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Printed Name: __________________________________________

Birth Month: _________

Year: ______

The Advance Directive and Living Will
Introduction to the Advance Directive and Living Will
Martin Health System’s policy is that every competent adult
has, in most cases, the freedom to accept or refuse medical
treatment. When you are well, you can talk with your
physician and family to make your wishes known. However,
severe illness or an accident could cause you to be unable to
communicate or to make choices. During that time, important
decisions about your medical care may have to be made.
Without any instructions from you, your family and
physicians may not know what treatment you would want.

Before you fill out the Advance Directive and Living Will
form, you may want to talk to your family, friends,
physician, lawyer or spiritual advisor. This is not required,
however, and the documents do not need to be notarized.

You can help your family and physicians by telling them in
advance, p