Valid  Living Will Template for Maryland

Valid Living Will Template for Maryland

The Maryland Living Will form is a legal document allowing individuals to outline their preferences for medical treatment in the event that they are unable to make decisions themselves. This essential document ensures that a person's healthcare wishes are known and respected at a time when they might not be able to communicate those wishes directly. For those interested in taking this important step in healthcare planning, simply click the button below to start filling out the form.

Create This Document Now

Individuals often seek control over their healthcare decisions, especially in situations where they may not be able to express their wishes directly. The Maryland Living Will form serves as a critical tool in ensuring that these preferences are respected and acted upon. This legally binding document allows a person to outline their desires regarding medical treatment should they become incapacitated. The scope of the form encompasses decisions on life-sustaining treatments, including the use of ventilators, feeding tubes, and other measures to extend life in cases of terminal illness, irreversible coma, or other significant medical conditions. By completing this form, individuals can communicate their values and choices to family members and healthcare providers, thus removing the burden of difficult decisions from loved ones and ensuring that their healthcare preferences are followed. Furthermore, the Maryland Living Will is an essential component of advance healthcare planning, providing a clear directive for medical personnel and acting as a safeguard for a person's healthcare autonomy.

Preview - Maryland Living Will Form

Maryland Living Will Template

This Maryland Living Will template is designed in accordance with the Health Care Decisions Act of Maryland. It allows you to express your wishes regarding medical treatments you wish to refuse or request in the event you become unable to communicate these preferences. Completing this document ensures your health care preferences are respected and followed by health care providers and your family.

Personal Information

Full Name: _________________________________________________________

Date of Birth: ______________________________________________________

Address: ___________________________________________________________

City: ________________ State: MD Zip Code: _______________

Health Care Directives

This section outlines your wishes regarding medical treatment under certain conditions. Please indicate your preferences clearly.

Life-Sustaining Treatment: In the event I am in a terminal condition, persistent vegetative state, or an end-stage condition, as defined under Maryland law, and unable to communicate my health care decisions:

  1. I wish to receive all available life-sustaining treatments, including but not limited to, artificial respiration, cardiopulmonary resuscitation (CPR), and artificial nutrition and hydration.
  2. I wish to decline life-sustaining treatment with the exception of the following: ____________________________________________________________________________.
  3. I wish to refuse all life-sustaining treatments.

Pain Relief and Comfort Care: Regardless of the choices made above, I request the following pain relief and comfort measures: ________________________________________________________________________.

Designation of Health Care Agent

If I am unable to make health care decisions for myself, I designate the following individual as my Health Care Agent:

Name: _________________________________________

Relationship: _________________________________

Phone Number: __________________________________

Alternate Phone Number: ___________________________

This individual has the authority to make all health care decisions for me, including decisions regarding the withholding or withdrawal of life-sustaining treatment, in accordance with my wishes and the laws of Maryland.

Signature

By signing below, I affirm that I understand the nature and purpose of this document, and I freely and knowingly make these declarations and directives:

Signature: __________________________________________________________

Date: ________________________________________________________________

Witness 1:

Name: ________________________________________________________________

Signature: __________________________________________________________

Date: ________________________________________________________________

Witness 2:

Name: ________________________________________________________________

Signature: __________________________________________________________

Date: ________________________________________________________________

Witnesses affirm that the individual signing the document appears to willingly and voluntarily make this declaration, is not under undue influence, and is of sound mind.

Additional Instructions

If there are any specific instructions, limitations, or modifications you wish to apply to your Living Will, please document them below:

____________________________________________________________________________

____________________________________________________________________________

Document Information

Fact Name Description
Governing Laws The Maryland Living Will, also known as an "Advance Directive," is governed by the Health-General Article, §§5-601 et seq. of the Maryland Annotated Code.
Purpose Its purpose is to allow individuals to outline their preferences for medical treatment should they become incapacitated and unable to communicate their wishes.
Components It typically includes directives concerning end-of-life care, such as life-sustaining treatments one does or does not want, and may appoint a healthcare agent to make decisions on their behalf.
Validity Requirements To be valid, the document must be signed by the individual (or by someone else in the individual's presence and at their express direction) and witnessed by two other individuals who are not beneficiaries.

Maryland Living Will: Usage Steps

Preparing a living will in Maryland is a proactive step toward ensuring your healthcare wishes are respected and followed in situations where you may not be able to express them yourself. It removes the burden of decision-making from your loved ones during a difficult time. The process of completing this important document can be straightforward if you follow the necessary steps. Your careful attention to detail in filling out this form can provide peace of mind to both you and your family.

  1. Begin by gathering all required information, including your full legal name, address, and the names and contact information for your healthcare agent(s) and successor agent(s), if you choose to appoint them.
  2. Read the form thoroughly before you start writing. This ensures you understand each section and its purpose.
  3. Enter your personal information in the designated sections at the beginning of the form. This typically includes your name, date of birth, and address.
  4. If you decide to appoint a healthcare agent, fill in the name, address, phone number, and relationship of the person you are appointing. It’s important that this person has agreed to act on your behalf and understands your healthcare preferences.
  5. Outline your treatment preferences in cases of a terminal condition, persistent vegetative state, or end-stage condition. The Maryland living will form usually provides space for you to detail your wishes regarding life-sustaining procedures, artificially administered nutrition, and hydration.
  6. Sign and date the form in the presence of two witnesses. The witnesses must be adults, and they must sign the form, acknowledging they saw you sign it willingly and under no duress.
  7. Keep the original signed document in a safe but accessible place. Inform your healthcare agent (if you have appointed one) and your family about the location of the document.
  8. Distribute copies of the completed form to your healthcare agent, your primary care physician, and, if applicable, your attorney. It may also be helpful to keep a digital copy that can be accessed easily if needed.

Completing a living will is a significant step in managing your healthcare plans. It provides a clear directive to healthcare providers and your family members, reflecting your wishes regarding medical treatment in scenarios where you can’t communicate. By taking the time to complete this form thoughtfully, you're not only making a decision for your well-being but also easing potential stresses for your loved ones in the future.

Listed Questions and Answers

  1. What is a Maryland Living Will?

    A Maryland Living Will, also known as an Advance Directive, is a legal document. It allows individuals to outline their preferences for medical treatment should they become unable to make decisions for themselves due to illness or incapacity. This document is crucial for ensuring that one's healthcare wishes are known and respected, particularly regarding life-sustaining treatments and end-of-life care.

  2. Who should have a Maryland Living Will?

    Any Maryland resident over the age of 18 should consider creating a Living Will. It is especially important for those with strong feelings about their medical care, individuals with serious or chronic health conditions, and anyone planning for their future healthcare needs. By having a Living Will, you ensure that your healthcare preferences are documented, potentially relieving your loved ones from making difficult decisions on your behalf.

  3. How can someone create a Maryland Living Will?

    Creating a Maryland Living Will involves several steps. First, the individual should reflect on their healthcare preferences and discuss these with family, close friends, and healthcare providers. Next, they should complete a Maryland Living Will form, clearly stating their treatment preferences. It is advisable to consult with a lawyer to ensure the document meets all legal requirements. Finally, the Living Will must be signed in the presence of two witnesses, who must also sign the document. These witnesses should not be individuals who stand to inherit from the person's estate or be involved in their healthcare.

  4. What are some key decisions to make in a Maryland Living Will?

    In a Maryland Living Will, key decisions include preferences about CPR (cardiopulmonary resuscitation), artificial life support, feeding tubes, and specific treatments one might want or refuse in certain conditions. Additionally, individuals can specify their wishes regarding organ donation and the handling of their body after death. It's critical to communicate these decisions to family members and healthcare providers to ensure they are followed.

  5. Can a Maryland Living Will be revoked or changed?

    Yes, a Maryland Living Will can be revoked or changed at any time by the person who created it, as long as they are mentally competent. This can be done by creating a new Living Will that states new wishes and revokes any prior ones, physically destroying the original document, or by clearly communicating the intent to revoke it, preferably in writing. It's important to inform healthcare providers and family members of any changes to ensure the current wishes are known and respected.

Common mistakes

Filling out a Maryland Living Will is a vital step for ensuring your wishes are honored in end-of-life care. However, it's easy to make mistakes in this important document, which can lead to misunderstandings or unfulfilled wishes. Here are four common errors:

  1. Not being specific enough about medical treatments. Many people simply state they don't want "extraordinary measures" without defining what that means to them. It's important to be clear about which treatments you do or do not want, such as mechanical ventilation, resuscitation, or tube feeding.
  2. Forgetting to update the document. Over time, your health situation and preferences might change. However, people often forget to update their Living Will to reflect these changes. It's crucial to review and revise your Living Will periodically, especially after a significant medical diagnosis or change in your health status.
  3. Failing to discuss the Living Will with loved ones. Sometimes individuals fill out their Living Will and file it away without discussing their wishes with family members or the person appointed as their health care agent. This omission can lead to confusion and conflict during a medical crisis. It's important to have these discussions to ensure everyone understands your preferences.
  4. Not getting legal advice. While it's possible to fill out a Living Will on your own, doing so without legal guidance can lead to mistakes or oversights. For example, you might not fully understand how to make the document legally binding or how state-specific laws affect your decisions. Consulting with a legal advisor familiar with Maryland's laws can help safeguard your wishes.

Making a Living Will is a proactive step towards maintaining control over your healthcare decisions. Avoiding these common mistakes can help ensure your wishes are clearly communicated and respected.

Documents used along the form

When preparing for future medical care and end-of-life decisions, individuals often focus on creating a Living Will. However, to ensure a comprehensive approach to health care planning, several other forms and documents may be used alongside the Maryland Living Will. These documents help in expressing a person’s wishes in different scenarios and appointing others to make decisions on their behalf if they're unable to do so themselves. Each serves a unique purpose in the broader context of health care planning.

  • Advance Directive: This encompasses the Living Will and a Health Care Power of Attorney. It enables individuals to state their medical treatment preferences and designate someone to make health care decisions for them if they're incapacitated.
  • Durable Power of Attorney for Health Care: Specifically appoints a person (health care agent) to make health care decisions, including accepting or refusing medical treatment, on the individual’s behalf.
  • Medical Orders for Life-Sustaining Treatment (MOLST): A form that outlines specific medical orders regarding life-sustaining treatments. It is based on the patient’s wishes and medical conditions, designed for those with serious health conditions.
  • Durable Financial Power of Attorney: Allows an individual to appoint someone to make financial decisions and handle their affairs, distinct from health care decisions, should they become incapable of managing their finances.
  • Do Not Resuscitate (DNR) Order: A doctor's order that prevents medical personnel from performing CPR if a patient's breathing stops or if the heart stops beating. It must be signed by a physician to be valid.
  • Organ and Tissue Donation Registration: A document that records an individual's consent to donate organs and tissues after death. This can be included in the Advance Directive or completed separately.
  • Funeral Planning Declaration: Allows individuals to outline their preferences for funeral arrangements and disposition of their body, including burial or cremation, reducing the burden on family members.
  • Last Will and Testament: Specifies how a person’s assets and estate will be distributed after their death. While not directly related to health care, it is an essential component of end-of-life planning.
  • HIPAA Release Form: Authorizes the disclosure of an individual's health information to designated persons, enabling family members or health care agents to make informed decisions about the individual’s care.

These documents, used alongside the Maryland Living Will, create a robust legal framework that honors an individual’s health care and end-of-life wishes. It's crucial to understand the purpose of each document and consider which ones align with personal health care planning needs. Consulting with a legal professional can help ensure that all documents are correctly filled out and reflect the individual's preferences accurately.

Similar forms

  • Durable Power of Attorney for Health Care: This document, similar to a living will, allows an individual to appoint someone else to make health care decisions on their behalf if they are unable to do so. The key similarity lies in its focus on medical care and decisions, although the durable power of attorney for health care covers a broader range of decisions beyond end-of-life care.

  • Do-Not-Resuscitate (DNR) Order: A DNR order is a medical order written by a doctor. It instructs health care providers not to perform cardiopulmonary resuscitation (CPR) if a patient's breathing stops or if the patient's heart stops beating. It’s similar to a living will because it addresses a specific aspect of end-of-life care wishes, specifically regarding emergency treatment.

  • Medical Orders for Life-Sustaining Treatment (MOLST) or Physician Orders for Life-Sustaining Treatment (POLST): These documents are similar to living wills in that they specify what types of medical treatment patients want towards the end of their lives. Created by a doctor based on a patient’s wishes, they are more detailed than a DNR and effective both in and out of the hospital setting.

  • Five Wishes Document: This document goes beyond traditional living wills by addressing personal, emotional, and spiritual needs in addition to medical wishes. It acts as a comprehensive approach to end-of-life planning, covering who makes care decisions, the kind of medical treatment one desires, how comfortable one wants to be, how one wants to be treated, and what one wants their loved ones to know.

  • Last Will and Testament: Although primarily focused on the distribution of an individual's assets after death, a last will and testament shares a similar purpose with a living will in terms of preparing for the future. Both documents allow individuals to make their wishes known and provide instructions to be followed after they are no longer able to communicate those wishes themselves.

Dos and Don'ts

When filling out a Maryland Living Will form, it's important to approach the process with care and attention to detail. This document will guide your healthcare providers and loved ones in making critical decisions about your medical treatment should you become unable to communicate your wishes directly. Below are some recommended dos and don'ts to consider during the preparation of your Maryland Living Will.

Dos:
  1. Read the form thoroughly before you start filling it out. Understanding each section fully will help ensure that your wishes are accurately reflected.
  2. Gather all necessary information beforehand, including details about your healthcare preferences and the contact information for your healthcare agent, if you decide to appoint one.
  3. Be specific about your medical treatment preferences. Clarity will help your healthcare providers and family members make decisions that align with your wishes.
  4. Discuss your wishes with your healthcare agent (if appointing one), close family members, and healthcare providers to ensure they understand your preferences and the reasoning behind them.
  5. Sign and date the form in the presence of the required witnesses or a notary public, depending on Maryland’s requirements. This step is crucial for the legal validity of the document.
  6. Keep the original document in a safe but accessible place, and provide copies to your healthcare agent, family members, and healthcare providers.
  7. Review and update your Living Will periodically or after major life changes (e.g., marriage, divorce, diagnosis of a serious illness) to ensure it still reflects your current wishes.
Don'ts:
  • Don’t rush through the process. Taking the time to consider each question carefully will help you to accurately express your healthcare preferences.
  • Don’t leave sections incomplete. If a section doesn’t apply to you, consider writing “N/A” (not applicable) to indicate that you have reviewed it. Incomplete sections might lead to confusion later on.
  • Don’t assume your doctor has a copy of your Living Will. After completing the form, you should inform your doctor and provide them with a copy for your medical records.

Preparing a Living Will is a significant step in managing your healthcare. It provides peace of mind, knowing that your medical treatment preferences are documented and can be followed, even if you cannot communicate them yourself. By following these dos and don'ts, you can ensure that your Maryland Living Will reflects your wishes clearly and is executed according to state laws.

Misconceptions

The Maryland Living Will, a document that conveys a person's preferences about their end-of-life care, is often misunderstood. These misconceptions can lead to confusion and misinterpretation of a person’s final wishes. Here are five common misunderstandings:

  • Only the elderly need a Living Will. Many believe that Living Wills are solely for the elderly. However, unexpected medical situations can arise at any age, making a Living Will crucial for adults of all ages to ensure their healthcare wishes are known and respected.
  • A Living Will is the same as a Last Will and Testament. This belief confuses many. A Living Will concerns a person's healthcare preferences towards the end of their life, whereas a Last Will and Testament deals with the distribution of a person's estate after their death. They serve distinct purposes.
  • Having a Living Will means you’ll receive no treatment. Some fear that a Living Will might lead to being denied medical treatment. This document, however, specifically outlines the types of intervention a person does or does not want, potentially including life-sustaining treatments. It’s about respecting wishes, not withholding care.
  • Doctors and hospitals always have access to your Living Will. It’s a common misconception that healthcare providers can readily access one's Living Will. In reality, individuals must ensure their healthcare representatives or family members have copies or know where the document is stored, as medical staff won’t have automatic access to it.
  • You can’t change your Living Will once it’s made. People often mistakenly think that a Living Will is final once it is signed. However, as circumstances and preferences change, so too can the document. One can revise their Living Will at any time to reflect their current wishes, provided they are of sound mind.

Key takeaways

Maryland Living Will Form: Key Takeaways

Understanding how to fill out and use the Maryland Living Will form ensures that your health care preferences are respected in critical situations. Below are key takeaways to guide you through the process:

  • Complete the form with accuracy and clarity. Provide detailed information about your healthcare preferences, especially regarding life-sustaining treatments.
  • Discuss your decisions with family members and healthcare providers. Clear communication can prevent misunderstandings and ensure your wishes are followed.
  • Choose a healthcare agent wisely. This person will act on your behalf if you are unable to communicate your healthcare decisions.
  • Sign and have the form witnessed as required by Maryland law. Witness requirements help validate your Living Will and ensure it is legally binding.
  • Keep the original copy in a safe but accessible place. Inform your healthcare agent, family, and primary physician of where it is stored.
  • Review and update your Living Will as needed. Life changes, such as marriage, divorce, or a shift in health, can impact your healthcare wishes.
Please rate Valid Living Will Template for Maryland Form
4.79
(Perfect)
24 Votes