Medical Directives – WGW Financial
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Medical Directives
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Medical Directives are sometimes called Living Wills, Advanced Directives, Personal Directives or Advanced Decisions. By any name, the purpose is the same: to allow you to define your medical care preferences in advance of a serious condition while you are of clear mind and able to articulate those preferences.
Our Medical Directives start at $45, fully stating your treatment preferences when you have a terminal condition or are persistently unconscious and are unable to make decisions. The price can go up to $65 with the addition of a Health Care Proxy to make medical decisions for you, in accordance with your stated wishes, and very specific anatomical gift (organ donation) preferences. Both are optional.
Before you start, please review these definitions, which will be in your final Medical Directive and describe the choices you'll be making momentarily.
Life-sustaining treatment
means any medical procedure or intervention, including but not limited to the artificial administration of nutrition and hydration if the declarant has specifically authorized the withholding and withdrawal of artificially administered nutrition and hydration, that when administered to a qualifying patient would only serve to prolong the process of dying or to maintain the patient in a condition of persistent unconsciousness. The term 'life-sustaining treatment' shall not include the administration of medication or the performance of any medical treatment deemed necessary to alleviate pain nor the normal consumption of food and water.
Artificially supplied nutrition and hydration
(or artificially administered food and water) means the provision of nutrients or fluids by a tube inserted in a vein, under the skin in the subcutaneous tissues, or in the stomach (gastrointestinal tract).
Comfort care
means treatment, including prescription medication, provided to a patient for the sole purpose of alleviating pain, and does not include artificially administered food and water.
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Starting Rate
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Price:
$ 45.00
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Terminal Conditions
A terminal condition means an incurable and irreversible condition that, even with the administration of life-sustaining treatment, will, in the opinion of the attending physician and another physician, result in death within six (6) months. If you're found to have a terminal condition, you state:
Life Sustaining Treatment (TC)
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I direct that life-sustaining treatment shall be given to me as necessary.
I direct that life-sustaining treatment shall be withheld or withdrawn if such treatment would only prolong my process of dying, and if my attending physician and another physician determine that I have an incurable and irreversible condition that even with the administration of life-sustaining treatment will cause my death within six (6) months.
Artificial Provision Of Nutrition (TC)
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I direct that artificially supplied nutrition and hydration shall be given to me as necessary.
I understand that the artificial administration of nutrition and hydration (food and water) that will only prolong the process of dying from an incurable and irreversible condition is a particularly important subject. I understand that if I do not specifically state otherwise, artificially administered nutrition and hydration may be administered to me when I can no longer chew or swallow by myself. If I can no longer chew or swallow by myself or with someone helping me, I direct that artificially provided nutrition and hydration be withheld or withdrawn from me.
Comfort Care (TC)
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I direct that comfort care shall be given to me as necessary.
I understand that the provision of comfort care that will prolong the process of dying from an incurable and irreversible condition is a particularly important subject when such care will prolong the dying process. I direct that comfort care be withheld or withdrawn from me if it would only prolong my dying. I understand that the law may not allow me to direct that comfort care be withheld in certain states. However, I ask that my wishes regarding the giving of comfort care be followed regardless of whether they may go beyond what the law allows.
Total So Far
$ 0.00
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Persistent Unconsciousness
Persistently unconscious means an irreversible condition, as determined by the attending physician and another physician, in which thought and awareness of self and environment are absent. If you're found to be persistently unconscious, you state:
Life Sustaining Treatment (PU)
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I direct that life-sustaining treatment shall be given to me as necessary.
I direct that life-sustaining treatment be withheld or withdrawn if my attending physician and another physician determine that such treatment will only serve to maintain me in an irreversible condition in which thought and awareness of self and environment are absent.
Artificial Provision Of Nutrition (PU)
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I direct that artificially supplied nutrition and hydration shall be given to me as necessary.
I understand that the artificial administration of nutrition and hydration (food and water) for individuals who have become persistently unconscious is a particularly important subject. I understand that if I do not specifically state otherwise, artificially administered nutrition and hydration may be administered to me when I can no longer chew or swallow by myself. I therefore direct that if I can no longer chew or swallow by myself or with someone helping me, artificially provided nutrition and hydration be withheld or withdrawn from me. I understand that by signing this paragraph, I am authorizing the withholding or withdrawal of artificially administered nutrition (food) and hydration (water).
Comfort Care (PU)
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I direct that comfort care shall be given to me as necessary.
I understand that the provision of comfort care for individuals who have become persistently unconscious is a particularly important subject. I direct that comfort care be withheld or withdrawn from me if it would prolong my dying. I understand that the law may not allow me to direct that comfort care be withheld in certain states. However, I ask that my wishes regarding the giving of comfort care be followed regardless of whether they may go beyond what the law allows.
Total So Far
$ 0.00
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Health Care Proxy
There can be many more health decisions needed on a daily basis than are covered by these universally accepted standards you've designated so far. A Health Care Proxy can make those decisions for you, with your directives here still the final word. Please note, this person will have access to your medical records, if necessary, to help make informed decisions.
Would you like to appoint a Health Care Proxy?
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Yes
No
Who would you like to appoint?
Health Care Proxy Name
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Health Care Proxy Phone
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Health Care Proxy Address
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Health Care Proxy Directive Authority
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I understand that if there is a conflict between my living will and a decision of my health care proxy, my living will shall take precedence over the decision of my health care proxy.
Please acknowledge this statement.
Total So Far
$ 0.00
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Anatomical Gifts
In addition to your state standing as an organ donor (designated on your driver's license in many states), you can make specific directives about your anatomical gifts here.
Would you like to make specific anatomical gift directives?
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Yes
No
Anatomical Gift Directives
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I direct that at the time of my death specific designated body organs or parts be donated for purposes of transplantation, therapy, advancement of medical or dental science or research or education pursuant to the provisions of the Uniform Anatomical Gift Act. Death means either cessation of circulatory and respiratory functions or irreversible cessation of all functions of the entire brain, including the brain stem. I specifically donate the following:
I direct that at the time of my death my entire body be donated for purposes of transplantation, therapy, advancement of medical or dental science or research or education pursuant to the provisions of the Uniform Anatomical Gift Act. Death means either cessation of circulatory and respiratory functions or irreversible cessation of all functions of the entire brain, including the brain stem.
I specifically donate my:
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Lungs
Liver
Heart
Skin
Glands
Blood
Eyes
Kidneys
Arteries
Tissue
Brain
Pancreas
Bones
Total So Far
$ 0.00
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Ineffectiveness During Pregnancy
If I have been diagnosed as pregnant, and that diagnosis is known to my physician, this Medical Directive shall have no force or effect during the course of my pregnancy.
If you're a woman with a potential pregnancy consideration, you can opt to make this entire directive ineffective during your pregnancy. This statement is optional. We take no stand on this issue. This directive may automatically become ineffective by state law depending on your location and stage of pregnancy. We simply offer you an opportunity to state if you want the directive voluntarily made ineffective during your pregnancy regardless of other circumstances.
Service Acknowledgment
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We're preparing a document for you. The materials generated through this site or our services otherwise are not legal advice or a substitute for legal counsel. This information is not intended to create, and receipt of it does not constitute, an attorney-client relationship. By checking this box, you are acknowledging your understanding and acceptance of these terms.
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$ 0.00
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