Hawaii Living Will Template
This Living Will is made in accordance with the laws of the State of Hawaii, specifically under Hawaii Revised Statutes § 327E.
I, [Your Full Name], residing at [Your Address], born on [Your Date of Birth], declare this to be my Living Will. This document reflects my wishes regarding medical treatment in the event that I become unable to communicate my decisions.
If I have an advanced medical condition or become terminally ill, I wish to provide guidance on the types of medical treatment I would or would not like to receive.
In the event that I am unable to make my own medical decisions, I direct that:
- I do not want life-sustaining treatment if it only prolongs the process of dying.
- I wish to receive comfort care, which may include pain relief and treatment for any symptoms that cause distress.
- If I am in a persistent vegetative state or if my condition is terminal, I do not wish to receive artificial nutrition or hydration.
- I request that my health care providers respect my wishes as outlined in this Living Will.
I also appoint the following individual to act as my health care representative:
Name: [Representative's Full Name]
Relationship: [Relationship to You]
Contact Information: [Representative's Phone Number]
This Living Will is effective as of the date signed below and revokes any prior Living Wills I may have executed.
Date: [Date of Execution]
Signature: ____________________________
Print Name: [Your Full Name]