Michigan Living Will
This Living Will is made in accordance with the laws of the State of Michigan. It outlines your healthcare preferences in the event that you are unable to communicate your wishes.
Personal Information:
- Name: ________________________________________
- Date of Birth: ________________________________
- Address: ______________________________________
- City: _________________________________________
- State: ___________ Zip Code: _______________
Healthcare Preferences:
If I am diagnosed with a terminal condition or become permanently unconscious, I wish to communicate my healthcare preferences regarding life-sustaining treatment. Specifically, I direct that:
- I do not want life-sustaining treatment if I am terminally ill and unable to communicate my wishes.
- I want artificial nutrition and hydration to be administered unless it creates undue burden on my quality of life.
- I prefer comfort measures to be prioritized above other treatment options.
Signatures:
This Living Will must be signed and dated by me to ensure its validity. Additionally, witnesses may be required according to Michigan law.
- Signature: ______________________________________
- Date: __________________________________________
Witnesses:
- Witness 1 Name: _______________________________
- Witness 1 Signature: ___________________________
- Date: __________________________________________
- Witness 2 Name: _______________________________
- Witness 2 Signature: ___________________________
- Date: __________________________________________
This document reflects my wishes regarding medical treatment should I become incapacitated. It is essential that healthcare providers are made aware of these preferences.