Fill and Sign the Living Wills Form

© 2016 - U.S. Legal Forms, Inc. CONNECTICUT LIVING WILLS PACKAGE Control Number: CT- P078-PKG U.S. Legal Forms™ thanks you for your purchase of a Living Wills Package. This package is a useful and necessary tool for making decisions a bout life support and other medical issues and ensuring that your wishes are impl emented. The Living Will package allows you to make the decision of whether life-pro longing medical or surgical procedures are to be continued, withheld, or withdrawn, as well as when artificial feeding and fluids are to be used or withheld. It allow s you to express your wishes prior to being incapacitated TABLE OF CONTENTS I. Form List with descriptions II. Descriptions of Forms III. Tips on Completing the Forms IV. Disclaimer I. FORM LIST With your Living Will package, you will find the forms that will help you ensure your decisions regarding medical treatment and life support are carried out. Included in your package are the following forms: 1. Statutory Durable Power of Attorney for Health Care - Appointment of Health Care Agent 2. Power of Attorney and Health Care Revocation for Connecticut 3. Statutory Health Care Proxy 4. Power of Attorney and Health Care Revocation for Connecticut 5. Statutory Health Care Directive Living Will 6. Revocation of Statutory Health Care Directi ve 7. Uniform Anatomical Gift Act Donation 8. Revocation of Anatomical Gift Donation II. DESCRIPTIONS OF FORMS Brief descriptions of the forms contained in your U.S. Legal Forms™ Living Will package are found below. Statutory Durable Power of Attorney for Health Care - Appointment of Health Care Agent - This is a statutory form that is provided for in the Connecticut Revised Statutes. This form serves a number of purposes, as the title suggests. You may appoint a health care agent and/or an attorney in fact for health care to make health care decisions for you if you are unable to make them for yourself. It also allows you to express your wishes and desires regarding the appointment of a conservator in the event you are incapacitated at some future date and to make an anatomical gift. Power of Attorney and Health Care Revocation for Connecticut - This is a revocation of the authority granted in Form CT-P016.. Statutory Health Care Proxy - This is a statutory form that is provided for in the Connecticut Revised Statutes. This form allows you to appoint a health care agent to make decisions for you if your attending physician determines that you are unable to understand and appreciate the nature and consequences of health care decisions and to reach and communicate an informed decision regarding treatment. Power of Attorney and Health Care Revocation for Connecticut – This is a revocation of the appointment made in Form CT-P020. Statutory Health Care Directive Living Will – This is a statutory form that is provided for in the General Statutes of Connecticut that allows you to express your wishes and desires regarding whether or not your life is prolonged by artificial means. Any person eighteen years of age or older may execute a document which contains directions as to specific life support systems which that person chooses to have administered. The document must be signed and dated by the maker with at least two witnesses. Revocation of Statutory Health Care Directi ve - This form is a revocation of Form CT-P021, which allows you to express your wishes and desires regarding whether or not your life is prolonged by artificial means. You may revoke such wishes and desires in any manner, including this form, at any time without regard to your mental or physical condition. Donation Pursuant to Uniform Anatomical Gift Act - This Uniform Anatomical Gift A ct Donation form pursuant to state statutes designates the specific body parts and organs an individual wishes to donate at the time of death. An individual who is at least 18 years of age may m ake an anatomical gift by a signed document of gift. This form must be witnessed and the signature notarized. Revocation of Anatomical Gift Donation - This Revocation of Anatomical Gift Donation f orm is a revocation of Form CT-P025 that designates the body parts and organs an individual wishes to donate at the time of death. A donor may amend or revoke an anatomical gift, not made by will, only by a signed statement, an oral statement made in the presence of two individuals, by an y form of communication during a terminal illness or injury addressed to a physician or surgeon or by delivering a signed statement to a specified donee to whom a document of gift has been delivered. A donor may revoke an anatomical gift made by will in any manner provided for amendment or revocation of wills. Specific reference is made to the earlier executed Anatomical Gift Donation. If you need additional information, please visit www.uslegalforms.com and look up forms by subject matter. You may also wish to visit our legal definitions page at http://definitions.uslegal.com/ III. TIPS ON COMPLETING THE FORMS The form(s) in this packet may contain “form fields” created using Microsoft Word or Adobe Acrobat (“.pdf” format). “Form fields” facilitate completion of the forms using your computer. They do not limit your ability to print the form “in blank” and complete with a ty pewriter or by hand. It is also helpful to be able to see the location of the form fields. Go to t he View menu, cli ck on Toolbars, and then select Forms. This will open the Forms toolbar. Look for the button on t he Forms toolbar that resembles a shaded letter “a”. Click this button and the form fields wil l be visible. By clicking on the appropriate form field, you will be able to enter the needed informat ion. In some instances, the form field and the line will disappear after information is entered. In other cases, it will not. The form was created to function in this manner. IV. DISCLAIMER These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the subject state. All information and Forms are subject to this Disclaimer: All forms in this package are provided without any warranty, express or implied, as to their legal effect and completeness. Please use at your own risk. If you have a serious legal problem, we suggest that you consult an attorney in your state. U.S. Legal Forms, Inc. does not provide legal advice. The products offered by U.S. Legal Forms (USLF) are not a substitute for the advice of an attorney. THESE MATERIALS ARE PROVIDED “AS IS” WITHOUT ANY EXPRESS O R IMPLIED WARRANTY OF ANY KIND INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL U.S. LEGAL FORMS, IN C. OR ITS AGENTS OR OFFICERS BE LIABLE FOR ANY DAMAGES WHATSOEVER (INC LUDING WITHOUT LIMITATION DAMAGES FOR LOSS OR PROFITS, BUSINESS INTERRUPTIO N, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE THE MATERIALS, EVEN IF U.S. LEGAL FORMS, INC. HAS BEEN ADVIS ED OF THE POSSIBILITY OF SUCH DAMAGES.