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South Carolina Living Will Form (Advance Directive) |
The South Carolina Living Will Directive has been designed to give a patient the ability to still make choices over the health care they will get if they are somehow incapacitated and unable to do so. The patient can use the document to pass on very specific details as regards how they wish to be treated, from their religious and spiritual preferences to ending of life decisions . This will conforms with US statutes §§44-77-10 to 44-77-160 and requires two witnesses and a notary.
How to Write
Declaration Of Desire For A Natural Death
The principal must enter their details.
- Name of principal.
- Social security number.
- City.
- County.
- Date.
Artificial Nutrition And Hydration
If suffering from a terminal condition which may soon result in death the principal must initial ONE of the relevant blank fields to show their wishes.
- Initial to receive artificial hydration and nutrition.
- Initial not to receive artificial hydration and nutrition.
If in a persistent vegetative state or permanently unconscious.
- Initial to receive artificial hydration and nutrition.
- Initial not to receive artificial hydration and nutrition.
Appointment Of An Agent
The details of appointed agents must be entered.
1. An agent who may revoke the declaration.
- Name.
- Address.
- Telephone number.
2. An agent who may enforce the declaration.
- Name.
- Address.
- Telephone number.
- Principal`s signature.
Affidavit
The witnesses and notary details must be entered.
- State.
- County.
- Witnesses names.
- Date.
- Signatures.
- Principal`s name.
- Witnesses names.
- Date.
- Notary`s signature.
- State.
- Date of expiration of commission.
