Declaration Provided by Maine Revised Statutes Title 22 Section 2922
DECLARATION
If I should have an incurable or irreversible condition that will cause my death within a short time, and if I am unable to participate in decisions regarding my medical treatment, I direct my attending physician to withhold or withdraw procedures that merely prolong the dying process and are not necessary to my comfort or freedom from pain.
Signed this _____________ day of _______________________________
date month year
Signature ______________________________________________
The Declarant is known to me and voluntarily signed this document in my presence.
Witness ________________________________________________
Address:
Witness ________________________________________________
Address:
No hay comentarios:
Publicar un comentario