Alabama Living Will Template
This Living Will is created in accordance with the laws of the State of Alabama, specifically under the Alabama Uniform Health-Care Decisions Act.
I, [Your Full Name], residing at [Your Address], born on [Your Date of Birth], hereby declare this Living Will to express my wishes regarding medical treatment in the event that I am unable to communicate my preferences.
In the event that I am diagnosed with a terminal condition, or if I am in a persistent vegetative state, I direct that:
- Life-sustaining treatment be withheld or withdrawn if it serves only to prolong the process of dying.
- I do not wish to receive cardiopulmonary resuscitation (CPR) if my heart stops or if I stop breathing.
- I do not wish to receive artificial nutrition and hydration if I am unable to eat or drink voluntarily.
Additionally, I wish to appoint the following individual as my health care proxy:
Name: [Proxy's Full Name]
Relationship: [Proxy's Relationship to You]
Contact Information: [Proxy's Phone Number]
Should my primary health care proxy be unable or unwilling to act, I appoint the following individual as my alternate proxy:
Name: [Alternate Proxy's Full Name]
Relationship: [Alternate Proxy's Relationship to You]
Contact Information: [Alternate Proxy's Phone Number]
This Living Will is effective as of the date signed below:
Signed on: [Date]
Signature: [Your Signature]
Witnesses:
- Name: [Witness 1 Name], Signature: [Witness 1 Signature], Date: [Date]
- Name: [Witness 2 Name], Signature: [Witness 2 Signature], Date: [Date]
This document reflects my wishes regarding medical treatment and should be honored as such.