Living Will Form
I, __________________________, being of sound mind and body, do not wish to be kept alive indefinitely by artificial means.
If a reasonable amount of time passes and I fail to ask for at least one of the following:
______a cold beer
______a Margarita
______a Scotch and Soda
______a Martini
______a Vodka and Tonic
______a Bloody Mary
______a steak
______lobster or crab legs
______the remote control
______a bowl of ice cream
______the sports page
______chocolate
______sex
It should be presumed that I won't ever get better. When such a determination is reached,
I hereby instruct my appointed person and attending physicians to pull the plug,
reel in the tubes and call it a day.
With God as my Witness,
______________________________________
I, __________________________, being of sound mind and body, do not wish to be kept alive indefinitely by artificial means.
If a reasonable amount of time passes and I fail to ask for at least one of the following:
______a cold beer
______a Margarita
______a Scotch and Soda
______a Martini
______a Vodka and Tonic
______a Bloody Mary
______a steak
______lobster or crab legs
______the remote control
______a bowl of ice cream
______the sports page
______chocolate
______sex
It should be presumed that I won't ever get better. When such a determination is reached,
I hereby instruct my appointed person and attending physicians to pull the plug,
reel in the tubes and call it a day.
With God as my Witness,
______________________________________