AVBOB | File Of Life

ANNEXURE 2 LIVING WILL This document serves as a living will in which your wishes are revealed. It can be used when you are no longer in a position to communicate. This document will enable your loved ones to fulfill your last wishes. I, ID no: herewith declare that I am compiling this living will after careful consideration and while of a sound mind. Medical treatment If the time comes when I can no longer take part in decisions for my own future, let this declaration stand as my directive. If there is no reasonable prospect of my recovery from physical illness or impairment, which is expected to cause me severe distress or to render me incapable of rational existence, I do not give my consent to be kept alive by artificial means, including any pacemaker, nor do I give my consent to any form of tube feeding when I am dying. I request that I receive whatever quantity of drugs and intravenous fluids as may be required to keep me free from pain or distress even if the moment of death is hastened. This declaration is signed by me at on this day of 20 in the presence of and Organ donation I herewith give permission that if my organs, namely my kidneys, liver, heart, bone marrow, corneas and any other tissue, are in a suitable condition following my death, they may be donated to anyone who may need them. This declaration is signed by me at on this day of 20 in the presence of and Copies of this document must be kept by your loved ones, medical doctor, and retirement village management (if applicable).