Colorado Living Will Template
This document serves as a Living Will, designed to communicate the wishes of the undersigned, regarding healthcare decisions and treatments in the event of incapacity or terminal illness. It is created in accordance with the Colorado Medical Treatment Decision Act.
Please complete the following information accurately:
Full Name: ___________________________________________
Date of Birth: ________________________________________
Address: ______________________________________________
City/State/ZIP: ________________________________________
Primary Phone: ________________________________________
This Living Will declares that if I am in a terminal condition or a persistent vegetative state, and I am unable to communicate my healthcare decisions, the following wishes apply:
- Maintenance of life-support treatments, in the event they only serve to artificially prolong the dying process, should be withheld or withdrawn.
- I wish to receive treatment that provides relief from pain or discomfort, even if these treatments hasten my death.
- In the absence of reasonable hope of recovery, no measures should be taken to restore breathing or heart function.
- If I am unable to feed myself, the decision to use or continue artificial nutrition and hydration shall be based on my stated preferences in this document.
This Living Will reflects my wishes clearly and revokes any prior declarations I might have made.
To affirm this document's validity and my intentions, my signature, along with the date and witness signatures, is required:
Signature: ___________________________________________
Date: ________________________________________________
Witness Name: _______________________________________
Witness Signature: ___________________________________
Date: ________________________________________________
This document was prepared without any coercion, and the undersigned fully understands its contents and significance.
Note: It is recommended to discuss your wishes outlined in this Living Will with your family and healthcare providers. Additionally, providing a copy to your medical power of attorney, if you have designated one, ensures your healthcare preferences are respected and followed.