Attorney-Verified Living Will Form for Hawaii State Edit Form

Attorney-Verified Living Will Form for Hawaii State

A Hawaii Living Will is a legal document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This form is essential for ensuring that your healthcare decisions are respected, reflecting your values and desires. To take control of your healthcare decisions, consider filling out the form by clicking the button below.

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In Hawaii, the Living Will form serves as a vital tool for individuals to express their healthcare preferences in the event they become unable to communicate their wishes. This legal document allows you to outline specific medical treatments you would or would not want, particularly in situations involving terminal illness or incapacitation. By completing a Living Will, you can ensure that your desires regarding life-sustaining measures, such as resuscitation and artificial nutrition, are respected. Additionally, this form empowers you to designate a healthcare agent, someone you trust to make medical decisions on your behalf if you are unable to do so. Understanding the intricacies of the Living Will form is essential for anyone who wishes to take control of their medical care and ensure their values and preferences are honored during critical moments. With the right information and guidance, creating this document can provide peace of mind for you and your loved ones, knowing that your wishes will be followed even when you cannot voice them yourself.

Sample - Hawaii Living Will Form

The Hawaii Living Will, under the Hawaii Revised Statutes, Section 327E, allows an individual to express their wishes regarding medical treatment in the event they become unable to communicate their decisions due to illness or incapacity. This document serves to guide healthcare providers and loved ones in making care decisions that align with the individual's preferences.

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Part I: Information of the Declarant

Full Name: ___________________________________________

Address: _____________________________________________

City: ______________________ State: Hawaii Zip: ________

Date of Birth: ________________ Phone: _________________

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Part II: Declaration

I, ____________ [your name], being of sound mind, hereby declare my wishes regarding my health care treatment options in the event I am found to be incapable of communicating my desires. This Living Will shall remain in effect until I revoke it.

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Part III: Treatment Preferences

Life-Sustaining Treatments

This section addresses treatments that may prolong life without necessarily curing the underlying condition. Please indicate your preferences.

  • Use all available treatments to extend my life for as long as possible, regardless of my condition and the potential for recovery.
  • Do not use life-sustaining treatments if it is unlikely that I will regain consciousness or recover to a meaningful quality of life.
  • I specifically do not want the following treatments:
    1. Artificial respiration
    2. Artificial nutrition and hydration
    3. Cardiopulmonary resuscitation (CPR)
    4. Dialysis
    5. Any form of surgery or invasive diagnostic tests
  • Other preferences: _________________________________________

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Part IV: End-of-Life Decisions

If I am in a terminal condition, incurable and irreversible, and death is imminent, I direct the following:

  • I request that all treatments other than those needed for comfort care, which could prolong my life, be discontinued or withheld and that my physician allow me to die naturally and with dignity.
  • My preference for a natural death does not affect my desire for the following treatments aimed exclusively at providing comfort:
    1. Pain relief medication
    2. Comfort care measures
    3. Other: ______________________________________________

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Part V: Signature

This document represents my wishes as of the date below. I understand that I may revoke this Living Will at any time.

Date: ____________

Signature: _____________________________________________

Witnessed by:

Name: _______________________________________ Date: ____________ Signature: ____________________________________________

Name: _______________________________________ Date: ____________ Signature: ____________________________________________

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Part VI: Additional Instructions

Any additional instructions or information that you wish to include can be stated below:

______________________________________________________________________________

________________________________________________________

Document Overview

Fact Name Description
Definition A Hawaii Living Will is a legal document that outlines a person's wishes regarding medical treatment in case they become unable to communicate those wishes themselves.
Governing Law The Hawaii Living Will is governed by Hawaii Revised Statutes, Chapter 327E.
Eligibility Any adult who is of sound mind can create a Living Will in Hawaii.
Signature Requirement The document must be signed by the individual creating the Living Will, or by another person at their direction and in their presence.
Witness Requirement Two witnesses must sign the Living Will, confirming that the individual was of sound mind and not under duress.
Revocation A Living Will can be revoked at any time, either verbally or in writing, as long as the individual is competent.
Healthcare Proxy A Living Will can be combined with a healthcare proxy, allowing someone to make medical decisions on behalf of the individual.
Specific Instructions The document allows individuals to specify which types of medical treatments they wish to receive or refuse.
Notarization Notarization is not required for a Living Will in Hawaii, but it can add an extra layer of authenticity.
Use in Emergencies Healthcare providers are required to follow the instructions in a Living Will when the individual is unable to communicate.
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