no longer able to make decisions regarding my medical treatment, I direct my attending physician, pursuant to the Arkansas Rights of the Terminally Ill or Permanently Unconscious Act, to [withhold or withdraw treatment that only prolongs the process of dying and is not necessary to my comfort or to...

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