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Complete Home and Office Legal Guide (Chestnut) (1993).ISO
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1993-08-01
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DECLARATION OF DESIRES AS TO MEDICAL CARE
I, ________________, desire to make aware that after mature
reflection, and, being aware of the right under the law to
decline life- sustaining treatment, that I wish, should I ever be
unable to make decisions for myself concerning my medical
treatment that I receive life sustaining treatment even after a
terminal diagnosis, even if the life prolonging treatment will
delay the natural process of dying.
I have previously made a "living will" or other document
expressing a desire contrary to that specified herein, and by this
document I herewith revoke the same.
Dated: _________________________________________
________________________________________________ Declarant