A Tennessee Living Will is a legal document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate their preferences. This form is crucial for ensuring that your healthcare decisions align with your values and desires. By understanding and completing this form, you empower yourself and your loved ones to make informed choices during challenging times. Take the first step in safeguarding your wishes by filling out the form below.
In the state of Tennessee, the Living Will form serves as a crucial document for individuals wishing to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This legal instrument empowers individuals to express their desires regarding life-sustaining treatments, ensuring that their values and choices are respected during critical moments. The form typically addresses various scenarios, such as terminal illness or irreversible conditions, and allows individuals to specify whether they wish to receive or decline certain medical interventions. By clearly articulating these preferences, individuals can relieve their loved ones from the burden of making difficult decisions during emotionally charged times. Additionally, the Living Will form must be signed in the presence of witnesses, ensuring that the document is valid and reflects the individual's true intentions. Overall, this form plays a vital role in promoting autonomy and dignity in end-of-life care, fostering open conversations about health care wishes among families and medical professionals alike.
Tennessee Living Will
This document serves as a Living Will, designed to express the desires and healthcare directives of the undersigned, in accordance with the Tennessee Right to Natural Death Act. By completing this document, the undersigned indicates their preferences regarding life-sustaining treatment and end-of-life care, should they become unable to communicate these desires themselves due to terminal illness or incapacitation.
Personal Information
Full Name: _______________________________________________
Address: _________________________________________________
City, State, Zip: ________________________________________
Date of Birth: ___________________________________________
Social Security Number: _________________________________
Healthcare Directives
Under the Tennessee Right to Natural Death Act, I hereby declare my intentions regarding healthcare decisions, including the use or non-use of life-sustaining treatments, when I am unable to make such decisions for myself due to incapacity or terminal illness.
I understand that these decisions will be used to guide my healthcare providers and loved ones in making decisions about my healthcare in situations where I cannot express my preferences due to my condition.
Life-Sustaining Treatment
In the event that I am in a terminal condition, and where my healthcare providers determine that there is no reasonable expectation of my recovery and I am unable to communicate my healthcare preferences, I direct the following actions be taken regarding life-sustaining treatments:
Durable Power of Attorney for Healthcare
I hereby designate the following individual as my durable power of attorney for healthcare, to make decisions regarding my healthcare in the event that I am unable to do so:
Name: _____________________________________________________
Relationship: ____________________________________________
Phone Number: ___________________________________________
In the occurrence that my first choice is unable or unwilling to serve, I designate the following individual as an alternate:
Signature and Acknowledgment
This Living Will shall remain in effect until I revoke it in writing. I understand the full import of this document, and I am emotionally and mentally competent to make this Living Will.
Date: ____________________________________________________
Signature: _______________________________________________
Witness 1: _______________________________________________
Witness 2: _______________________________________________
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