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
2
,I
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,

or
or

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withdrawn when the application of such procedures would serve only to prolong artificially the process of dying, and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