Georgia Living Will Template
This Living Will is designed in accordance with Georgia state laws regarding advance healthcare directives. It outlines your preferences concerning medical treatment in the event that you become unable to communicate those wishes.
Please fill in the blanks with your personal information where indicated:
- Full Name: _______________________________________
- Date of Birth: _______________________________________
- Address: _______________________________________
- City: _______________________________________
- State: _______________________________________
- Zip Code: _______________________________________
Your Living Will should address preferences for the following medical situations:
- In the event of a terminal condition, I do or do not wish to receive life-sustaining treatment.
- If I am in a persistent vegetative state, I do or do not wish to receive life-sustaining treatment.
- If I suffer from a progressive disease, I do or do not wish to receive medically-appropriate pain relief, even if it could hasten my death.
By signing this document, you affirm that you understand the contents and implications of this Living Will:
- Signature: _______________________________________
- Date: _______________________________________
Signature of Witnesses:
- Witness 1: _______________________________________
- Witness 2: _______________________________________
If you have any questions or require assistance in completing this document, please consult a qualified healthcare provider or legal professional.