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Consent to Autopsy
Consent to Autopsy State of _________________________ County of _________________________ ________________________ hereby consents to the performance of an autopsy on ________________________, the DECEASED, by ____________________________. The relationship of _________________________ to the deceased is __________________. Dated: ______________________ ______________________________ ______________________________ Sworn to and subscribed before me on the date stated above. ______________________________ Notary Public My commission expires: Consent […]
Continue reading...Statutory Directive to Physicians in Conformance with Washington R.C.W. 70.122.030
29. November 2008
Statutory Directive to Physicians in Conformance with Washington R.C.W. 70.122.030 DIRECTIVE TO PHYSICIANS Directive made this __________ day of ________________ 20________. I, ______________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below, and do hereby declare that: (a) If […]
Continue reading...Oklahoma Statutes Title 63 Section 3103
28. November 2008
Oklahoma Statutes Title 63 Section 3103 DIRECTIVE TO PHYSICIANS Directive made this _________________ day of ___________. I _______________, being of sound mind and twenty-one years of age or older, willfully and voluntarily make known my desire that my life shall not be artificially prolonged under the circumstances set forth below, and do hereby declare: 1. […]
Continue reading...New Mexico Right to Die Act
28. November 2008
New Mexico Right to Die Act DIRECTIONS OF ________________ I, _______________, of _______________, ________, __________, herewith state: 1. I am of sound mind and have reached the age of majority. 2. After due and mature deliberation I have decided that it is consistent with my religious, moral and ethical beliefs that if I should ever […]
Continue reading...Living Testament as Provided by Connecticut Statutes Section 19a-575
27. November 2008
Living Testament as Provided by Connecticut Statutes Section 19a-575 TESTAMENT If the time comes when I am incapacitated to the point where I can no longer actively take part in decisions for my own life, and am unable to direct my physician as to my own medical care, I wish this statement to stand as […]
Continue reading...Statutory Declaration in Conformance with Louisiana Natural Death Act, Louisiana R. S. 40:1299.58.3
27. November 2008
Statutory Declaration in Conformance with Louisiana Natural Death Act, Louisiana R. S. 40:1299.58.3 DECLARATION OF _____________________ Declaration made this __________ day of ________________ 20________. I __________________, being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, do hereby declare: If […]
Continue reading...Statutory Declaration in Conformance with Wyoming Living Will Law. Wyoming Statutes 35-22-102
26. November 2008
Statutory Declaration in Conformance with Wyoming Living Will Law. Wyoming Statutes 35-22-102 DECLARATION OF _______________________ Declaration made this __________ day of ______________ 20_____. I, ________________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below, do hereby declare: If at […]
Continue reading...Statutory Declaration in Conformance with West Virginia Natural Death Act, 16-30-3
25. November 2008
Statutory Declaration in Conformance with West Virginia Natural Death Act, 16-30-3 DECLARATION OF _________________ Declaration made this __________ day of ______________ 20______. I, __________________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below, do declare: If at any time […]
Continue reading...Declaration Provided by Maine Revised Statutes Title 22 Section 2922
24. November 2008
Declaration Provided by Maine Revised Statutes Title 22 Section 2922 DECLARATION If I should have an incurable or irreversible condition that will cause my death within a short time, and if I am unable to participate in decisions regarding my medical treatment, I direct my attending physician to withhold or withdraw procedures that merely prolong […]
Continue reading...Statutory Declaration in Conformance with Virginia Natural Death Act VA. Code Section 54-325.8:4
23. November 2008
Statutory Declaration in Conformance with Virginia Natural Death Act VA. Code Section 54-325.8:4 DECLARATION OF ___________________ Declaration made this __________ day of ________________ 20____. I ______________, being of sound mind, willfully and voluntarily make known my desires that my dying shall not be artificially prolonged under the circumstances set forth below, do declare: If at […]
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30. November 2008
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