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Blank Living Will Template for the State of Minnesota

A Minnesota Living Will form is a legal document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This important tool empowers people to make decisions about their end-of-life care, ensuring their values and desires are respected. To take control of your healthcare decisions, consider filling out the form by clicking the button below.

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Blank Living Will Template for the State of Minnesota

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In the state of Minnesota, individuals have the opportunity to express their healthcare preferences through a Living Will, also known as an Advance Directive. This important document allows a person to outline their wishes regarding medical treatment in the event they become unable to communicate their desires due to illness or incapacity. By completing a Living Will, individuals can specify the types of medical interventions they wish to receive or decline, such as life-sustaining treatments, resuscitation efforts, and pain management options. This form not only provides guidance to healthcare providers but also alleviates the burden on family members who may face difficult decisions during a challenging time. It is crucial for individuals to consider their values and beliefs when completing this document, as it serves to honor their personal choices and ensure that their healthcare aligns with their wishes. Additionally, Minnesota law allows for the appointment of a healthcare agent, who can make decisions on behalf of the individual if they are unable to do so. Understanding the components and implications of the Living Will form is essential for anyone looking to take proactive steps in managing their healthcare preferences.

Form Example

Minnesota Living Will

This Minnesota Living Will is a legal document that outlines your wishes regarding medical treatment if you become unable to communicate due to illness or incapacity. It is guided by the Minnesota Health Care Directive Act.

Please enter your information in the spaces provided below to ensure your wishes are honored.

Personal Information Full Name:

Date of Birth:

Address:

City, State, Zip:

Phone Number:

Health Care Directives

In the event that I am unable to communicate my healthcare preferences due to incapacity or illness, I direct my healthcare providers to follow the instructions provided in this document.

Life-Sustaining Treatment

In situations where recovery is not expected:

I wish to receive all available life-sustaining treatments, including artificially provided nutrition and hydration.
I do not want any life-sustaining treatments, including artificially provided nutrition and hydration, if it only prolongs the process of dying.

Palliative Care

I wish to receive treatment that relieves pain and suffering and enhances my quality of life, even if it does not extend my life.

Yes, I want palliative care.

Declaration and Signatures

By signing this document, I affirm that I fully understand its contents and that this declaration accurately reflects my wishes regarding my health care treatment preferences.

Date:

Signature:

Witness Statement: I declare that the person signing this Minnesota Living Will is known to me, and they appear to be of sound mind and under no duress, fraud, or undue influence. I am not the person’s health care provider or an employee of the health care provider. I am not entitled to any portion of the person’s estate upon their death under a will or by operation of law.

Date:

Witness Signature:

Witness Printed Name:

➤ Living Will File

File Specs

Fact Name	Details
Purpose	The Minnesota Living Will form allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those wishes themselves.
Governing Law	This form is governed by Minnesota Statutes, Chapter 145B, which outlines the requirements for advance health care directives.
Signatures Required	The form must be signed by the individual and witnessed by two adults or notarized to be valid.
Revocation	Individuals can revoke their Living Will at any time, either verbally or in writing, as long as they are competent to do so.

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