Advance Directive for Health Care — Living Will
ADVANCE DIRECTIVE FOR HEALTH CARE (Living Will and Health Care Proxy) — ALABAMA Section 1. Living Will I, the information supplied in the interview, being of sound mind and at least 19 years old, make the following wishes known. I direct my family, doctors, health care workers, and others to follow these directions when this advance directive applies. If I have a terminal illness or injury If my doctor and another doctor determine that I have a terminal illness or injury that cannot be cured and that I will die in a relatively short time without life-sustaining treatment: Life-sustaining treatment: the information supplied in the interview Artificially provided food and hydration: the information supplied in the interview If I become permanently unconscious If my doctor and another doctor determine that I am permanently unconscious and there is no reasonable hope that I will regain consciousness: Life-sustaining treatment: the information supplied in the interview Artificially provided food and hydration: the information supplied in the interview Other directions the information supplied in the interview Health Care Proxy NOT COMPLETED IN THIS STANDALONE LIVING WILL. Alabama permits the proxy section to be used, but this document does not appoint a health-care proxy. Use the separate health-care-agent product if appointment authority is wanted. Signature and Witnesses Signed: Date: the information supplied in the interview Address: the information supplied in the interview I certify that the declarant signed or acknowledged this advance directive in my presence, appears to be of sound mind and under no duress, fraud, or undue influence, and that I satisfy the witness restrictions in Ala. Code § 22-8A-4. Witness 1: Date: Witness 2: Date: This advance directive is signed in the presence of two or more witnesses at least 19 years of age. Each witness must be at least 19 and may not be the proxy, the person signing for the declarant, related by blood/adoption/marriage, entitled to the declarant's estate, or directly financially responsible for the declarant's medical care.