Living Will - Pennsylvania

Pennsylvania · Fillable PDF · Free

A living will tells your doctors which life-sustaining treatments you do or do not want if you are terminally ill or permanently unconscious and cannot speak for yourself. It takes effect only when your attending physician receives it and determines that you are in one of those conditions. A living will tells your doctors which life-sustaining treatments you do or do not want if you are terminally ill or permanently unconscious and cannot speak for yourself.

Serving Pennsylvania. Appointments require a Pennsylvania-commissioned notary.

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Who this form is for

A living will tells your doctors which life-sustaining treatments you do or do not want if you are terminally ill or permanently unconscious and cannot speak for yourself. It takes effect only when your attending physician receives it and determines that you are in one of those conditions.

What you'll need

The original Living Will - Pennsylvania packet and its instructions.
The names, dates and supporting records identified in this packet.
Acceptable identification if a notarial act is requested; arrange any required qualified witnesses.

How to complete it

Read the declaration It directs comfort care and limits treatment that only prolongs dying.
Mark each treatment Check “do want” or “do not want” on every line. If you leave a line blank, you may receive that treatment.
Decide about organ donation Check one box and add any limits.
Add other instructions (optional) For example, religious wishes or a preference for hospice at home.
Sign before two adult witnesses and a notary Do not sign ahead of time. Bring a current photo ID.

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These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

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