West Virginia Living Will
I. Introduction
I, [YOUR NAME], residing at [YOUR COMPANY ADDRESS], being of sound mind and body, hereby declare this to be my Living Will.
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
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.
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
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.
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.
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.
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.
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
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.
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]
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