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Florida Living Will Template

This Living Will is created in accordance with Florida law, specifically Chapter 765 of the Florida Statutes. It allows you to express your wishes regarding medical treatment in case you become unable to communicate those wishes yourself.

Personal Information

Name: ___________________________
Address: _________________________
City: ____________________________
State: _____________ Zip Code: _____________
Date of Birth: ______________________

Instructions

  • Under what circumstances do you wish to cease life-sustaining treatment? Describe any specific conditions or illnesses.
  • Do you want comfort care measures to be administered? Yes / No
  • Specify any particular procedures or treatments you do or do not want:

Durable Power of Attorney for Health Care

If there is someone you trust to make medical decisions on your behalf, please provide their information below:

Name: ___________________________
Address: _________________________
Phone Number: ____________________

Witnesses

This Living Will must be signed in the presence of two witnesses who are not related to you or entitled to any portion of your estate. Below, provide their details:

  1. Witness 1:
    Name: _________________________
    Address: _______________________
    Signature: ____________________________
  2. Witness 2:
    Name: _________________________
    Address: _______________________
    Signature: ____________________________

Signature

By signing below, I confirm that I understand the contents of this Living Will and I am doing so voluntarily:

Signature: ___________________________
Date: _______________________________

Documents used along the form

A Florida Living Will is an essential document that outlines an individual's preferences regarding medical treatment in the event they become unable to communicate their wishes. However, there are several other forms and documents that often accompany a Living Will to ensure comprehensive planning for healthcare decisions. Below are some of these important documents.

  • Durable Power of Attorney for Health Care: This document allows an individual to appoint someone they trust to make healthcare decisions on their behalf if they are unable to do so. It provides clarity and guidance to medical professionals and family members about the person's wishes.
  • Durable Power of Attorney: This document allows an individual to designate someone to make financial and legal decisions on their behalf if they become unable to do so. For more information, visit the Durable Power of Attorney page.
  • Do Not Resuscitate (DNR) Order: A DNR order is a medical order that specifies that a person does not want to receive cardiopulmonary resuscitation (CPR) in the event of cardiac arrest. This document is crucial for individuals who wish to avoid aggressive life-saving measures.
  • Health Care Surrogate Designation: Similar to a Durable Power of Attorney, this document designates a person to make healthcare decisions for someone else. It is often used when the individual cannot communicate their wishes due to illness or injury.
  • Advance Directive: An advance directive is a broader term that encompasses various documents, including Living Wills and Durable Powers of Attorney. It provides a comprehensive plan for an individual's healthcare preferences and decisions, ensuring that their wishes are respected.

Understanding these documents can significantly enhance the effectiveness of a Living Will. They work together to create a clear framework for healthcare decisions, ensuring that individuals' preferences are honored even when they cannot speak for themselves.

Similar forms

  • Advance Directive: This document outlines a person's preferences for medical treatment in situations where they cannot communicate their wishes. Like a Living Will, it provides guidance to healthcare providers regarding end-of-life care.
  • Durable Power of Attorney for Healthcare: This document designates an individual to make healthcare decisions on behalf of another person if they become incapacitated. It complements a Living Will by allowing a trusted person to interpret and act on the wishes expressed in the Living Will.
  • Do Not Resuscitate (DNR) Order: A DNR order instructs medical personnel not to perform CPR if a person stops breathing or their heart stops. It is similar to a Living Will in that it addresses end-of-life decisions and reflects a person's wishes regarding life-sustaining treatments.
  • Power of Attorney for Financial Matters: This document allows an individual to appoint an agent to handle financial decisions and transactions on their behalf. It is crucial for ensuring that the principal's financial affairs are managed according to their preferences, particularly when they are unable to do so. For more information, visit https://legalpdfdocs.com.
  • POLST (Physician Orders for Life-Sustaining Treatment): This medical order translates a patient’s preferences into actionable medical directives. It is similar to a Living Will as it addresses specific treatment options in emergency situations.
  • Healthcare Proxy: This document allows an individual to appoint someone to make medical decisions on their behalf. It is akin to a Durable Power of Attorney for Healthcare, providing a framework for decision-making when a person is unable to do so themselves.
  • Patient Advocate Designation: This allows individuals to appoint someone to advocate for their medical treatment preferences. Like a Living Will, it ensures that a person's wishes are respected in healthcare settings.
  • End-of-Life Care Plan: This document outlines a person’s wishes regarding their care at the end of life. It shares similarities with a Living Will by focusing on the type of medical interventions a person desires or does not desire.
  • Organ Donation Form: This document expresses a person’s wishes regarding organ donation after death. It is similar to a Living Will as it addresses decisions about one's body and medical treatment after life has ended.
  • Healthcare Treatment Plan: This outlines the medical treatments a patient agrees to receive. While broader in scope, it can overlap with the directives found in a Living Will regarding specific treatments.
  • Advance Care Planning Document: This encompasses various aspects of a person's healthcare preferences and wishes. It is similar to a Living Will in that it aims to communicate the individual’s desires regarding future medical care.

Misconceptions

Misconceptions about the Florida Living Will form can lead to confusion regarding its purpose and effectiveness. Here are eight common misconceptions, along with clarifications:

  1. A Living Will is the same as a Last Will and Testament. A Living Will specifically addresses medical treatment preferences in the event of incapacity, while a Last Will and Testament deals with the distribution of assets after death.
  2. Only elderly individuals need a Living Will. Anyone over the age of 18 should consider having a Living Will, as accidents or unexpected health issues can occur at any age.
  3. A Living Will can only be created with an attorney. While it is advisable to consult an attorney for guidance, individuals can create a Living Will on their own using state-provided forms.
  4. A Living Will is permanent and cannot be changed. Individuals can modify or revoke their Living Will at any time, provided they follow the proper procedures outlined by Florida law.
  5. A Living Will ensures that all medical wishes will be followed. While it provides guidance, healthcare providers may still need to interpret the document in the context of specific situations.
  6. A Living Will only addresses end-of-life decisions. It can also cover preferences for medical treatments in situations where an individual is unable to communicate, such as during a severe illness or injury.
  7. Having a Living Will eliminates the need for family discussions. Open conversations with family members about medical preferences are crucial to ensure everyone understands the individual's wishes.
  8. A Living Will is only necessary if someone has a terminal illness. It is beneficial for anyone who wants to outline their healthcare preferences, regardless of their current health status.

Understanding Florida Living Will

  1. What is a Florida Living Will?

    A Florida Living Will is a legal document that allows individuals to express their wishes regarding medical treatment in the event they become incapacitated and unable to communicate their preferences. It specifically addresses situations where life-sustaining treatment may be withheld or withdrawn.

  2. Who should consider creating a Living Will?

    Anyone over the age of 18 should consider creating a Living Will, especially those with serious health conditions or those who wish to ensure their medical preferences are known in case of an emergency. It is particularly important for individuals who want to avoid unwanted medical interventions.

  3. What should be included in a Living Will?

    A Living Will should clearly outline your wishes regarding medical treatment, including:

    • Your preferences about life-sustaining treatment, such as resuscitation, mechanical ventilation, and tube feeding.
    • Your desires regarding pain management and comfort care.
    • Any specific instructions or conditions under which you would want or refuse treatment.
  4. How do I create a Living Will in Florida?

    To create a Living Will in Florida, you must:

    • Be at least 18 years old.
    • Sign the document in the presence of two witnesses, who also must sign it. Alternatively, you can have the document notarized.

    It is advisable to consult with a legal professional to ensure that your Living Will meets all legal requirements and accurately reflects your wishes.

  5. Can I change or revoke my Living Will?

    Yes, you can change or revoke your Living Will at any time, as long as you are mentally competent. To revoke the document, you can destroy it or create a new Living Will that explicitly states your desire to revoke the previous one. Informing your healthcare providers and loved ones about any changes is essential.

  6. What happens if I do not have a Living Will?

    If you do not have a Living Will and become incapacitated, medical decisions may be made by your family members or healthcare providers based on what they believe your wishes would be. This can lead to confusion and potential conflict among family members, as there may be differing opinions about your care.

  7. Is a Living Will the same as a Durable Power of Attorney for Healthcare?

    No, a Living Will and a Durable Power of Attorney for Healthcare are different documents. A Living Will outlines your specific medical treatment preferences, while a Durable Power of Attorney designates a person to make healthcare decisions on your behalf if you are unable to do so. It is often recommended to have both documents in place for comprehensive healthcare planning.

  8. How is a Living Will used in medical situations?

    When you are unable to communicate your wishes, healthcare providers will refer to your Living Will to guide their decisions regarding your treatment. It serves as a clear directive for your medical team, ensuring that your preferences are respected and followed, even when you cannot speak for yourself.

  9. Where should I keep my Living Will?

    Store your Living Will in a safe but accessible location. It is important to provide copies to your healthcare providers, family members, and anyone designated to make healthcare decisions on your behalf. Consider keeping a copy in your medical records and carrying a card that indicates you have a Living Will.