Homepage Printable Living Will Document Official Living Will Template for Louisiana
Article Structure

At the crossroads of life's most profound and sensitive decision-making moments, individuals often find solace and empowerment in the quiet preparation for the inevitable. One such tool that has gained attention in the realm of personal and medical decision-making is the Louisiana Living Will form. Unlike the traditional last will and testament, which deals with the distribution of assets posthumously, this living will focuses on a person's preferences regarding medical treatments and interventions in situations where they are unable to make decisions for themselves due to incapacitation. This powerful document serves as a guiding light for healthcare providers and loved ones, communicating a person's wishes concerning life-sustaining procedures, pain management, and other critical care measures. Crafting a Louisiana Living Will requires careful contemplation and a clear understanding of one's values and desires regarding end-of-life care. It stands not just as a legal instrument but as a declaration of one’s autonomy, ensuring that an individual's voice is heard and honored at a time when they may no longer be able to speak for themselves. As such, it is essential for residents of the Pelican State to familiarize themselves with the nuances of this document, from its legal requirements to the profound implications it holds for one’s health care journey.

Louisiana Living Will Preview

Louisiana Living Will

This Living Will document is prepared in accordance with the Louisiana Declarations Concerning Life-Sustaining Procedures Act, allowing individuals to dictate their preferences for medical treatment in the event they become unable to communicate their wishes directly.

Personal Information

  • Full Name: ___________________________
  • Date of Birth: ________________________
  • Address: _____________________________
  • City: _______________________________
  • State: Louisiana
  • ZIP Code: ___________________________

Declaration

I, ________________ [name], a resident of ________________ [city], Louisiana, being of sound mind, intentionally and voluntarily make known my desire that my dying not be artificially prolonged under the circumstances set forth below. This declaration reflects my firm and settled commitment to decline life-sustaining treatment that serves only to prolong the process of dying.

Directions for Health Care

  1. If I am diagnosed in writing to be in a terminal and irreversible condition, I direct that life-sustained treatment be withheld or withdrawn, except to the extent necessary to maintain comfort.
  2. I wish to designate the following individual as my health care agent to make medical decisions on my behalf if I am ever unable to speak for myself:
    Name: ___________________________
    Relationship: _____________________
    Contact Number: __________________
  3. In the event that I am unable to designate a health care agent, I wish for my attending physician to follow the directions stated herein regarding the initiation, continuation, withholding, or withdrawal of life-sustaining treatment.
  4. I give the following additional instructions, if any, regarding my care: ___________________________________________________________

Signature

I understand the full import of this declaration and I am emotionally and mentally competent to make this declaration.

Date: ___________________
Signature: ___________________________
Print Name: ___________________________

Witness Declaration

This declaration was signed in my presence by the declarant, who is personally known to me or has provided satisfactory evidence of identity. To the best of my knowledge, the declarant is of sound mind and under no duress, fraud, or undue influence.

  • Witness 1:
    Date: ___________________
    Signature: ___________________________
    Print Name: ___________________________
    Address: _____________________________
  • Witness 2:
    Date: ___________________
    Signature: ___________________________
    Print Name: ___________________________
    Address: _____________________________

Notarization (Optional)

This document was acknowledged before me on ________ [date] by __________________ [name of declarant].

Date: _______________________
Notary Public: ___________________________
My commission expires: ___________________

File Attributes

# Fact
1 The Louisiana Living Will is officially known as a "Declaration Concerning Life-Sustaining Procedures."
2 It is governed by Louisiana Revised Statutes, Title 40:1299.58.1 - 40:1299.58.10, also known as the Louisiana Life-Sustaining Procedures Act.
3 This document allows an individual, known as the declarant, to express their wishes about medical treatment in situations where they can no longer communicate their decisions due to serious health conditions.
4 It only comes into effect when the patient is diagnosed as having a terminal and irreversible condition by two physicians.
5 The Living Will can specify preferences regarding the use of life-sustaining procedures, including artificial nutrition and hydration.
6 Without a Living Will, decisions about life-sustaining treatment will be left to the discretion of attending physicians or family members, which may not reflect the individual's own wishes.
7 The form must be signed by the declarant in the presence of two witnesses, adding a layer of verification and intentionality to the document.
8 Witnesses to the Louisiana Living Will cannot be the declarant's spouse, heirs, attending physician, or responsible for the declarant's healthcare costs.
9 The document can be revoked at any time by the declarant, regardless of their mental state or ability to communicate, as long as the revocation is communicated to the attending physician.
10 A Louisiana Living Will is a legally binding document, but healthcare providers who are unaware of its existence cannot be held liable for acting in contradiction to its directives.

Guidelines on Filling in Louisiana Living Will

When preparing for the future, it's crucial to outline your wishes regarding medical treatments and interventions that should or should not be pursued in case you become unable to communicate your desires. A Louisiana Living Will form is a legal document that provides an opportunity to do just that, thereby ensuring that your healthcare preferences are known and respected. Completing this form might seem daunting at first, but following a step-by-step approach can simplify the process. Whether it's deciding on the extent of life-sustaining treatments or designating someone to make healthcare decisions on your behalf, each section of the form allows you to specify your wishes clearly.

  1. Start by gathering all necessary personal information, including your full legal name, date of birth, and social security number.
  2. Read the introduction section of the Louisiana Living Will form carefully. This part explains the purpose of the document and offers general guidance on how to complete it.
  3. In the section marked "Declaration," indicate your general wishes concerning life-sustaining treatment. Specify whether you want all treatments to be provided, limited treatments, or to decline treatment, aiming to allow for a natural death.
  4. Next, address your preferences on artificially administered nutrition and hydration (feeding tubes) if you are in a persistent vegetative state or terminal condition. Clearly state if you wish to receive, not receive, or limit these interventions.
  5. Identify and appoint a healthcare agent by completing the "Power of Attorney for Health Care" section. Provide the name, contact information, and relationship of the individual you trust to make healthcare decisions on your behalf if you're unable to do so. It's advisable to discuss this responsibility with them beforehand to ensure they're willing and able to act in your best interest.
  6. Review the optional section regarding organ donation if it's included in your form. If you choose to donate your organs, indicate your specific wishes related to organ and tissue donation, or designate that your healthcare agent has the authority to make these decisions.
  7. Fill in the "Signature" section at the end of the form. Sign and date the document in the presence of two witnesses, who also need to sign, thereby affirming that you are of sound mind and under no duress to make these decisions. Some states may require notarization instead of or in addition to witnesses, so check the specific requirements for Louisiana.
  8. Finally, distribute copies of the completed Living Will form to your healthcare agent, close family members, and your primary care physician to ensure your wishes are known and easily accessible.

Ahead lies an opportunity for peace of mind, knowing that you've taken a significant step in healthcare planning. The Louisiana Living Will form is not just a document; it's an act of kindness toward yourself and those you love, ensuring that your healthcare preferences are respected, and relieving loved ones of the uncertainty in making difficult decisions during challenging times. Take your time, discuss with loved ones if needed, and make your wishes known.

More About Louisiana Living Will

What is a Louisiana Living Will?

A Louisiana Living Will is a legal document that allows a person, or "declarant," to outline their wishes regarding medical treatments and life-sustaining measures in the event they are unable to communicate their decisions due to illness or incapacity. This document specifically addresses scenarios where the individual has a terminal and irreversible condition and makes known their preferences about the extent of medical intervention they desire, including the refusal of or request for specific treatments.

Who should have a Louisiana Living Will?

Any competent adult in Louisiana who wishes to maintain control over their medical treatment in the event they become incapacitated should consider creating a Living Will. It is particularly important for those with strong feelings about end-of-life care or those with chronic illnesses to outline their medical preferences beforehand to ensure their wishes are respected.

How can one create a Louisiana Living Will?

Creating a Louisiana Living Will involves several steps. Firstly, the individual, or declarant, must clearly outline their wishes regarding life-sustaining treatments, including the conditions under which they would want to refuse or receive such treatments. The document must be written while the declarant is of sound mind. Secondly, the Living Will must be signed by the declarant in the presence of two witnesses, who also need to sign the document, affirming that the declarant is acting voluntarily and is of sound mind. In some cases, it might be advisable to have the document notarized, although it is not a legal requirement.

What should be included in a Louisiana Living Will?

In a Louisiana Living Will, the declarant should include specific instructions about the medical treatment they desire or wish to refuse under certain conditions. Essential elements to be outlined in the document include:

  • The circumstances under which life-sustaining measures should be provided, withheld, or withdrawn.
  • Preferences regarding the use of treatments that prolong life, such as mechanical ventilation, artificial nutrition, and hydration.
  • Desires concerning pain management and palliative care, ensuring comfort even if not prolonging life.
  • Any additional specific wishes regarding medical treatment and care.

Is a lawyer required to create a Louisiana Living Will?

While it is not legally required to consult a lawyer to create a Louisiana Living Will, it may be beneficial to do so. A lawyer can help ensure that the document clearly articulates the declarant’s wishes and is in compliance with Louisiana laws. This can provide peace of mind that the Living Will is legally sound and more likely to be followed by health care providers.

How does one revoke or change a Louisiana Living Will?

A Louisiana Living Will can be revoked or changed at any time by the declarant, provided they are competent to do so. To revoke a Living Will, the declarant may destroy the document, prepare a new Living Will, or express their intent to revoke the document in any manner. If expressing the revocation verbally, it is recommended to do so in the presence of a witness. To amend or create a new Living Will, the declarant must follow the same process employed in its initial creation, including the requirement for witnesses.

Common mistakes

Filling out a Louisiana Living Will form is a significant step in ensuring that your healthcare wishes are respected and followed in the event that you're unable to communicate them yourself. However, people often make mistakes during this process. To help guide you through the filling out of the Louisiana Living Will form properly, here is a detailed breakdown of common errors:

  1. Not fully understanding the document's purpose: A Living Will is intended to document your wishes regarding life-sustaining treatments if you're incapacitated. Misunderstanding its scope can lead to a document that doesn't reflect your true intentions.

  2. Completing the form without the advice of an attorney: While it's not mandatory to have legal assistance, consulting with an attorney can ensure that your Living Will complies with Louisiana laws and is clear and unambiguous.

  3. Neglecting to update the document: As life circumstances change, so might your wishes. Failing to regularly review and update your Living Will means it may not accurately reflect your current desires.

  4. Not being specific about your medical treatment preferences: Vague language can lead to confusion and interpretation issues. It's crucial to be clear and precise about your wishes regarding life-sustaining treatments.

  5. Failing to discuss your wishes with your family: Even though your Living Will speaks for you, family members who are unaware of your preferences might be shocked or confused, which can lead to disputes or unnecessary stress during difficult times.

  6. Forgetting to appoint a healthcare proxy: If your Living Will allows for the appointment of a healthcare proxy or agent, neglecting to appoint one or choosing someone without discussing it with them first can create complications if you become incapacitated.

  7. Omitting a signature and date: A Living Will typically needs to be signed and dated to be considered valid. Overlooking these steps can render the document legally ineffective.

  8. Incorrect witness or notarization requirements: Each state has its own requirements for witnesses and notarization. Not adhering to Louisiana's specific requirements can invalidate your Living Will.

  9. Not distributing copies of the Living Will: Keeping your Living Will in a safe place is important, but so is making sure that your healthcare providers and healthcare proxy (if applicable) have copies to ensure your wishes are honored.

  10. Choosing a healthcare proxy who does not reside in Louisiana: While not always a mistake, appointing someone who lives far away may not be practical. It’s generally advisable to choose a proxy who resides nearby and can easily advocate for your wishes in person.

By steering clear of these pitfalls, individuals can create a more effective and legally sound Living Will that accurately reflects their healthcare wishes and can be readily executed in Louisiana.

Documents used along the form

In the state of Louisiana, preparing for future health care decisions involves more than just drafting a Living Will. A Living Will allows an individual to outline their preferences regarding medical treatment in situations where they are no longer able to communicate their wishes. Alongside this important document, there are a handful of other forms and documents that can complement a Living Will, ensuring that an individual's health care and personal affairs are thoroughly managed according to their desires. These documents not only reinforce one’s medical wishes but also provide guidance and clarity to family members and healthcare providers during challenging times.

  • Health Care Power of Attorney (HCPOA): This document appoints a trusted individual, known as a health care agent, to make health care decisions on behalf of the person if they are unable to do so themselves. Unlike a Living Will that specifies certain medical treatments, a HCPOA covers a broader range of health decisions.
  • Durable Power of Attorney for Finances: This legal document grants someone the authority to handle financial affairs, such as managing bank accounts, real estate, and assets, on behalf of the individual, should they become incapacitated. It is essential for ensuring that the person's financial responsibilities continue to be met.
  • Declaration for Mental Health Treatment: Specific to Louisiana, this document allows individuals to make decisions in advance about mental health treatment, including the use of psychoactive medication, electroconvulsive therapy (ECT), and admission to a mental health facility for a short-term stay. It is particularly useful for individuals with a history of mental health issues.
  • Do Not Resuscitate (DNR) Order: A DNR is a medical order that tells health care professionals not to perform CPR if the person's breathing stops or if the heart stops beating. It is different from a Living Will but serves as an important directive for emergency medical personnel and other health care providers.
  • Organ and Tissue Donation Registration: This document allows individuals to register their intent to donate organs and tissues upon death. It can be included in an advanced directive portfolio, ensuring that the wish to contribute to life-saving and life-enhancing transplants is honored.

Each of these documents plays a vital role in the comprehensive planning of personal affairs and health care decisions. When used alongside a Louisiana Living Will, they provide a robust legal framework that ensures an individual's preferences are respected and followed. It's advisable for individuals to consult with legal counsel to understand these documents fully and to ensure they align with their personal and medical wishes. Together, they create a clear path for loved ones and medical professionals to follow, relieving them of the burden of making difficult decisions during emotional times.

Similar forms

The Louisiana Living Will form is similar to other advance directive documents in that it allows an individual to specify their preferences for medical treatment in the event they become unable to make decisions due to illness or incapacity. These documents serve as a guide for healthcare providers and loved ones, ensuring that the person’s wishes are respected even when they cannot communicate them directly. Below are examples of documents that bear resemblance to the Louisiana Living Will form, along with explanations of their similarities.

  • Durable Power of Attorney for Health Care: Similar to a Louisiana Living Will, a Durable Power of Attorney for Health Care allows an individual to designate another person, known as a health care agent or proxy, to make medical decisions on their behalf if they are unable to do so. While a Living Will focuses on specific wishes regarding life-sustaining treatments, the Durable Power of Attorney for Health Care is broader, covering a variety of health care decisions beyond those related to life-sustaining treatment.

  • Do Not Resuscitate (DNR) Order: A DNR order is another document that shares a common purpose with the Louisiana Living Will. It specifically instructs health care providers not to perform CPR (cardiopulmonary resuscitation) if a person's heart stops or if they stop breathing. Though narrower in scope, focusing solely on the refusal of resuscitation, it is similar to a Living Will in that it communicates critical medical preferences in advance.

  • Five Wishes Document: The Five Wishes document is an advance directive that combines elements of a Living Will and Durable Power of Attorney for Health Care. It addresses personal, spiritual, and medical desires at the end of life, asking individuals to specify their wishes in five areas, including the person they want to make care decisions for them, the kind of medical treatment they want or don't want, how comfortable they wish to be, how they want people to treat them, and what they want their loved ones to know. This comprehensive approach makes it similar to the Louisiana Living Will by covering preferences for medical treatment and the appointment of a healthcare agent.

Dos and Don'ts

Filling out a Louisiana Living Will form is an important step in making your healthcare wishes known in case you cannot communicate them yourself. To help guide you through this process, here are some essential dos and don'ts to consider:

Do:

  • Read the form carefully before you start filling it out. Understanding what each section is asking for is crucial to accurately convey your wishes.
  • Be very specific about your healthcare preferences. The more detailed you are, the easier it will be for your loved ones and healthcare providers to follow your wishes.
  • Discuss your decisions with your healthcare provider. They can offer valuable advice and insight into the implications of your choices.
  • Choose a trusted person to act as your healthcare agent. This individual will have the authority to make healthcare decisions on your behalf if you are unable to do so yourself.
  • Sign and date the form in the presence of two witnesses or a notary public, as required by Louisiana law. This step is vital to make your living will legally binding.

Don't:

  • Leave any sections blank unless they are explicitly marked as optional. Incomplete forms may lead to confusion or misinterpretation of your wishes.
  • Use technical medical jargon unless you are confident it accurately represents your wishes. Plain language is usually more effective and less open to interpretation.li>
  • Forget to update your living will regularly. As your health or preferences change, your living will should reflect these adjustments.
  • Fail to discuss your living will with your family or those close to you. While these conversations can be challenging, they are essential to ensure your wishes are understood and respected.
  • Assume that filling out the form is all you need to do. Make sure copies of your living will are easily accessible to your healthcare agent, family members, and healthcare providers.

Misconceptions

When it comes to the Louisiana Living Will form, understanding its purpose and implications is crucial for making informed decisions. However, several misconceptions often cloud its true nature. Here are five common misunderstandings:

  • A living will is only for the elderly. People often think that living wills are only meant for older adults. However, adults of any age can face medical emergencies or conditions that render them unable to communicate their healthcare preferences. A living will allows any adult to outline their medical wishes in these circumstances.
  • It covers all types of healthcare decisions. While a Louisiana Living Will provides instructions for end-of-life care, such as the refusal or request of life-sustaining treatments, it doesn't encompass other healthcare decisions. For broader healthcare directives, you might need a healthcare proxy or durable power of attorney for healthcare.
  • Your family can override it. Some believe that family members can override the wishes expressed in a living will. In reality, healthcare providers are legally bound to follow the directives outlined in this document, providing legal protection for your end-of-life care preferences against contrary wishes from family members.
  • It becomes effective as soon as it's signed. This is a misconception because, for a Louisiana Living Will to become effective, the individual must be diagnosed as terminally ill and unable to communicate their healthcare decisions. Simply signing the document doesn't activate its provisions.
  • You need a lawyer to create one. While legal advice can be helpful, especially in complex situations, it's not a requirement for creating a living will in Louisiana. State-provided forms and clear instructions can guide individuals through the process, allowing them to draft a legally valid living will without the need for an attorney.

Key takeaways

In Louisiana, creating a Living Will is an empowering step towards ensuring your healthcare preferences are respected, even when you can't express them yourself. Here are six key takeaways to guide you through the process of filling out and using the Louisiana Living Will form effectively:

  • Understand its purpose: A Living Will communicates your wishes regarding medical treatment in cases where you're unable to communicate due to illness or incapacity. It specifies what life-sustaining treatments you would or wouldn't want if you were diagnosed with a terminal and irreversible condition.
  • Legal requirements: For a Louisiana Living Will to be legally binding, it must meet state-specific requirements, including being signed in the presence of two witnesses. These witnesses should not be your healthcare provider or related to you by blood or marriage.
  • Be specific: Clearly outline your healthcare preferences, including your stance on life-sustaining treatments like mechanical ventilation, feeding tubes, and CPR. The more specific you are, the easier it will be for your healthcare providers to follow your wishes.
  • Discuss with your doctor: It's crucial to have a conversation with your doctor about your Living Will. They can provide valuable insight into the implications of your healthcare choices and ensure that your directives are medically sound.
  • Notify and distribute: Inform your family, close friends, and healthcare proxy (if you have one) about your Living Will. Give copies to your primary care physician and any specialists you see regularly to ensure your preferences are well known and easily accessible in your medical records.
  • Review and update: Review your Living Will periodically and update it if your healthcare preferences change. Life events such as marriage, divorce, a new diagnosis, or a significant change in health status can influence your decisions. Make sure to communicate any changes to all relevant parties.
Please rate Official Living Will Template for Louisiana Form
4.74
Exceptional
189 Votes