Idaho Living Will Template
This Living Will is made in accordance with the Idaho Statutes, Title 39, Chapter 45. It allows you to express your wishes regarding medical treatment in the event that you become unable to communicate your decisions.
I, [Your Full Name], born on [Your Date of Birth], residing at [Your Address], hereby declare this Living Will.
This document reflects my wishes regarding medical treatment in situations where I am unable to express my own preferences.
In the event that I am diagnosed with a terminal condition or am in a persistent vegetative state, I request that my healthcare providers adhere to the following instructions:
- If I am unable to make my own healthcare decisions, I prefer to receive the following treatments: [Specify treatments you wish to receive].
- If my condition is irreversible and will lead to death, I do not wish to receive life-sustaining procedures, including but not limited to: [Specify procedures you wish to refuse].
- I wish to be kept comfortable and pain-free during my final days.
I appoint the following individuals as my healthcare representatives to make decisions on my behalf if I am unable to do so:
- [Name of First Healthcare Representative], Phone: [Phone Number]
- [Name of Second Healthcare Representative], Phone: [Phone Number]
This Living Will is intended to provide guidance to my healthcare providers and loved ones regarding my healthcare preferences. It should remain in effect until revoked by me in writing.
Signed on this [Date] by:
[Your Signature]
[Witness Signature]
[Witness Name]