South Dakota Living Will Declaration Form

The South Dakota Living Will Declaration gives the principal choices in the event of them becoming incapacitated regarding their health care. This can include being in a coma, permanently unconscious or ending of life decisions and complies with the US statutes §§ 34-12D-1 to 34-12D-22 the will is a legally binding document. It requires either two witnesses or a notary and one witness and can be altered or made invalid at any time the principal deems fit. The principal can add any other specific stipulations they may wish to include.

How to Write

Living Will Declaration

The principal must enter their name and then initial the relevant blank field regarding their medical health care treatment.

  • Not to receive life sustaining treatment.
  • To receive treatment if there is a prospect of recovery.
  • If permanently unconscious not to receive treatment.
  • To receive treatment to the maximum extent.

 

Artificial Nutrition And Hydration

The principal must initial one of the relevant blank fields.

  • To include artificial hydration and nutrition as a withdrawn or withheld life sustaining treatment.
  • To not include artificial hydration and nutrition as a withdrawn or withheld life sustaining treatment.

 

Provisions

The principal must enter details of any other provision they have regarding their medical health care.

 

Declaration

The principal, witnesses and notary must enter their details.

  • Date.
  • Principal`s signature.
  • Principal`s address.
  • Principal`s name.
  • Witnesses signature.
  • Witnesses address.
  • Principal`s name.
  • Witnesses names.
  • Date.
  • Notary`s signature.
  • Date of expiration of commission.