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Georgia Living Will Form (Advance Directive) |
The Georgia living will is
How to Write
Living Will
Enter principal`s details.
- Date.
- Principal`s name.
1) Prolonging Of Treatment
Check box to denote specific conditions where life should not be prolonged.
- A terminal condition.
- Coma.
- Permanent vegetative condition.
Life Sustaining Procedures
Check box to decide to withhold / withdraw life sustaining procedure.
- Nourishment and hydration.
- Nourishment but not hydration.
- Hydration but not nourishment.
- Neither nourishment nor hydration.
5) Pregnancy
Show understanding of authority of living will regarding pregnancy.
- Initial to show understanding that living will is void if the principal becomes pregnant.
Principals details
Enter principals details.
- Signature.
- City.
- County.
- State.
Witnesses
Enter witnesses details and if required additional witness details.
- Name of witnesses.
- Address of witnesses.
- Name of additional witness.
- Title/position of additional witness.
