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Living Will

This living will outlines the individual's wishes regarding medical treatment in the event they are unable to make decisions due to illness or impairment. It specifies a desire to avoid life-sustaining measures and to receive pain relief, even if it may shorten life. The document includes spaces for personal information, signatures, and witnesses, along with a disclaimer about the accuracy of the template and legal advice recommendations.

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sisekolubelwana
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60 views2 pages

Living Will

This living will outlines the individual's wishes regarding medical treatment in the event they are unable to make decisions due to illness or impairment. It specifies a desire to avoid life-sustaining measures and to receive pain relief, even if it may shorten life. The document includes spaces for personal information, signatures, and witnesses, along with a disclaimer about the accuracy of the template and legal advice recommendations.

Uploaded by

sisekolubelwana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LIVING WILL

Should I no longer be able make any decisions about my future or to consent to medical treatment, let this document
stand as an explicit declaration of my wishes in the matter.

Full Name:

ID Number:

Address:

TO MY FAMILY AND MEDICAL PHYSICIAN:


1. Should I be physically ill or impaired causing me to suffer constant pain without a reasonable possibility of
recovering or living a normal life again, I wish to be allowed to die in a dignified way, and not be kept alive by
machines or other artificial means.

2. During such a time, I ask the medical physician responsible for my medical treatment to administer drugs necessary
to keep me free from pain, and as comfortable as possible, even if it will shorten my life.

Initials

Initials

Initials
SIGNATURES
I have signed and dated this document in the presence of the two undersigned witnesses.

Signed at
Place on Day of
Month 20 Year .

Testator Signature

Witnesses: Signature Witness 1

Signature Witness 2

DISCLAIMER

LAW FOR ALL cares about the legal rights of South Africans, and have made it our goal to make the law affordable
and accessible to all. This template has been designed with you and protection of your rights in mind. Although we
have taken every care to ensure that this document is accurate and up to date with the law, it is important to
remember that our law is constantly evolving and changing. We therefore cannot guarantee that the information is
without any errors or omissions. LAW FOR ALL and its employees will under no circumstances accept liability for
the consequences resulting from the use this template. We believe that it’s important to always discuss legal
matters with an attorney before making a decision or signing any document.

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