Attorney-Approved  Living Will Form for Louisiana Prepare Form Here

Attorney-Approved Living Will Form for Louisiana

A Louisiana Living Will form allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This legal document ensures that healthcare providers follow a patient's directives regarding life-sustaining treatments, including the refusal of certain types of care. It's an essential tool for anyone looking to have control over their medical future, making their wishes known and legally enforceable.

Prepare Form Here

In the state of Louisiana, the Living Will form serves as a critical legal document, empowering individuals to outline their preferences regarding medical treatments in circumstances where they are unable to communicate their wishes due to severe health conditions. This document plays a pivotal role in the practice of advance directive planning, allowing persons to make known their desires about life-sustaining procedures, including the administration or withholding of artificially provided nutrition and hydration, under certain medical situations such as terminal illness or permanent unconsciousness. The Louisiana Living Will is designed not only to guide healthcare providers in making decisions that align with the patient's values and preferences but also to relieve families from the burden of making excruciating medical choices during emotionally charged moments. By elucidating one's healthcare preferences through a Living Will, individuals can ensure that they maintain control over their medical care, even when they cannot voice their decisions, creating a sense of peace and preparedness for themselves and their loved ones.

Louisiana Living Will Sample

Louisiana Living Will Template

This Louisiana Living Will is a legal document that outlines your wishes regarding medical treatment in the event you're unable to communicate your decisions due to illness or incapacity. It reflects the guidelines set forth by the Louisiana Life-Sustaining Procedures Act, ensuring your healthcare preferences are respected and followed.

Personal Information

Name: ___________________________________________

Date of Birth: ___________________________________

Address: _________________________________________

City: ________________ State: LA Zip: ______________

Phone: __________________________________________

Declaration

I, ____________________ [Print Name], residing at __________________________________________ [Address], being of sound mind, do hereby willfully and voluntarily make known my desire that, if at any time I become incapacitated and am unable to directly communicate my wishes regarding my medical treatment, the following instructions shall be followed.

Directive

I direct that all medically appropriate measures be used to sustain my life except in circumstances where I:

  1. am in a terminal and irreversible condition and the application of life-sustaining procedures would only serve to prolong the dying process;
  2. am diagnosed as being in a persistent vegetative state;
  3. am under conditions where the burdens of treatment outweigh the expected benefits.

My primary consideration is ______________________________ [Detail your wishes about quality of life, pain management, etc.].

Additional Instructions

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

Appointment of Healthcare Representative

I designate the following individual as my healthcare representative to make medical decisions on my behalf should I be unable to do so:

Name: ___________________________________________

Relationship: ____________________________________

Phone: __________________________________________

Alternate Name: __________________________________

Relationship: ____________________________________

Phone: __________________________________________

This Living Will does not authorize any affirmative or deliberate act to end life other than to permit the natural process of dying.

Signature

I understand the full import of this declaration and sign it willingly on this _____ day of ________________, 20____.

_________________________________________________

Signature

_________________________________________________

Print Name

Witnesses

The declarant has been personally known to me and declared to me that this document expresses their health care directive. I am not related to the declarant by blood, marriage, or adoption, and, to the best of my knowledge, I am not entitled to any part of the estate of the declarant under a will now existing or by operation of law.

Witness 1 Signature: _______________________________ Date: ___________

Print Name: _________________________________________

Witness 2 Signature: _______________________________ Date: ___________

Print Name: _________________________________________

Notarization (if required):

This document was acknowledged before me on (date) _______________ by (name of declarant) ___________________________ who is personally known to me or who has produced ___________________________ as identification.

_________________________________________________

Notary Public Signature

My commission expires: ____________________________

PDF Specifications

Fact Description
Definition A Louisiana Living Will is a legal document that allows an individual to outline their preferences regarding medical treatment should they become unable to communicate their wishes due to illness or incapacity.
Governing Law The Louisiana Living Will is governed by the Louisiana Revised Statutes, specifically RS 40:1151-1159.1, which outlines the requirements and validity of the declaration related to withholding or withdrawing life-sustaining procedures.
Requirements To be valid, the Louisiana Living Will must be signed by the declarant in the presence of two witnesses. The document must clearly state the individual's wishes regarding the acceptance or refusal of medical treatment.
Revocation The declarant can revoke their Louisiana Living Will at any time, in any manner, without regard for their mental or physical condition. Revocation becomes effective when it is communicated to the attending physician.

Detailed Steps for Using Louisiana Living Will

In Louisiana, completing a Living Will form is a significant step for individuals who seek to establish their healthcare preferences in case they are unable to make decisions for themselves due to a critical illness or incapacitation. This legal document ensures that medical professionals and loved ones are aware of your healthcare directives, specifically regarding life-sustaining treatments, if you're ever unable to communicate your wishes directly. The process of filling out a Living Will form in Louisiana is straightforward if followed step by step, ensuring your healthcare desires are documented accurately.

  1. Gather all necessary personal information, including your full legal name, date of birth, and social security number.
  2. Read the Louisiana Living Will form carefully to understand the types of decisions that may be made on your behalf.
  3. Decide on your preferences for life-sustaining treatment, such as mechanical ventilation, tube feeding, and dialysis, should you be in a terminal condition where recovery is unlikely.
  4. Consider if you wish to appoint a healthcare agent—a trusted individual to make healthcare decisions for you if you're unable to do so. This person's legal name, address, and phone number will need to be provided if you choose to appoint one.
  5. Enter your name and the date at the top of the form to affirm that the decisions in the document are yours and are made according to your wishes.
  6. If you've chosen to limit life-sustaining treatment, mark the specific treatments you do not wish to receive in the relevant sections of the form.
  7. If appointing a healthcare agent, complete the section designated for this purpose by providing the required details of the person you have chosen.
  8. Review the document thoroughly to ensure all information is accurate and reflects your healthcare preferences.
  9. Sign and date the form in the presence of two adult witnesses, who also must sign, attesting that you are of sound mind and made these declarations willingly. Ensure the witnesses meet Louisiana's requirements, which typically exclude anyone under age 18, any of your healthcare providers, or any heirs.
  10. Consider having the form notarized, though this is not a requirement in Louisiana, to add an additional layer of legal validity.
  11. Distribute copies of the completed, signed form to your healthcare agent (if applicable), family members, and your primary healthcare provider to ensure your wishes are known and can be accessed when needed.

Once you have completed the Louisiana Living Will form by following these steps, your healthcare preferences will be documented in a legal format. This action not only gives you peace of mind but also assists your loved ones and healthcare providers in making decisions that align with your wishes, should the need arise. It is advisable to review and possibly update your Living Will periodically, especially after significant life events or changes in your health status.

Things to Know About Louisiana Living Will

  1. What is a Louisiana Living Will?

    A Louisiana Living Will is a legal document that allows an individual to outline their healthcare preferences in the event they become incapacitated and unable to communicate their decisions. It specifies the types of medical treatment they wish to receive or refuse, particularly concerning end-of-life care.

  2. Who should have a Living Will in Louisiana?

    Any adult in Louisiana who wants to make their healthcare preferences known in advance should have a Living Will. It's particularly important for those with strong feelings about certain medical treatments or those with severe health conditions.

  3. How do I create a Living Will in Louisiana?

    Creating a Living Will in Louisiana involves drafting a document that specifies your healthcare wishes. You can use a legal form or draft your own, but it should be clear, precise, and in compliance with Louisiana law. Once complete, it needs to be signed in the presence of two witnesses who meet the legal criteria.

  4. Do I need a lawyer to create a Living Will in Louisiana?

    While it's not legally required to have a lawyer create a Living Will in Louisiana, consulting with one can ensure your document meets all legal requirements and accurately reflects your wishes. A lawyer can also offer advice on how to clearly articulate your healthcare directives.

  5. What should be included in a Louisiana Living Will?

    In a Louisiana Living Will, you should include specific instructions on the treatment you would want or not want if you become terminally ill or permanently unconscious. You can include preferences regarding life-sustaining treatments, artificial nutrition and hydration, and other specific treatments or procedures you wish to refuse or accept.

  6. Can I change my Louisiana Living Will?

    Yes, you can change or revoke your Louisiana Living Will at any time. Changes must be made in writing, signed, and witnessed just like the original document. To revoke, you can either create a new Living Will or write a statement that you are revoking the existing one.

  7. What happens if I don't have a Living Will in Louisiana?

    If you don't have a Living Will in Louisiana, healthcare decisions will typically be made by your closest family members or a court-appointed guardian. This could lead to decisions that might not align with your wishes or create conflict among family members about your care.

  8. Is a Living Will the same as a Durable Power of Attorney for Health Care?

    No, a Living Will is not the same as a Durable Power of Attorney for Health Care. A Living Will only outlines your wishes regarding healthcare treatment, while a Durable Power of Attorney for Health Care allows you to appoint someone to make healthcare decisions on your behalf.

  9. How do healthcare providers in Louisiana know I have a Living Will?

    It's crucial to inform your healthcare providers that you have a Living Will and provide them with a copy. You should also give copies to family members or friends who might be involved in your care. Keeping a card in your wallet stating that you have a Living Will can also help inform healthcare providers in an emergency.

  10. Are Living Wills legally binding in Louisiana?

    Yes, Living Wills are legally binding in Louisiana when created according to state laws. This means healthcare providers must respect your healthcare preferences as outlined in your Living Will, as long as it's provided to them and known.

Common mistakes

In Louisiana, creating a Living Will is a responsible step towards ensuring your healthcare wishes are respected, even when you might not be able to communicate them yourself. However, errors during its completion can significantly affect its legality and effectiveness. Here are six common mistakes individuals often make when filling out the Louisiana Living Will form:

  1. Not adhering to Louisiana-specific requirements: Every state has its unique stipulations for Living Wills. Louisiana residents might mistakenly follow guidelines meant for another state, leading to an invalid document.

  2. Incomplete information: Leaving sections of the form blank or not providing sufficient detail can lead to misinterpretation of the individual's end-of-life wishes, potentially causing unwanted medical interventions or the absence thereof.

  3. Omitting the appointment of an agent: Failing to designate a healthcare proxy or agent can result in no one being legally empowered to make healthcare decisions on the individual's behalf if they become incapacitated.

  4. Lack of proper signatures: A Louisiana Living Will must be either notarized or signed by two witnesses. Neglecting to complete this step can render the document invalid.

  5. Inconsistencies with other legal documents: If a Living Will contradicts other legal directives, like a Durable Power of Attorney for Health Care, confusion and legal challenges may arise. It's crucial for all documents to present a unified directive.

  6. Not updating the document: Life circumstances and healthcare preferences can evolve, but individuals often forget to reflect these changes in their Living Will, potentially leading to a document that no longer represents their current wishes.

Attention to detail, adherence to state laws, and a clear expression of healthcare desires are key to creating an effective Louisiana Living Will. Consulting with a professional knowledgeable in Louisiana's specific requirements can help in avoiding these common mistakes and ensuring that one's healthcare preferences are honored.

Documents used along the form

When preparing for the future, particularly for healthcare and end-of-life decisions, it's vital to have a comprehensive set of documents that can speak for you when you cannot. In Louisiana, alongside the Living Will form, there are several other forms and documents that individuals often use to ensure their wishes are known and respected. These documents serve various purposes, from specifying medical treatments you wish to avoid to designating individuals to make decisions on your behalf. Understanding each can help you create a thorough plan for your care.

  • Durable Power of Attorney for Health Care: This document allows you to appoint someone you trust as your healthcare agent. This person will have the authority to make medical decisions for you if you're unable to do so yourself.
  • Health Insurance Portability and Accountability Act (HIPAA) Authorization: This form gives your healthcare providers the permission to share your health information with designated individuals, such as family members or your appointed healthcare agent.
  • Physician Orders for Life-Sustaining Treatment (POLST): Unlike a living will, the POLST is designed for those with serious illnesses. It outlines a plan of care reflecting the patient’s wishes concerning treatments that are commonly used in a medical crisis.
  • Do Not Resuscitate (DNR) Order: This medical order tells healthcare professionals not to perform CPR if your breathing stops or if your heart stops beating. It's typically for individuals with a severe illness or at the end of life.
  • Last Will and Testament: While not directly related to medical decisions, this document lets you specify how you want your property and assets distributed after your death. It also lets you appoint a guardian for your minor children.
  • Declaration of Anatomical Gift: This document allows you to express your wish to donate your organs and tissues for transplantation, research, or education after your death.
  • Financial Power of Attorney: This grants someone you trust the authority to handle your financial affairs. This can include paying your bills, managing your investments, and other financial activities, in case you become incapacitated.
  • Emergency Contact Information: Although not a formal legal document, providing a list of emergency contacts can be incredibly helpful. It should include contact information for your healthcare agent, family members, lawyers, and anyone else involved in your end-of-life care.

Each document serves a unique function in ensuring your healthcare wishes are followed, managing your assets, and providing guidance to your loved ones. Crafting a comprehensive plan that includes these documents can provide peace of mind to both you and your family, knowing that your wishes will be honored. For individuals in Louisiana, it's advisable to consult with a legal professional who can guide you through the process of preparing these documents to ensure they meet all legal requirements and accurately reflect your wishes.

Similar forms

  • A Durable Power of Attorney for Health Care is similar to a Living Will in that it allows an individual to designate another person to make medical decisions on their behalf if they become unable to do so. However, it is broader in scope, covering more medical decisions beyond end-of-life care.

  • A Do Not Resuscitate (DNR) Order closely aligns with a Living Will’s intent, specifically focusing on the individual's preference not to receive CPR if breathing stops or the heart stops beating. It is a more specific directive used in medical facilities.

  • The Medical Orders for Life-Sustaining Treatment (MOLST) form parallels the Living Will by documenting a person's preferences for life-sustaining treatments, including resuscitation, intubation, and mechanical ventilation, applicable in various healthcare settings.

  • A Health Care Proxy form, similar to a Living Will, permits the appointment of another individual to make healthcare decisions. It differs by not requiring the granter to be incapacitated for the proxy’s authority to take effect.

  • The Last Will and Testament shares the personal declaration aspect of a Living Will but applies to the disposition of one's estate after death rather than health care preferences during life.

  • A General Power of Attorney document gives someone broad powers to handle another's finances and property but can include health decisions in its scope, thereby overlapping slightly with the Living Will's purpose.

  • An Advance Health Care Directive combines elements of a Living Will and a Durable Power of Attorney for Health Care, encompassing both the specific health care treatment preferences and the designation of a health care agent.

  • The Five Wishes Document extends beyond the Living Will's scope, addressing personal, spiritual, and emotional needs in addition to medical wishes, offering a comprehensive approach to end-of-life planning.

  • A Physician Orders for Scope of Treatment (POST) form is akin to a Living Will by detailing a patient’s preferences for medical treatments in a format that becomes a medical order, specifically aimed at serious illness or frailty contexts.

  • The Organ and Tissue Donation Registration form, while distinct in its purpose, shares the anticipatory directive nature of a Living Will, specifying a person's instructions regarding organ donation after death.

Dos and Don'ts

Filling out a Louisiana Living Will form is an important step in planning for future healthcare decisions. It allows you to specify your wishes regarding medical treatment in the event that you become unable to communicate those wishes yourself. To ensure that your Living Will accurately reflects your desires and complies with Louisiana law, here are important do’s and don’ts to consider:

Do's:

  • Read the form thoroughly before beginning to ensure you understand the type of decisions you may need to make.
  • Clearly specify your preferences regarding life-sustaining treatments, artificial nutrition, and hydration.
  • Discuss your decisions with family members or close friends, as well as your healthcare provider, to ensure they understand your wishes.
  • Sign and date the form in the presence of two witnesses, who also need to sign the form, attesting they believe you to be of sound mind.
  • Keep the original document in a safe but accessible place and inform a trusted individual of its location.
  • Provide copies of the signed form to your healthcare provider, a close family member, or a friend, ensuring it can be easily accessed when needed.

Don'ts:

  • Don’t leave any sections blank; if certain decisions or preferences do not apply to you, make a note of this on the form.
  • Don’t use vague language when specifying medical treatments you do or do not want to receive; clarity is crucial.
  • Don’t forget to update your Living Will if your health condition or preferences change over time.
  • Don’t fail to communicate your wishes and the existence of your Living Will to those close to you and your healthcare provider.
  • Don’t sign the form without the required witnesses present, as their signatures are necessary for the document to be legally valid.
  • Don’t assume everyone knows your wishes without having a formal conversation; discussing your living will is key to ensuring your desires are honored.

Misconceptions

When it comes to planning for future healthcare decisions, Louisiana residents often consider creating a Living Will. However, several misconceptions exist about this critical document. Understanding these can help individuals make more informed decisions about their healthcare wishes.

  • Only for the Elderly: Many believe that a Living Will is only necessary for the elderly. This view overlooks the fact that unexpected medical situations can arise at any age. A Living Will empowers any adult to outline their healthcare preferences in advance, irrespective of their current health status or age.

  • Legally Complex: Another common misconception is that creating a Living Will is a complex legal process requiring extensive legal guidance. In reality, Louisiana provides resources to help residents create a Living Will without needing a lawyer. The form needs to reflect the person's healthcare preferences clearly and be properly witnessed to be valid.

  • Only Covers End-of-Life Treatment: While a Living Will often addresses end-of-life care, its scope is broader. It can specify preferences for various kinds of life-sustaining treatments (like ventilation or feeding tubes) under different medical scenarios, not just those that are expected to lead to death.

  • No Flexibility After Signing: Some people are concerned that once a Living Will is signed, it cannot be changed. This is not accurate. A Living Will can be revised or revoked at any time by the individual as long as they are mentally competent. Changing a Living Will ensures it always reflects the individual’s current wishes.

Key takeaways

The Louisiana Living Will form, also recognized as an advance directive, allows a person to outline their healthcare preferences in case they are no longer able to communicate these wishes directly. Understanding and completing this document properly ensures that a person's healthcare decisions are respected and followed. Here are key takeaways to consider:

  • Understanding Its Purpose: The main goal of a Living Will in Louisiana is to document your preferences regarding life-sustaining treatments, including the use of feeding tubes, mechanical ventilation, or other interventions to prolong life in situations where recovery is unlikely.
  • Legal Requirements: Louisiana law has specific requirements for a Living Will to be considered valid. These include the necessity for the document to be signed by the person creating the Living Will (the declarant) in the presence of two witnesses and, optionally, notarization.
  • Choosing a Healthcare Agent: While filling out the Living Will, it’s highly recommended to appoint a healthcare proxy or agent. This person will make healthcare decisions for you if you cannot make them yourself, based on the guidelines you’ve established in your Living Will.
  • Revisiting Periodically: Life circumstances and health preferences change over time. It is advisable to review and potentially update your Living Will periodically to ensure it reflects your current wishes accurately.
  • Communicating with Family: After drafting your Living Will, having a discussion with family members and other loved ones about your decisions is crucial. This conversation can help ensure that your wishes are understood and respected when the time comes.
  • Storing the Document: Once your Living Will is completed and signed, keeping it in a safe but accessible location is important. Inform your healthcare agent, family, and perhaps your physician, where the document is located.
  • Legally Non-binding for Physicians: In certain emergency situations, physicians may not be able to adhere to the directives of a Living Will due to hospital policy or immediate medical obligations. It’s essential to discuss your wishes with your healthcare provider in advance.
  • Inclusion of Specific Instructions: The more specific you are in your Living Will about your healthcare preferences, the easier it will be for your healthcare agent and medical providers to carry out your wishes. Consider including detailed conditions under which you would decline or request specific treatments.
  • Photocopies: Legally, photocopies of your signed and witnessed Living Will are considered as valid as the original. It’s wise to have multiple copies in case one is lost or destroyed.

By taking these key takeaways into account, you can create a comprehensive and effective Living Will that safeguards your healthcare decisions. Such preparation provides peace of mind for both you and your loved ones, ensuring that your medical wishes are honored. Remember, consult a legal professional if you have questions about your Living Will to ensure it meets all Louisiana legal requirements.

Please rate Attorney-Approved Living Will Form for Louisiana Form
4.72
(Top-notch)
25 Votes