home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Share Gallery 1
/
share_gal_1.zip
/
share_gal_1
/
HD
/
HD022A.ZIP
/
LHARC1.EXE
/
5005.ARM
< prev
next >
Wrap
Text File
|
1991-06-27
|
979b
|
49 lines
/* Connecticut Living Will*/
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 a
testament of my wishes. I @001 request that I be allowed to die
and not be kept alive through life support system if my condition
is deemed terminal. I do not intend any direct taking of my life,
but only that my dying not be unreasonably prolonged.
This request is made, after careful reflection, while I am of
sound mind.
Signed ______________________________________________
@001
Witness __________________________________________________
Witness __________________________________________________