Georgia Living Will
This Living Will is made in accordance with the laws of the state of Georgia.
I, [Your Full Name], born on [Your Date of Birth], residing at [Your Address], declare this to be my Living Will.
In the event that I become unable to communicate my wishes regarding medical treatment, I wish to specify how I want my healthcare to be handled.
Should I be diagnosed with a terminal condition, persistent vegetative state, or any other condition that leaves me unable to make decisions regarding my own healthcare, I state the following:
- I do not wish to receive any life-sustaining treatment if it only prolongs the dying process.
- I wish to receive pain relief and comfort care, even if it may hasten my death.
- If possible, I request the use of hospice care to provide me with comfort in my final days.
In addition, I appoint [Agent's Full Name], born on [Agent's Date of Birth], residing at [Agent's Address], as my healthcare agent to make decisions on my behalf if I am unable to do so.
This Living Will is effective as of the date signed below:
Date: [Date]
Signature: _______________________________
Witness 1: _______________________________
Witness 1 Name: [Witness 1 Name]
Witness 2: _______________________________
Witness 2 Name: [Witness 2 Name]
This Living Will is intended to express my wishes clearly. By signing, I confirm that I am of sound mind and understand the implications of this Living Will.