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The pennsylvania living will and medical power of attorney combined is is in accordance to the us statutes 5421 5488 and requires 2 witnesses and is a means of providing the principal with the option of choosing the type of health care they receive if they are no longer able to through serious illness such as permanent unconsciousness brain damage or coma.

Printable living will form pa.

Choose a medical decision maker. Once the form is completed and signed photocopy the form and give it to the person you have appointed to make decisions on your behalf your family friends health care providers and or faith leaders so that the form is av ailable in the event of an emergency. The living will act replaced the advance declaration for health care act. The pennsylvania living will part iii from the commonwealth s advance directive is a legal document that is designed as an avenue for a declarant principal to state in writing prior to an end of life scenario their own choices for how they would like their medical team to direct their end of life wishes without any dependency on relatives to have to make the difficult decision that.

Create a free account. Pennsylvania will forms are forms that have been created to assist individuals in the organization of their end of life arrangements into written records to be certain that the disposition of their property is exactly as they wish and that their end of life medical decisions are honored. These state specific living will forms are in word doc and adobe pdf formats and available for free and immediate download. A living will also known as an advance directive allows a person to state their end of life medical treatment and care this document does not hold any bearings after death it solely directs physicians to care for a person based on what is stated in their living will especially with issues such as dnr do not resuscitate without this document it s difficult to judge an ill or.

You may also want to save a copy of your form in an online personal health. The act also specifies the circumstances under which an appropriate representative of a person who issued a living will under the living will act 20 pa c s. Each will open in a separate window when clicked. Advance directive is the general term that refers to the various documents that could include a living will instruction directive health care proxy or health care power of attorney.

5441 5447 is able to secure an out of hospital dnr order bracelet or necklace for the person. Pennsylvania advance health care directive this form lets you have a say about how you want to be treated if you get very sick. A medical decision maker is a person who can make health care decisions for you if you are too sick to make them yourself. Related documents power of attorney last will and testament medical consent pennsylvania living will.

To make things a little confusing states use various terms to describe their advance directive forms. A last will and testament form would guide the testator through the process of outlining their. This form has 3 parts.

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