Florida Living Will FormFlorida Living Will FormFlorida Living Will Form
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Suggested form of a Living Will, Florida Statutes Section 765.303
A living will may, BUT NEED NOT, be in the following form:

Living Will

Declaration made this
day of
willfully and voluntarily make known my desire that my dying not be artificially prolonged under the circumstances
set forth below, and I do hereby declare that, if at any time I am incapacitated and
I have a terminal condition.

I have an end stage condition.

I am in a persistent vegetative state,


and if my attending or treating physician and another consulting physician have determined that there is no reasonable
medical probability of my recovery from such condition, I direct that life-prolonging procedures be withheld or
withdrawn when the application of such procedures would serve only to prolong artificially the process of dying, and
that I be permitted to die naturally with only the administration of medication or the performance of any medical
procedure deemed necessary to provide me with comfort c