Valid Living Will Template for Arkansas

A Living Will is a legal document that allows individuals to outline their preferences for medical treatment in the event that they become unable to communicate their wishes. In Arkansas, this form provides guidance to healthcare providers and family members regarding end-of-life care decisions. Understanding the specifics of the Arkansas Living Will form can help ensure that personal healthcare choices are respected and followed.

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In the state of Arkansas, a Living Will serves as a crucial document for individuals who wish to outline their healthcare preferences in the event that they become unable to communicate their wishes. This form allows individuals to specify the types of medical treatments they do or do not want, particularly in situations involving terminal illness or irreversible conditions. By completing a Living Will, individuals can ensure that their values and desires regarding end-of-life care are respected. The document typically includes directives about life-sustaining treatments, such as resuscitation efforts, mechanical ventilation, and feeding tubes. Additionally, it often addresses preferences regarding pain management and comfort care. Creating a Living Will not only provides clarity for healthcare providers but also relieves loved ones from the emotional burden of making difficult decisions during challenging times. Understanding the components and significance of this form can empower individuals to take control of their healthcare decisions and communicate their wishes effectively.

Arkansas Living Will Sample

Arkansas Living Will Template

This Living Will is prepared in accordance with the laws of the State of Arkansas. It allows individuals to express their healthcare preferences in the event they are unable to communicate their wishes.

By completing this document, you can ensure that your medical treatment preferences are respected. Please fill in the required information below:

Personal Information:

Full Name: __________________________
Date of Birth: ______________________
Address: _____________________________
City, State, ZIP: ____________________

Healthcare Preferences:

If I am unable to make my own healthcare decisions, I direct that the following preferences be followed:

I do not want life-sustaining treatment if:

1. I am diagnosed with a terminal condition;
2. I am in a persistent vegetative state;
3. My condition is irreversible and not expected to improve.

If I am unable to communicate my wishes, I prefer the following decisions to be made on my behalf:

1. I wish to receive comfort care only;
2. I wish to undergo any treatment that might prolong my life.

Healthcare Agent:

If I am unable to make my own decisions, I appoint the following person as my healthcare agent:

Agent’s Full Name: ________________________
Agent’s Phone Number: ___________________
Agent’s Address: _________________________

Witnesses:

This declaration must be signed in the presence of two adult witnesses who are not my healthcare agent or related to me:

Witness 1 Name: _________________________
Witness 2 Name: _________________________

Signature:

By signing below, I confirm that this document reflects my healthcare preferences:

Signature: ____________________________

Date: _________________________________

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Key takeaways

Filling out a Living Will in Arkansas is an important step in ensuring your healthcare wishes are respected. Here are some key takeaways to keep in mind:

Understand the Purpose: A Living Will outlines your preferences regarding medical treatment in case you become unable to communicate your wishes.
Eligibility: To create a Living Will in Arkansas, you must be at least 18 years old and of sound mind.
Specificity Matters: Clearly state your wishes regarding life-sustaining treatments, such as resuscitation, mechanical ventilation, and feeding tubes.
Witness Requirement: Arkansas law requires that your Living Will be signed in the presence of two witnesses who are not related to you and do not stand to inherit from your estate.
Revocation: You can change or revoke your Living Will at any time, as long as you are mentally competent to do so.
Share Your Wishes: Once completed, discuss your Living Will with family members and healthcare providers to ensure they understand your preferences.

By keeping these points in mind, you can create a Living Will that accurately reflects your healthcare desires and provides peace of mind for both you and your loved ones.