New York Living Will _ Document Directing Health CareNew York Living Will _ Document Directing Health CareNew York Living Will _ Document Directing Health Care
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Completing Your New York Living Will
Remember the Living Will only becomes effective if you are determined to have a
terminal illness or are at the end-of-life and are unable to speak for yourself. In NYS,
the living will was authorized by the courts not by legislation so there are no
requirements guiding its use. But, a Living Will can serve an important role to provide
clear evidence of your wishes.
You can add personal instructions in Item 3 on the form if there are specific treatments
that you wish to refuse but are not listed on the document.
You can also add a statement referring to your health care agent such as, “Any
questions about how to apply my Living Will are to be decided by my health care agent.”
Print out a copy of the Living Will Form based on the form developed by the NYS
Attorney General.
Item 1: Print your name
Item 2: Cross out any of the statements that do NOT reflect your wishes
Item 3: Write in any personal instructions
Item 4: Date and sign the document and inc