Alabama Living Will
This Living Will is made in accordance with Alabama state laws concerning advance directives. It outlines my health care wishes in the event that I become unable to communicate or make decisions regarding my medical treatment.
I, [Your Full Name], being of sound mind, voluntarily make this declaration on this [Day] day of [Month], [Year].
My residence is located at:
[Your Address]
In the event that I am diagnosed with a terminal condition and no longer able to make decisions regarding my medical care, I wish for the following treatments to be implemented or withheld:
- Medication to prolong life
- Use of life-sustaining procedures
- Artificial nutrition and hydration
- Other specific instructions: [Your Instructions]
I appoint the following individual to act as my health care proxy:
[Proxy's Full Name]
My proxy can make decisions about my medical care when I am unable to communicate. Their contact information is as follows:
[Proxy's Address]
[Proxy's Phone Number]
In the absence of my appointed proxy, I would like my health care decisions to be made by:
[Alternate Proxy's Full Name]
[Alternate Proxy's Address]
[Alternate Proxy's Phone Number]
I understand that this document may be revoked at any time, in accordance with Alabama law. To revoke this Living Will, I must communicate my intention to do so without any ambiguity.
Signatures:
- Signature: ________________________ (Your Signature)
- Date: ________________________
- Witness 1 Signature: ________________________
- Witness 1 Printed Name: ________________________
- Witness 2 Signature: ________________________
- Witness 2 Printed Name: ________________________
This Living Will must be signed in the presence of at least two witnesses who are not related to you or entitled to any portion of your estate.