Michigan Living Will Template
This Living Will is intended to comply with the laws of the State of Michigan.
I, [Your Full Name], residing at [Your Address], being of sound mind, make this Living Will to express my wishes regarding medical treatment in the event that I am unable to communicate my desires.
In the event that I am diagnosed with a terminal condition or am in a persistent vegetative state, I direct that:
- I do not wish to receive life-sustaining treatment that would only serve to prolong the process of dying.
- I would like to receive care that provides comfort and relief from pain, even if this may hasten my death.
- I do wish to have artificial nutrition and hydration provided until such time as my condition is clearly determined to be terminal.
I appoint the following person as my healthcare agent to make decisions on my behalf:
Name: [Healthcare Agent’s Full Name]
Relationship: [Relationship to You]
Address: [Healthcare Agent’s Address]
Phone: [Healthcare Agent’s Phone Number]
In the absence of my designated agent, I trust the following individuals to carry out my wishes:
- Alternate Agent 1: [Name], [Relationship], [Phone Number]
- Alternate Agent 2: [Name], [Relationship], [Phone Number]
This Living Will revokes any prior Living Will or similar document and shall remain in effect until revoked by me in writing.
Signed on this day: [Date]
Signature: ________________________________
Print Name: [Your Full Name]
Witness #1:
Signature: ________________________________
Name: [Witness 1 Full Name]
Address: [Witness 1 Address]
Witness #2:
Signature: ________________________________
Name: [Witness 2 Full Name]
Address: [Witness 2 Address]
This document must be signed in the presence of two witnesses, who are not related to you or your healthcare agent, and who are not entitled to any part of your estate.