Washington Durable Power Of Attorney Will To Live Form printable pdf download

Washington Durable Power of Attorney

WILL TO LIVE FORM

I, ________________________________, domiciled and living in the state of Washington,

(your name)

hereby designate (name of attorney-in-fact) __________________________________________

living at (address and telephone number)_____________________________________________

______________________________________________________________________________

as my attorney-in-fact.

If the attorney-in-fact appointed above is unable to serve, then I appoint (name of successor

attorney-in-fact)_________________________________________________________ living at

(address and telephone number)____________________________________________________

______________________________________________________________________________

to serve as successor attorney-in-fact in place of the person who is unable to serve.

If neither is able to serve, then I appoint (name of successor attorney-in-fact)

_________________________________ living at (address and telephone number)___________

______________________________________________________________________________

to serve as successor attorney-in-fact in place of the persons who are unable to serve.

In the event I become disabled or incompetent, my attorney-in-fact shall have all powers as are

necessary to provide for my health and to consent to health care as provided in the Revised Code

of Washington Annotated section 7.70.065(b) in accordance with the following instructions.

GENERAL PRESUMPTION FOR LIFE

I direct my health care provider(s) and health care attorney-in-fact to make health care decisions

consistent with my general desire for the use of medical treatment that would preserve my life,

as well as for the use of medical treatment that can cure, improve, reduce or prevent

deterioration in, any physical or mental condition.

Food and water are not medical treatment, but basic necessities. I direct my health care

provider(s) and health care attorney-in-fact to provide me with food and fluids, orally,

intravenously, by tube, or by other means to the full extent necessary both to preserve my life

and to assure me the optimal health possible.

I direct that medication to alleviate my pain be provided, as long as the medication is not used in

order to cause my death.

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Washington Durable Power Of Attorney Will To Live Form