West Virginia Living Will
West Virginia Living Will
I. Introduction
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I, [YOUR NAME], residing at [YOUR COMPANY ADDRESS], being of sound mind and body, hereby declare this to be my Living Will.
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This Living Will is made following the laws of the State of West Virginia to guide my medical treatment preferences in the event I am unable to communicate my wishes.
II. Declaration of Intent
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I understand that there may come a time when I am unable to make decisions about my medical care due to illness, injury, or incapacitation.
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I desire that my healthcare providers, family members, and designated healthcare agents follow the instructions outlined in this Living Will.
III. End-of-Life Care Preferences
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If I am diagnosed with a terminal condition or in a persistent vegetative state with no reasonable expectation of recovery, I request that no extraordinary life-sustaining measures be taken to prolong my life.
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I do/do not wish to receive artificial hydration and nutrition (tube feeding) if I am unable to eat or drink independently and if there is no reasonable expectation of recovery.
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I do/do not wish to receive cardiopulmonary resuscitation (CPR) if my heart stops beating or if I stop breathing and if there is no reasonable expectation of recovery.
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I do/do not wish to be placed on mechanical ventilation (life support) if I am unable to breathe on my own and if there is no reasonable expectation of recovery.
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I request that I be provided with comfort care, pain relief, and any necessary medications to ensure my comfort and dignity during my final days.
IV. Appointment of Healthcare Agent
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In addition to this Living Will, I have appointed [Name of Healthcare Agent] as my healthcare agent to make medical decisions on my behalf if I am unable to do so.
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My healthcare agent's authority shall only become effective if I am unable to make medical decisions for myself and shall remain in effect until revoked by me or my death.
V. Signature and Witnesses
I have signed this Living Will on this [DATE] in the presence of the following witnesses who attest to the fact that I am of sound mind and under no duress to execute this document.
Testator
[YOUR NAME]
[YOUR COMPANY ADDRESS]
Witness #1
Name: [WITNESS NAME 1]
Address: [WITNESS ADDRESS 1]
Witness #2
Name: [WITNESS NAME 2]
Address: [WITNESS ADDRESS 2]
VI. Notarization (if applicable)
Notary Public Name: [NOTARY'S NAME]
Commission Expires: [EXPIRATION DATE]
