Free Alaska Living Will Form Access Document Now

Free Alaska Living Will Form

A Living Will is a legal document that allows individuals to outline their preferences for medical treatment in case they become unable to communicate their wishes. In Alaska, this form ensures that your healthcare choices are respected, even if you cannot speak for yourself. To take control of your medical decisions, consider filling out the Alaska Living Will form by clicking the button below.

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Overview

In Alaska, the Living Will form serves as an important legal document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those preferences themselves. This form is particularly vital for ensuring that personal values and desires regarding end-of-life care are honored. It outlines specific medical interventions a person may or may not want, such as resuscitation efforts, mechanical ventilation, or artificial nutrition and hydration. By completing this document, individuals can provide clear guidance to healthcare providers and loved ones, helping to alleviate the emotional burden of making difficult decisions during challenging times. Additionally, the Living Will can help prevent conflicts among family members regarding treatment choices, fostering a sense of peace and clarity. Understanding how to properly fill out and implement this form is crucial for anyone looking to take control of their healthcare decisions in Alaska.

Alaska Living Will Example

Alaska Living Will Template

This document serves as a Living Will, designed in accordance with the laws of the State of Alaska, to outline the wishes of the undersigned regarding medical treatment in the event they are unable to communicate their preferences. This is a legally binding document once it is signed and witnessed as per the requirements set forth by the state.

Personal Information

Name: ___________________________________________

Date of Birth: ___________________________________

Address: _________________________________________

Preferences Regarding Life-Sustaining Treatment

I, ____________________ (the undersigned), being of sound mind, do hereby express my wishes concerning medical treatment if I am in a state where I am unable to make or communicate decisions:

  1. ___ If I am in a terminal condition, I do/do not (circle one) want my life to be prolonged by life-sustaining measures. Life-sustaining measures include but are not limited to artificial respiration, cardiopulmonary resuscitation (CPR), and artificial nutrition and hydration.
  2. ___ If I am in a persistent vegetative state, I do/do not (circle one) want my life to be prolonged by life-sustaining measures.
  3. ___ If I am in a coma or severely brain-damaged with no reasonable expectation of regaining consciousness or cognitive function, I do/do not (circle one) want my life to be prolonged by life-sustaining measures.

Additional Directions

You may write additional directives concerning your care below, including preferences about hospice care, organ and tissue donation, and other instructions you consider necessary:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Designation of Healthcare Agent

If I am unable to make or communicate decisions, I designate the following individual as my healthcare agent to make medical decisions on my behalf, including decisions about life-sustaining treatment:

Name: ___________________________________________

Relationship: ____________________________________

Contact Information: _____________________________

This Living Will becomes effective only when I am unable to communicate or make decisions for myself and is subject to any statements or limitations I have included above.

_____________________________________ ____________________

Signature of Declarant (Principal) Date

Witnesses

This document must be signed by two witnesses who affirm that the declarant is known to them, signed this document in their presence, and appears to be of sound mind and not under duress, fraud, or undue influence.

Witness 1: __________________________________________ ____________________

Print Name: _________________________________________ Date

Witness 2: __________________________________________ ____________________

Print Name: _________________________________________ Date

Form Specifics

Fact Name Description
Definition A Living Will in Alaska is a legal document that outlines an individual's preferences for medical treatment in situations where they are unable to communicate their wishes.
Governing Law The Alaska Living Will is governed by Alaska Statutes, specifically AS 13.52, which covers advance health care directives.
Requirements To create a valid Living Will in Alaska, the document must be signed by the individual and witnessed by at least two adults who are not related to the individual or beneficiaries of their estate.
Revocation An individual can revoke their Living Will at any time, provided they communicate their intent to do so, either verbally or in writing.
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