Wyoming PDFs

Wyoming PDFs

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The Wyoming Living Will form serves as a vital legal document for individuals wishing to outline their preferences regarding medical treatment in the event they become incapacitated and unable to communicate their wishes. This form empowers individuals to express their desires about life-sustaining measures, such as resuscitation and artificial nutrition, ensuring that their healthcare aligns with their values and beliefs. In Wyoming, the Living Will must be signed in the presence of a witness or a notary public, adding a layer of validity and ensuring that the individual’s intentions are clearly documented. Importantly, this form can be revised or revoked at any time, allowing for flexibility as personal circumstances and health conditions change. By utilizing the Wyoming Living Will, individuals can provide peace of mind for themselves and their loved ones, knowing that their medical care preferences will be honored even when they are unable to voice them. Understanding the nuances of this form is essential for anyone looking to take proactive steps in managing their healthcare decisions.

Preview - Wyoming Living Will Form

Wyoming Living Will Template

This Living Will is designed to reflect the desires of the undersigned, pertaining to health care decisions in the event of incapacitation, in accordance with the Wyoming Health Care Decisions Act.

Part I: Information of the Principal

Full Name: _______________________________________________

Date of Birth: ___________________________________________

Address: _________________________________________________

City: ______________________ State: WY Zip: _____________

Part II: Health Care Directives

In the event that I am unable to communicate my preferences directly, due to any form or condition of incapacitation, I wish my health care providers to follow the instructions as detailed below:

  1. Preference regarding life-sustaining treatment

    In situations where my recovery is not expected, and I am unable to communicate my wishes:

    _ I desire all available life-sustaining treatments, including artificially provided nutrition and hydration.

    _ I do not desire life-sustaining treatment, except as necessary to provide comfort care.

  2. Preference in case of a terminal condition

    If I am diagnosed with a condition that is considered terminal and incurable:

    _ I wish to receive all treatments that may extend my life, including nutrition and hydration, artificially provided.

    _ I do not desire any treatments that would serve only to prolong the process of dying.

  3. Preference in case of permanent unconsciousness

    If I become permanently unconscious, with no reasonable expectation of recovery:

    _ I wish for all available treatments to be provided, including artificially provided nutrition and hydration.

    _ I wish to refrain from receiving any life-sustaining treatments, other than comfort care.

  4. Other specific instructions

    Here, you may describe other preferences you have regarding your health care, including desires for pain management, hospitalization, and other treatments. Use additional sheets if necessary.

    ____________________________________________________________________________________

    ____________________________________________________________________________________

Part III: Signature

I affirm that these health care instructions reflect my wishes:

Signature: _______________________________ Date: ________________

Part IV: Witnesses

This document must be signed in the presence of two qualified witnesses, who must also provide their signatures:

Witness 1:

Name: ___________________________________

Signature: _______________________________ Date: ________________

Witness 2:

Name: ___________________________________

Signature: _______________________________ Date: ________________

Note: This document does not authorize the withholding of hydration and nutrition unless explicitly stated.

File Attributes

Fact Name Description
Definition A Wyoming Living Will is a legal document that outlines an individual's wishes regarding medical treatment in situations where they are unable to communicate their preferences.
Governing Law The Wyoming Living Will is governed by Wyoming Statutes, specifically Title 35, Chapter 22, which addresses advance directives and living wills.
Eligibility Any adult resident of Wyoming can create a Living Will, as long as they are of sound mind and capable of making informed decisions.
Witness Requirements To be valid, a Wyoming Living Will must be signed by the individual and witnessed by at least two adults who are not related to the individual or entitled to any part of their estate.
Revocation A Living Will can be revoked at any time by the individual, either verbally or in writing, provided they are competent to make that decision.
Healthcare Proxy While a Living Will outlines specific medical preferences, it can be combined with a Healthcare Proxy, allowing someone to make decisions on the individual's behalf if they are unable to do so.
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