Advance Directive for Health Care
If I am incapable of making an informed decision regarding my health care, I direct my health
care providers to follow my instructions below.
I. Living Will
If my attending physician and another physician determine that I am no longer able to make
decisions regarding my medical treatment, I direct my attending physician and other health care
providers, pursuant to the Oklahoma Advance Directive Act, to follow my instructions as set
(1) If I have a terminal condition, that is, an incurable and irreversible condition that even with
the administration of life-sustaining treatment will, in the opinion of the attending physician and
another physician, result in death within six (6) months:
(Initial only one option)
____ I direct that my life not be extended by life-sustaining treatment,
except that if I am unable to take food and water by mouth, I wish to
receive artificially administered nutrition and hydration.
____ I direct that my life not