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Official Living Will Template for the State of New York

A New York Living Will is a legal document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This form serves as a guide for healthcare providers and loved ones, ensuring that a person's values and desires are respected during critical medical situations. By clearly stating one's intentions, a Living Will can alleviate the burden on family members during emotionally challenging times.

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Similar forms

A Living Will is an important document that outlines your preferences for medical treatment in the event that you become unable to communicate your wishes. Several other documents serve similar purposes, helping individuals express their healthcare decisions. Here are five documents that share similarities with a Living Will:

Advance Healthcare Directive: This document combines a Living Will and a Durable Power of Attorney for Healthcare. It allows you to specify your medical treatment preferences and appoint someone to make healthcare decisions on your behalf if you cannot do so.
Durable Power of Attorney for Healthcare: This document designates a trusted individual to make medical decisions for you when you are incapacitated. While it does not outline specific treatment preferences like a Living Will, it empowers your chosen agent to act according to your best interests.
Do Not Resuscitate (DNR) Order: A DNR order specifically instructs medical personnel not to perform CPR if your heart stops or you stop breathing. This document is focused solely on resuscitation efforts, while a Living Will covers a broader range of medical treatments.
Physician Orders for Life-Sustaining Treatment (POLST): This document translates your treatment preferences into medical orders. It is typically used for patients with serious illnesses and ensures that healthcare providers follow your wishes regarding life-sustaining treatments.
USCIS I-9 Form: This form is essential for verifying identity and employment eligibility, ensuring that individuals are legally authorized to work in the United States. For more information, visit topformsonline.com/.
Healthcare Proxy: Similar to a Durable Power of Attorney for Healthcare, a healthcare proxy designates someone to make medical decisions on your behalf. However, it may be more limited in scope and does not necessarily include specific treatment preferences.

Understanding these documents can empower you to make informed decisions about your healthcare and ensure that your wishes are respected when you cannot communicate them yourself.

Document Sample

New York Living Will Template

This Living Will is made in accordance with New York state law regarding advance directives.

Document Title: Living Will

Principal's Information:

Name: ____________________________________________
Date of Birth: _____________________________________
Address: __________________________________________
Phone Number: ____________________________________

Declaration:

I, the undersigned, being of sound mind, make this Living Will to provide guidance concerning my medical treatment in the event that I become unable to communicate my wishes.

Instructions:

If I am diagnosed with a terminal condition, I do not wish to receive life-sustaining treatment.
If my condition is irreversible and I am unable to communicate, I desire that comfort measures be offered.
Should I be in a persistent vegetative state, I do not wish for life-sustaining procedures to be initiated or continued.

Healthcare Proxy:

I appoint the following individual as my healthcare agent to make decisions on my behalf if I am unable to do so:

Name: ____________________________________________
Relationship: ______________________________________
Contact Number: ___________________________________

In the event that the above-named individual is unavailable or unwilling to serve, I designate the following person as my alternate healthcare agent:

Name: ____________________________________________
Relationship: ______________________________________
Contact Number: ___________________________________

Signature:

Principal's Signature: __________________________________

Date: _________________________________________________

Witnesses:

This Living Will must be witnessed by two adults who are not related to me and who will not inherit from me.

Witness 1: _________________________________________
Date: _____________________________________________
Witness 2: _________________________________________
Date: _____________________________________________

This document is intended to give effect to my wishes regarding health care. It is recommended that I discuss its content with my healthcare providers.

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Key takeaways

Filling out a New York Living Will form is an important step in ensuring your healthcare wishes are respected. Here are some key takeaways to keep in mind:

Understand the Purpose: A Living Will outlines your preferences regarding medical treatment in situations where you cannot communicate your wishes. It serves as a guide for healthcare providers and loved ones.
Be Clear and Specific: When completing the form, clarity is essential. Specify the types of medical interventions you do or do not want, such as resuscitation or life support measures.
Consult with Healthcare Professionals: Discuss your decisions with your doctor or a healthcare provider. They can help you understand the implications of your choices and ensure your form reflects your wishes accurately.
Regularly Review and Update: Life circumstances and preferences can change. Review your Living Will periodically to make sure it still aligns with your current values and wishes.

Other Common State-specific Living Will Templates

Living Will Form New Jersey - A Living Will can serve as a reminder for family and friends of your thoughts on serious medical interventions.

Easy Living Will Form - Differentiate between the Living Will and a healthcare power of attorney for clarity.

Michigan Advance Directive - This document may reduce the emotional burden on family members during difficult times.

The New York Articles of Incorporation form is a legal document that establishes the existence of a corporation in the state of New York. This form outlines essential details about the corporation, including its name, purpose, and structure. For those looking to make the process simpler, various resources, such as Fillable Forms, are available to assist in ensuring compliance with state regulations and facilitating the business formation process.

Medical Poa Form - The Living Will is not the same as a Power of Attorney for healthcare decisions.

Instructions on How to Fill Out New York Living Will

Completing the New York Living Will form is a crucial step in ensuring your healthcare preferences are honored. After filling out the form, you will need to sign it in the presence of a witness. This will make your document legally valid and ready for use in any medical situation where it may be needed.

Obtain the New York Living Will form from a reliable source, such as a legal website or healthcare provider.
Read the instructions carefully to understand the requirements for completion.
Begin by filling in your full name, address, and date of birth at the top of the form.
Clearly state your preferences regarding medical treatment in the designated section. Be specific about the types of interventions you do or do not want.
Indicate whether you want to appoint a healthcare proxy to make decisions on your behalf if you are unable to do so.
Sign and date the form in the appropriate section. Ensure that your signature is clear and legible.
Have a witness sign the form. The witness must be an adult who is not related to you and who will not benefit from your estate.
Make copies of the completed form for your records and for your healthcare proxy, if applicable.
Store the original form in a safe place where it can be easily accessed when needed.