Michigan Living Will
This Living Will is created in accordance with the Michigan Compiled Laws. It provides guidance for medical decisions when an individual is unable to express their wishes due to illness or injury.
Individual Information:
- Name: ________________________________
- Date of Birth: ________________________
- Address: ______________________________
- Phone Number: _________________________
I, ________________________________, being of sound mind, make this Living Will on this ______ day of __________, 20___.
Healthcare Preferences:
In the event that I am diagnosed with a terminal condition or am in a persistent vegetative state, I wish to express my preferences regarding medical treatment.
-
End-of-Life Decisions:
- I do not wish to have my life prolonged by medical procedures if I am unable to communicate my wishes.
- I prefer to receive comfort care only, aiming for a peaceful passing.
-
Organ Donation:
- I wish to be an organ donor, should suitable options arise.
- I do not wish to be an organ donor.
Signature:
_______________________________
(Signature of the Individual)
Witnesses:
Two witnesses must sign this document. They must be at least 18 years old, and they cannot be related to me or entitled to any portion of my estate.
- Name: ________________________________
- Signature: __________________________
- Date: _______________________________
- Name: ________________________________
- Signature: __________________________
- Date: _______________________________
This document reflects my wishes regarding my healthcare and should be followed as closely as possible should I be unable to communicate.