Official Living Will Template for the State of Florida Make Your Document Now

Official Living Will Template for the State of Florida

A Florida Living Will is a legal document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate their preferences. This form specifically outlines the types of life-sustaining treatments one does or does not want, providing guidance to healthcare providers and loved ones. By having a Living Will, individuals can ensure their healthcare decisions align with their values and desires, even when they cannot voice them.

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Similar forms

  • Advance Directive: Similar to a Living Will, an Advance Directive outlines a person's preferences for medical treatment in case they become unable to communicate their wishes. It can include both a Living Will and a Medical Power of Attorney.
  • Durable Power of Attorney for Health Care: This document designates someone to make medical decisions on behalf of an individual if they are incapacitated. It complements a Living Will by providing a trusted person to interpret and implement the outlined wishes.
  • NYCERS F170 Form: This form is essential for EMT members of the New York City Employees' Retirement System (NYCERS) to enroll in the optional 25-Year Retirement Program. For more information, visit nyforms.com/nycers-f170-template/.
  • Do Not Resuscitate (DNR) Order: A DNR order specifically instructs medical personnel not to perform CPR if a person's heart stops or they stop breathing. It is often used alongside a Living Will to clarify end-of-life wishes.
  • Health Care Proxy: This document appoints a person to make health care decisions for someone who is unable to do so. It works in conjunction with a Living Will to ensure that a person's medical preferences are honored.
  • POLST (Physician Orders for Life-Sustaining Treatment): A POLST form translates a patient’s wishes regarding treatment into actionable medical orders. Like a Living Will, it addresses end-of-life care but is typically used for those with serious health conditions.
  • Organ Donation Consent: This document expresses an individual's wishes regarding organ donation after death. It may be included in a Living Will or as a separate document to clarify intentions about organ donation.
  • Medical Treatment Preferences: This document outlines specific preferences for medical interventions and treatments. It can serve as a detailed guide for health care providers, similar to a Living Will.
  • End-of-Life Care Plan: This plan includes a broader scope of preferences for care during the final stages of life. It encompasses emotional, spiritual, and physical care, complementing the directives found in a Living Will.
  • Patient Advocate Designation: This document allows individuals to appoint someone to advocate for their health care preferences. It ensures that their wishes, as expressed in a Living Will, are communicated and respected by medical professionals.

Document Sample

Florida Living Will Template

This Living Will is designed in accordance with Florida state laws to outline your wishes regarding medical treatment in the event you become unable to communicate your preferences. This document is important for ensuring that your healthcare decisions are respected and honored by medical professionals and loved ones.

Please fill in the blanks with your personal information as required:

  • Full Name: ________________________________________
  • Address: ________________________________________
  • City: ________________________________________
  • State: Florida
  • Zip Code: ________________________________________
  • Date of Birth: ________________________________________

In this Living Will, I declare that if I become terminally ill or permanently unconscious, and I am unable to communicate my health care decisions, I wish to make the following choices concerning my medical care:

  1. Treatment Preferences:
    • I do not wish to receive life-prolonging procedures if my condition is terminal.
    • I do wish to receive pain relief even if it may hasten my death.
    • I wish to be kept comfortable and as free from pain as possible.
  2. Organ Donation:
    • I do wish to donate my organs and tissues after my death.
    • I do not wish to donate my organs and tissues after my death.

This Living Will will remain in effect until revoked by me in writing. I recommend that copies be provided to my family members, close friends, and healthcare providers. It is essential that all parties understand and agree to my wishes.

Signed this ___ day of ____________, 20___.

Signature: ________________________________________

Witness 1: ________________________________________

Witness 2: ________________________________________

Note: Witnesses should not be related by blood or marriage to the principal and should not be entitled to any portion of the estate of the principal. It is advisable to consult a legal professional for guidance on executing this document.

Key takeaways

Filling out a Florida Living Will form is an important step in ensuring that your healthcare wishes are respected in the event that you become unable to communicate them. Here are some key takeaways to keep in mind:

  • Understand the Purpose: A Living Will outlines your preferences regarding medical treatment and end-of-life care.
  • Eligibility: You must be at least 18 years old and of sound mind to create a Living Will in Florida.
  • Clear Instructions: Be specific about the types of medical interventions you do or do not want, such as resuscitation or life support.
  • Witness Requirements: The form must be signed in the presence of two witnesses who are not related to you and do not stand to gain from your estate.
  • Revocation: You have the right to change or revoke your Living Will at any time, as long as you are mentally competent.
  • Distribution: Share copies of your Living Will with your healthcare providers and family members to ensure everyone is aware of your wishes.
  • Legal Standing: Florida law recognizes Living Wills, making them legally binding as long as they are properly executed.
  • Periodic Review: Regularly review your Living Will, especially if your health status or personal beliefs change.

By understanding these key aspects, you can make informed decisions about your healthcare preferences and ensure that your wishes are honored when it matters most.

Other Common State-specific Living Will Templates

Instructions on How to Fill Out Florida Living Will

Completing the Florida Living Will form is an important step in ensuring your healthcare wishes are honored. After gathering the necessary information, you will proceed to fill out the form accurately. Follow these steps to complete the process smoothly.

  1. Begin by downloading the Florida Living Will form from a reliable source or obtaining a physical copy.
  2. Read through the entire form carefully to understand the sections you need to complete.
  3. In the first section, provide your full legal name as it appears on your identification.
  4. Next, fill in your address, including the city, state, and zip code.
  5. Indicate the date of your birth to confirm your identity.
  6. Designate a healthcare surrogate, if you wish, by providing their name and contact information.
  7. Clearly state your wishes regarding medical treatment in the appropriate section, using straightforward language.
  8. Review your entries for accuracy and completeness before signing.
  9. Sign and date the form in the designated area. Ensure your signature is legible.
  10. Have the form witnessed by two individuals who are not related to you and who will not benefit from your estate. They should also sign the form.
  11. Make copies of the completed form for your records and for your healthcare surrogate, if applicable.

Once you have filled out the form and ensured it is signed and witnessed, you can store it in a safe place. It is advisable to inform your healthcare surrogate and family members about the document’s location and contents to ensure your wishes are known when needed.