Outline
In South Carolina, the Living Will form serves as a crucial tool for individuals looking to express their healthcare preferences in advance, ensuring that their wishes are honored even when they can no longer communicate them. This document allows you to outline specific medical treatments you wish to receive or decline in the event of a terminal illness or irreversible condition. By clearly stating your desires regarding life-sustaining measures, such as resuscitation efforts or artificial nutrition, you provide guidance to your loved ones and healthcare providers during difficult times. Additionally, the Living Will can help alleviate the emotional burden on family members, sparing them from making tough decisions without knowing your wishes. Understanding the key components of this form, including the requirements for validity and the importance of discussing your choices with family and medical professionals, is essential for anyone considering this important aspect of their healthcare planning. Ultimately, a Living Will empowers you to take control of your medical future, ensuring that your values and preferences are respected when it matters most.
Form Sample
South Carolina Living Will Template
This Living Will Template is designed to comply with the South Carolina Death with Dignity Act and other relevant state laws. It allows you to express your wishes regarding medical treatment in the event that you are unable to communicate your decisions due to illness or incapacity.
Personal Information
Full Name: ___________________________________________________
Address: ______________________________________________________
City, State, Zip: ______________________________________________
Date of Birth: _________________________________________________
Social Security Number: ________________________________________
Health Care Directives
This section outlines your health care preferences in situations where you are unable to make decisions for yourself. Please initial next to your chosen directives.
- _____ I do not want life-prolonging measures if I have a terminal condition or am in a persistent vegetative state and there is no reasonable expectation of my recovery.
- _____ I wish to receive only comfort care, including pain relief, even if it hastens my death, in the event of a terminal condition.
- _____ I want to receive life-prolonging treatment to the extent necessary to maintain life, regardless of my condition.
Artificial Nutrition and Hydration
Please indicate your wishes regarding the provision of food and water by artificial means.
- _____ I consent to the use of artificial nutrition and hydration in all cases.
- _____ I do not consent to the use of artificial nutrition and hydration if the burdens outweigh the benefits or if I am in a terminal condition.
Designation of Health Care Agent
If you wish to designate a Health Care Agent to make health care decisions on your behalf if you are unable to do so, please provide their information below.
Agent's Full Name: _____________________________________________
Relation to You: _______________________________________________
Agent's Address: _______________________________________________
Agent's Phone Number: _________________________________________
Alternate Agent
In the event your primary agent is unable or unwilling to act, you may designate an alternate agent.
Alternate Agent's Full Name: ____________________________________
Relation to You: _______________________________________________
Alternate Agent's Address: ______________________________________
Alternate Agent's Phone Number: _________________________________
Signature and Acknowledgment
By signing below, I affirm that this Living Will reflects my personal wishes and I understand its contents. I execute this Living Will willingly and without any undue influence.
Signature: _____________________________________________________
Date: __________________________________________________________
Witnesses
This Living Will must be signed in the presence of two witnesses who are not related to you, entitled to any part of your estate, or directly financially responsible for your medical care.
Witness 1 Signature: ___________________________________________
Witness 1 Printed Name: ________________________________________
Date: __________________________________________________________
Witness 2 Signature: ___________________________________________
Witness 2 Printed Name: ________________________________________
Date: __________________________________________________________
Notarization (Optional)
If notarization is desired or required, a notary public can sign below.
State of South Carolina )
County of _______________ )
Subscribed, sworn to, and acknowledged before me by ________________________ (declarant) and subscribed and sworn to before me by ________________________ and ________________________, witnesses, this _______ day of _______________, 20____.
Notary Public: __________________________________________________
My Commission Expires: _________________________________________
Form Attributes
| Fact Name | Description |
|---|---|
| Definition | A South Carolina Living Will is a legal document that outlines a person's wishes regarding medical treatment in the event they become unable to communicate their preferences. |
| Governing Law | The South Carolina Living Will is governed by the South Carolina Code of Laws, Title 44, Chapter 77. |
| Requirements | The form must be signed by the individual and witnessed by two individuals who are not related to the individual or beneficiaries of their estate. |
| Revocation | A Living Will can be revoked at any time by the individual, either verbally or in writing, as long as they are competent to do so. |
| Effective Date | The Living Will becomes effective when the individual is diagnosed with a terminal condition or is in a state of irreversible coma. |
| Related Documents | It is often recommended to have a Durable Power of Attorney for Health Care alongside a Living Will to ensure comprehensive health care decision-making. |
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