Delaware Living Will Template
This Living Will is executed in accordance with the Delaware Health Care Decisions Act, Title 16, Chapter 2502 of the Delaware Code.
I, [Your Full Name], residing at [Your Address], being of sound mind, do hereby declare this Living Will to express my wishes regarding medical treatment in the event that I become unable to communicate my decisions.
In the event that I am diagnosed with a terminal condition, or if I am in a persistent vegetative state, I wish to provide the following instructions regarding my medical care:
- If I am unable to make my own health care decisions, I do not want life-sustaining treatment that only prolongs the process of dying.
- I do want to receive comfort care to alleviate pain and suffering, even if it may hasten my death.
- I do not wish to receive artificial nutrition and hydration if I am unable to swallow or if it is determined that such measures would not provide a meaningful benefit.
I designate the following individual as my health care agent to make decisions on my behalf if I am unable to do so:
Health Care Agent: [Agent's Full Name]
Agent's Address: [Agent's Address]
Agent's Phone Number: [Agent's Phone Number]
In the event that my designated agent is not available or unwilling to act, I designate the following individual as an alternate:
Alternate Agent: [Alternate's Full Name]
Alternate's Address: [Alternate's Address]
Alternate's Phone Number: [Alternate's Phone Number]
This Living Will reflects my wishes and supersedes any prior directives regarding my health care decisions. I have signed this document on [Date] in the presence of the following witnesses:
- [Witness 1 Name], [Witness 1 Address]
- [Witness 2 Name], [Witness 2 Address]
Signature: _______________________________
Date: _______________________________