Homepage Fillable Living Will Form Attorney-Approved Living Will Document for the State of Virginia
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In Virginia, a Living Will is a crucial document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those preferences due to illness or injury. This form empowers you to make decisions about life-sustaining treatments, ensuring that your values and desires are respected when you can no longer speak for yourself. It typically covers critical aspects such as whether to receive resuscitation, mechanical ventilation, or feeding tubes. By completing a Living Will, you not only clarify your medical choices but also ease the burden on family members who may otherwise face difficult decisions during emotional times. This document is part of a broader category known as advance directives, which also includes medical powers of attorney. Understanding the significance of a Living Will in Virginia can help you take control of your healthcare decisions and ensure that your voice is heard, even when you cannot express it yourself.

Dos and Don'ts

When filling out the Virginia Living Will form, it's important to follow certain guidelines. Here’s a list of things you should and shouldn’t do:

  • Do read the entire form carefully before starting.
  • Do ensure you understand the medical terms and options provided.
  • Do discuss your wishes with your family and healthcare provider.
  • Do sign and date the form in the presence of a witness.
  • Do keep a copy of the completed form for your records.
  • Don't leave any sections blank unless instructed.
  • Don't use outdated forms; always use the latest version.
  • Don't forget to update the form if your wishes change.
  • Don't sign the form if you feel pressured or unsure.
  • Don't assume your healthcare provider knows your wishes without documentation.

Virginia Living Will Sample

Virginia Living Will Template

This Living Will is created in accordance with the laws of the Commonwealth of Virginia. A Living Will is a document that expresses your wishes regarding medical treatment in the event that you are unable to communicate your preferences.

Please fill in the blanks with your specific information to customize your living will:

1. DECLARATION:

I, , of , being of sound mind, do hereby declare this to be my Living Will.

2. TREATMENT PREFERENCES:

If, in the opinion of my attending physician, I should be diagnosed with a terminal condition or a condition that will result in my death, or if I am in a persistent vegetative state, I direct that the following medical treatments be administered or withheld:

  • Attempt resuscitation
  • Provide artificial nutrition and hydration
  • Administer pain relief medication
  • Other (please specify):

3. DESIGNATION OF AGENT:

I hereby appoint of , as my health care agent to make decisions about my medical treatment if I am unable to do so.

4. SIGNATURE:

This Living Will represents my wishes. I affirm that I am at least 18 years of age, and that I am signing this document voluntarily.

Signed on this day of .

_____________________________
Signature of Declarant

_____________________________
Signature of Witness 1

_____________________________
Signature of Witness 2

5. WITNESS INSTRUCTIONS:

Witnesses must be at least 18 years old and cannot be your health care provider or an heir.

Listed Questions and Answers

  1. What is a Virginia Living Will?

    A Virginia Living Will is a legal document that allows individuals to outline their preferences regarding medical treatment in the event they become unable to communicate their wishes. This document typically addresses end-of-life decisions, including the use of life-sustaining treatments and resuscitation efforts.

  2. Who should create a Living Will?

    Anyone over the age of 18 who is capable of making their own medical decisions should consider creating a Living Will. It is especially important for individuals with serious health conditions or those who want to ensure their wishes are respected in critical situations.

  3. How do I complete a Living Will in Virginia?

    To complete a Living Will in Virginia, you must fill out the form with your specific preferences regarding medical treatment. It is important to clearly articulate your wishes. After completing the form, you must sign it in the presence of two witnesses or a notary public to make it legally binding.

  4. What if I change my mind after creating a Living Will?

    You have the right to revoke or modify your Living Will at any time, as long as you are competent to do so. To ensure your new wishes are respected, it is advisable to inform your healthcare provider and any individuals who may have a copy of your previous Living Will.

  5. Can I include specific medical treatments in my Living Will?

    Yes, you can specify which medical treatments you do or do not want. This may include preferences about resuscitation, mechanical ventilation, tube feeding, and other life-sustaining measures. Clearly stating your wishes can help guide your healthcare providers and loved ones in making decisions that align with your values.

  6. Is a Living Will the same as a Power of Attorney for Healthcare?

    No, a Living Will and a Power of Attorney for Healthcare serve different purposes. A Living Will expresses your wishes regarding medical treatment, while a Power of Attorney designates someone to make healthcare decisions on your behalf if you are unable to do so. It is often recommended to have both documents in place.

  7. Where should I keep my Living Will?

    It is important to keep your Living Will in a safe but accessible location. Consider providing copies to your healthcare provider, family members, and anyone designated as your healthcare agent. This ensures that your wishes can be easily located and followed in an emergency.

  8. What happens if I do not have a Living Will?

    If you do not have a Living Will, your healthcare providers will make decisions based on your best interests, but your specific wishes may not be known. This can lead to uncertainty and stress for your loved ones during difficult times. Having a Living Will can provide clarity and peace of mind for both you and your family.

PDF Characteristics

Fact Name Details
Definition A Virginia Living Will is a legal document that outlines an individual's preferences for medical treatment in the event they become unable to communicate their wishes.
Governing Law The Virginia Living Will is governed by the Virginia Code § 54.1-2981 through § 54.1-2992.
Eligibility Any adult who is at least 18 years old can create a Living Will in Virginia.
Witness Requirement The document must be signed in the presence of two witnesses, who must also sign the form.
Revocation A Living Will can be revoked at any time, either verbally or in writing, by the individual who created it.
Healthcare Proxy While a Living Will outlines treatment preferences, it does not appoint a healthcare proxy; a separate document is needed for that purpose.
Specific Instructions Individuals can specify treatments they do or do not want, including life-sustaining measures and pain relief options.
Storage It is advisable to keep the Living Will in a safe place and share copies with family members and healthcare providers.
Legal Validity The Virginia Living Will is legally valid as long as it meets the state's requirements for execution and content.
Importance This document can provide peace of mind, ensuring that an individual's healthcare preferences are honored even when they cannot speak for themselves.