Living Will for California

A California Living Will helps communicate your end-of-life healthcare wishes even if you're unable to state them in the future.

Living Will

of

Full Name

Directive to physicians made this _____ day of _______________,_______, I, Full Name, being of sound mind, willfully and voluntarily make known my desire that my life shall not be artificially prolonged under the circumstances set forth below and do hereby declare that:

  1. If at any time I should have an incurable injury, disease, or illness certified to be a terminal condition by two physicians, and where the application of life-sustaining procedures would serve only to artificially prolong the moment of my death, and where my physician determines that my death is imminent whether or not life-sustaining procedures are utilized, I direct that such procedures be withheld or withdrawn and that I be permitted to die naturally with only the merciful administration of medication to eliminate or reduce pain to my mind and body or the performance of any medical procedure deemed necessary to provide me with comfort care.
  1. In the absence of my ability to give directions regarding the use of such life-sustaining procedures, it is my intention that this directive shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment and I accept the consequences from such refusal.

____________________________
Signature

The declarer has been personally known to me and I believe said declarer to be of sound mind.

_______________________________________

_______________________________________

WITNESS

WITNESS