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Text File  |  1993-08-01  |  610b  |  17 lines
  1.  
  2. DECLARATION OF DESIRES AS TO MEDICAL CARE
  3.  
  4. I,________________, desire to make aware that after mature 
  5. reflection, and, being aware of the right under the law to 
  6. decline life- sustaining treatment, that I wish, should I ever be 
  7. unable to make decisions for myself concerning my medical 
  8. treatment that I receive life sustaining treatment even after a 
  9. terminal diagnosis, even if the life prolonging treatment will 
  10. delay the natural process of dying.
  11.  
  12. Dated: _________________________________________
  13.  
  14.  
  15. ________________________________________________ Declarant
  16.                            
  17.