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Revocation of Statutory Equivalent of Living Will or Declaration Kansas Form

Q: What is the Revocation Of Statutory Equivalent Of Living Will Or Declaration Kansas?

The Revocation Of Statutory Equivalent Of Living Will Or Declaration Kansas is a legal document that allows individuals to withdraw previously made declarations regarding their end-of-life medical decisions. This document can be crucial for addressing personal preferences and ensuring a person's wishes are honored in medical settings.

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REVOCATION OF DECLARATION I,___________________________________________________________________, Declarant, having executed a Declaration on the ________ day of ________________________, 20____, regarding the medical treatment I wished to receive if I should have an incurable injury, disease, or illness certified to be a terminal condition KSA 65-28,104 provides that a declaration may be revoked at any time by the declarant by any of the following methods: (1) By being obliterated, burnt, torn, or otherwise destroyed or defaced in a manner indicating intention to cancel; (2) by a written revocation of the declaration signed and dated by the declarant or person acting at the direction of the declarant; or (3) by a verbal expression of the intent to revoke the declaration, in the presence of a witness eighteen (18) years of age or older who signs and dates a writing confirming that such expression of intent was made. This is my written revocation as indicated above of my Declaration and is provided to all persons to whom I have provided a copy of my that Declaration. DATED this the _________ day of ______________________________, 20____. Signature of Declarant: ____________________________________________________ Printed Name of Declarant: _________________________________________________ Address of Declarant: _____________________________________________________

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