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Text File  |  1993-08-01  |  622b  |  20 lines

  1.  
  2.         DECLARATION OF DESIRES AS TO MEDICAL CARE 
  3.  
  4. I, Hector Cochrane, desire to make aware that after mature
  5. reflection, and, being aware of the right under the law to decline
  6. life- sustaining treatment, that I wish, should I ever be unable
  7. to make decisions for myself concerning my medical treatment that 
  8. I receive life sustaining treatment even after a terminal 
  9. diagnosis, even if the life prolonging treatment will delay the
  10. natural process of dying.  
  11.  
  12. Dated: _________________________________________ 
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  14.  
  15.  
  16.  
  17.  
  18. ________________________________________________ Declarant 
  19.                            
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