Fill and Sign the Western Illinois University Termination of Domestic Form

ADVANCE HEALTH-CARE DIRECTIVE NOTICE TO PERSON EXECUTING THIS DOCUMENT This is an important legal document. Before executing this document, you should know these important facts: You have the right to give instructions about your own health care. You also have the right to name someone else to make health care decisions for you. This form lets you do either or both of these things. It also lets you express your wishes regarding the designation of your primary physician. If you use this form, you may complete or modify all or any party of it. You are free to use a different form. Part 1 of this form is a power of attorney for health care. Part 1 lets you name another individual as agent to make health care decisions for you if you become incapable of making your own decisions or if you want someone else to make those decisions for you now and even though you are still capable. You may name an alternate agent to act for you if your first choice is not willing, able or reasonably available to make decisions for you. Unless related to you, your agent may not be an owner, operator, or employee of a residential long-term health-care institution at which you are receiving care. Unless the form you sign limits the authority of your agent, your agent may make all health care decisions for you. This form has a place for you to limit the authority of your agent. You need not limit the authority of your agent if you wish to rely on your agent for all health care decisions that may have to be made. If you choose not to limit the authority of your agent, your agent will have the right to: (a) Consent or refuse consent to any care, treatment, service, or procedure to maintain, diagnose, or otherwise affect a physical or mental condition; (b) Select or discharge health-care providers and institutions; (c) Approve or disapprove diagnostic tests, surgical procedures, programs or medication, and orders not to resuscitate; and (d) Direct the provision, withholding, or withdrawal of artificial nutrition and hydration and all other forms of health care. Part 2 of this form lets you give specific instructions about any aspect of your health care. Choices are provided for you to express your wishes regarding the provisions, withholding, or withdrawal of treatment to keep you alive, including the provision of artificial nutrition and hydration, as well as the provision of pain relief. Space is provided for you to add to the choices you have made or for you to write out any additional wishes.
The person signing or completing this form has the authority to make those decisions for you. If you are not a resident of the state in which you are being treated, any health care decisions you make on this form must be consistent with the authority granted to you by this form. If you are not a resident of the state, the laws of the state are taken into account when your health care decisions are made. This form must be signed or completed and notarized under penalties of perjury in the presence of 2 witnesses, not including the attorney. If you are an adult, you must give appropriate parental or guardian consent. If you are a minor, you must give appropriate adult consent. If you are not able, the person you choose to be your agent in this form has the authority to make these decisions. An attorney should be allowed to assist you in completing this form unless the laws of your state or the consent of your parents or legal guardian prohibit this. This form may be signed or completed by anyone over 18 years of age; if a minor is selected to be a witness, the agent may sign it as a witness, unless the law of your state or the consent of a parent or legal guardian prohibits this. If the person signing or completing this form is an attorney acting as your agent, it is his or her responsibility to ensure that the information is accurate.<|endowment|>in response to concerns that the recent attacks on churches in Nigeria, kenya, sudan and tanzania could be a “reign of terror" carried out by muslims, Christian clergy and leaders are calling for increased efforts to protect christianity in the region. This week, christian leaders around the globe are calling on their respective governments to increase the protection of their local Christian congregations, churches and congregational buildings as they are often targeted by muslim terrorists. In a recent statement, the african christian leadership network stated: "the threat to africa's christian community from Muslim terrorism poses an urgent threat to the security of Christian communities who work tirelessly to uphold the universal values of human dignity, freedom and respect. We must work together to protect the integrity of the church, the community and all religious communities in the region." in a letter to the senate last month, the bishops also called for increased efforts to “maintain security in africa, including in places where Christians and other minorities are regularly targeted for violence and persecution and the united states has a significant interest."