Idaho Living Will Template
This Living Will is a legal document that communicates the wishes of the undersigned regarding medical treatment preferences in the event they become unable to make such decisions for themselves due to illness or incapacity. This document is compliant with the Idaho Living Will and Durable Power of Attorney for Health Care Act.
Personal Information
Full Name: _______________________________________________
Date of Birth: _____________________________________________
Address: __________________________________________________
City: ________________________ State: ID Zip: _________
Living Will Declarations
I, __________________________ (the "Principal"), being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, and do hereby declare:
- If at any time I should have an incurable and irreversible condition that has been certified by two physicians and that will result in my death within a relatively short time, and where the application of life-sustaining procedures would serve only to prolong artificially the dying process, I direct that such procedures be withheld or withdrawn, and that I be permitted to die naturally.
- In the absence of my ability to give directions regarding the use of life-sustaining procedures, it is my intention that this Living Will shall be honored by my family and physicians as the final expression of my legal right to refuse medical or surgical treatment and accept the consequences of such refusal.
- I understand the full import of this declaration and I am emotionally and mentally competent to make this declaration.
Additional Directives
While this Living Will provides general guidance for my health care providers, I may also outline additional specific preferences regarding my health care treatment below:
________________________________________________________________
________________________________________________________________
Signatures
Signature of Principal: ____________________________ Date: ____________
This document must be signed in the presence of two witnesses, neither of whom shall be a spouse or a blood relative. Witnesses must be adults and should not be beneficiaries of the Principal's estate.
Witness 1 Signature: ________________________________ Date: ____________
Print Name: ___________________________________________
Witness 2 Signature: ________________________________ Date: ____________
Print Name: ___________________________________________
Notarization (Optional)
This Living Will does not require notarization to be legally effective in Idaho, but it is recommended as a best practice to prevent any potential challenges to its authenticity.
Notary Public Signature: _____________________________ Date: ______________
Commission Expires: ___________________________________