Homepage Legal Living Will Form Blank Living Will Form for Florida
Content Overview

In Florida, the Living Will stands as a vital document, empowering individuals to voice their preferences regarding medical treatments in scenarios where they can no longer communicate their decisions due to severe health conditions. This legal instrument allows persons to provide explicit instructions about the continuation, withholding, or withdrawal of life-prolonging interventions, ensuring their medical and personal beliefs are respected, even in incapacity. As such, the Florida Living Will form encompasses clear directives on the application of life-sustaining measures, including mechanical ventilation, tube feeding, and other medical interventions that may extend life in the face of terminal illness or permanent unconsciousness. Completing this form not only offers peace of mind to the individual by securing their healthcare wishes but also provides invaluable guidance to family members and healthcare providers faced with difficult treatment decisions. Through the execution of this document, individuals can assert considerable control over their medical treatment, echoing their beliefs and preferences in times when they might not be able to express them verbally.

Example - Florida Living Will Form

Florida Living Will Template

This document serves as a Living Will, conforming to the Florida Living Will statutes (Chapter 765, Florida Statutes), designed to express the desires of the undersigned regarding health care decisions in the event the individual is unable to communicate wishes due to a terminal condition, end-stage condition, or persistent vegetative state.

Personal Information

Name: ___________________________

Address: ___________________________

Date of Birth: ___________________________

Social Security Number: ___________________________

Declaration

I, ___________________________ (the "Declarant"), residing at ___________________________, being of sound mind and not under or subject to duress, fraud, or undue influence, do hereby declare my directive as follows:

Directions for Health Care

In the event that I, ___________________________, become incapacitated and am determined by a physician to be in a terminal condition, end-stage condition, or in a persistent vegetative state, I direct that all measures be withheld or withdrawn that prolong the process of dying, and that I be permitted to die naturally with only the administration of medication or the performance of any medical procedure deemed necessary to provide me with comfortable care, including the relief of pain.

In such circumstances, I further direct the following specific directives to be followed (please mark your preferences):

  • ___ Do not administer life-prolonging treatments, except as needed for comfort care.
  • ___ I wish to receive the following treatments or interventions: ___________________________
  • ___ Other directions or preferences: ___________________________

Designation of Health Care Surrogate

In the event that I am unable to make my own health care decisions, I designate the following individual as my Health Care Surrogate to make health care decisions for me as authorized in this document:

Name of Health Care Surrogate: ___________________________

Address of Health Care Surrogate: ___________________________

Phone Number of Health Care Surrogate: ___________________________

In the event my primary surrogate is unwilling or unable to perform their duties, I designate the following individual as my alternate Health Care Surrogate:

Name of Alternate Health Care Surrogate: ___________________________

Address of Alternate Health Care Surrogate: ___________________________

Phone Number of Alternate Health Care Surrogate: ___________________________

Signature and Witness Requirements

In witness whereof, I have executed this Living Will on the date indicated below. My signature on this document is intended to signify that I understand the nature and purpose of this document and the options I have selected. This document will not be valid unless it is signed by two competent adult witnesses, who are present when I sign or acknowledge the sign. Witnesses cannot be the named Health Care Surrogate, a spouse, or a blood relative.

Date: ___________________________

Signature of Declarant: ___________________________

Printed Name of Declarant: ___________________________

Witness 1 Signature: ___________________________

Printed Name of Witness 1: ___________________________

Witness 2 Signature: ___________________________

Printed Name of Witness 2: ___________________________

PDF Form Attributes

Fact Description
1. Definition A Florida Living Will is a legal document where individuals can outline their preferences regarding medical treatment if they become unable to make decisions for themselves.
2. Purpose Its main purpose is to allow individuals to express their wishes regarding life-prolonging procedures, which includes the refusal or acceptance of medical treatment.
3. Governing Law The Florida Statutes, Section 765.101 et seq. govern Living Wills, ensuring they are recognized and enforced in the state of Florida.
4. Requirements To be considered valid, a Florida Living Will must be signed in the presence of two witnesses, at least one of whom is not a spouse or a blood relative.
5. When it Becomes Effective A Living Will becomes effective when it is provided to the attending physician, and the individual is determined to be unable to communicate their healthcare decisions.
6. Capacity to Execute An individual must be of sound mind and at least 18 years old, or an emancipated minor, to create a Living Will in Florida.
7. Revocation At any time, an individual can revoke their Living Will through a written notice, by physically destroying the document, or by verbally expressing their intent to revoke it.
8. Witness Restrictions Witnesses to a Florida Living Will cannot be the person who signed the document on behalf of the declarant if directed by the declarant, nor can they be a healthcare provider or an employee of a healthcare provider who is serving the declarant.
9. Accessibility It's advised to keep the Living Will in an easily accessible place and to inform close family or the healthcare agent of its existence and location.

Instructions on How to Fill Out Florida Living Will

A Living Will in Florida allows individuals to outline their wishes concerning medical treatment in the event they become unable to communicate their decisions due to illness or incapacity. It is a legally binding document that informs healthcare professionals and family members of one's preferences for extending, withholding, or withdrawing life-sustaining procedures when faced with a terminal condition, an end-stage condition, or a persistent vegetative state. Proper completion and execution of the form ensure that the document is recognized under Florida law. Here are the steps to correctly fill out a Florida Living Will form:

  1. Start by entering your full legal name at the top of the document to identify yourself as the declarant.
  2. Read the introductory section carefully. This part explains the purpose of the Living Will and sets the context for your decisions.
  3. Under the section titled "Directions concerning life-prolonging procedures," indicate your preferences regarding the receipt or refusal of life-sustaining treatment. This may include decisions about artificially provided food and water.
  4. In the section dedicated to additional instructions, you can provide specific details about your health care preferences beyond life-prolonging measures. This is optional but recommended for clarifying your wishes.
  5. Include a declaration stating your awareness and understanding that this document revokes any prior Living Wills, signaling that this document represents your current wishes.
  6. Date and sign the Living Will in the presence of two witnesses. Florida law requires these witnesses to be at least 18 years old. At least one witness cannot be a spouse or a blood relative.
  7. Have the witnesses sign the document, acknowledging they witnessed your signature and are not named as your agent or surrogate in any healthcare directive, nor have any direct financial responsibility for your medical care.
  8. If desired, have the document notarized for additional validation, although this is not a requirement under Florida law.

Once filled out, it is important to inform close family members, healthcare providers, and your healthcare surrogate (if appointed) about the existence and location of your Living Will. Keeping it accessible will ensure that your healthcare wishes are respected during critical moments.

Crucial Points on This Form

What is a Florida Living Will?

A Florida Living Will is a legal document that allows an individual to outline their preferences regarding medical treatment in circumstances where they are unable to communicate their decisions. This document comes into play if a person becomes incapacitated due to a severe illness or injury, detailing whether or not they wish to receive life-prolonging procedures.

Who can create a Living Will in Florida?

Any competent individual who is 18 years or older, or an emancipated minor, has the right to create a Living Will in Florida. Competency, in this context, means that the person understands the nature and implications of their health care decisions.

How does one create a Living Will in Florida?

To create a Living Will in Florida, the individual must express their health care wishes in writing. This document must be dated and signed in the presence of two witnesses, at least one of whom is not a spouse or a blood relative. The process does not necessarily require legal counsel, but consulting an attorney can provide clarity and ensure that the document meets all legal criteria.

When does a Florida Living Will become effective?

A Florida Living Will becomes effective when it is delivered to the incapacitated person's attending physician, and the individual is determined to be incapacitated and unable to communicate their health care decisions. It's crucial that the attending healthcare professionals are informed of the document's existence to ensure its directives are followed.

What should be included in a Florida Living Will?

While there's no one-size-fits-all answer given the deeply personal nature of healthcare decisions, a Florida Living Will typically includes directives on the use of life-prolonging treatments or procedures, artificial nutrition and hydration, and pain management preferences. It may also identify a healthcare surrogate to make decisions if the individual is unable to do so.

Can a Living Will be revoked or changed?

Yes, a Living Will in Florida can be revoked or amended at any time by the creator, as long as they are competent. This can be done through a written document, an oral statement to a healthcare provider, or by creating a new Living Will. Changes to the document should be communicated to all relevant parties, including healthcare providers and surrogates.

Is a Florida Living Will the same as a Do Not Resuscitate Order (DNR)?

No, a Living Will and a DNR are not the same. A DNR is a specific medical order written by a doctor that prevents the use of CPR in case of cardiac or respiratory arrest. A Living Will, on the other hand, provides broader instructions on a range of life-prolonging treatments in situations where recovery is unlikely.

How is a Living Will different from a Last Will and Testament?

A Living Will is concerned with medical treatment preferences in the event of incapacitation, whereas a Last Will and Testament deals with the distribution of an individual’s property after their death. These documents serve different purposes and are part of comprehensive end-of-life planning.

Common mistakes

Filling out a Living Will in Florida is a crucial step in planning for future healthcare decisions. It communicates your wishes regarding life-prolonging treatments if you can't speak for yourself. However, mistakes can easily be made in this process, potentially leading to confusion or the enforcement of wishes contrary to what you intended. Here are 10 common errors to avoid:

  1. Not following state-specific requirements: Florida has particular mandates for a Living Will to be valid. Ignoring these specifications, such as the need for it to be in writing and properly witnessed, can render the document legally ineffective.

  2. Failing to be specific about medical treatments: Ambiguity in stating which life-prolonging treatments you do or don't want can leave healthcare providers unsure of your true desires, leading to potentially unwanted medical interventions.

  3. Omitting a designation of a healthcare surrogate: Not appointing a trusted person to make decisions on your behalf if you're incapacitated can result in decisions being made by someone not aligned with your preferences.

  4. Not discussing your wishes with your healthcare surrogate: Assuming that your appointed surrogate understands your healthcare preferences without a thorough discussion can lead to decisions that don’t reflect your actual wishes.

  5. Overlooking the need for alternates: Only naming a primary healthcare surrogate without an alternate can create issues if your primary choice is unable to serve.

  6. Not updating the document: Life changes such as marriages, divorces, the birth of children, or changing views on medical treatments necessitate updates to your Living Will to reflect your current wishes.

  7. Using vague language: Descriptions that are open to interpretation can hinder healthcare providers' ability to follow your wishes accurately.

  8. Forgetting to sign and date the document: A Living Will must be properly executed with a signature and date to be considered valid in Florida. This oversight is a common but critical error.

  9. Not having the document witnessed as required: Florida law requires your Living Will to be witnessed by two individuals. Missing this step can invalidate the document.

  10. Not storing the document properly: If your Living Will is not easily accessible to your healthcare surrogate or providers, it might as well not exist. Safe but accessible storage is essential.

Making a Living Will is an act of consideration for both yourself and your loved ones. Avoiding these mistakes ensures your healthcare wishes are known and can be honored. Taking the time to review and update your Living Will regularly is equally important, as it reflects your current wishes and circumstances.

Documents used along the form

When preparing a living will in Florida, it's important not only to express one's wishes regarding life-prolonging treatments but also to ensure all necessary legal documents are in place to uphold these wishes. This preparation often involves gathering supplementary forms and documents that complement and support the directives outlined in the living will. The inclusion of these additional documents ensures a comprehensive approach to end-of-life planning, providing clear instructions not just for healthcare decisions but also for managing personal and financial matters.

  • Designation of Health Care Surrogate: This document allows an individual to appoint someone else to make healthcare decisions on their behalf, should they become unable to do so. This surrogate makes decisions that adhere to the preferences expressed in the living will.
  • Durable Power of Attorney: A durable power of attorney grants a trusted person the authority to handle financial and legal matters. This power remains in effect even if the individual becomes incapacitated.
  • Do Not Resuscitate Order (DNRO): A DNRO is a medical order signed by a physician, indicating that in the event of a respiratory or cardiac arrest, resuscitation should not be attempted. It is used in conjunction with a living will to further clarify one's wishes regarding life-prolonging measures.
  • Preneed Guardian Declaration: This form allows individuals to designate a guardian in advance, in case they become unable to make their own decisions. This appointed guardian can make decisions about personal, financial, and healthcare matters.
  • Organ and Tissue Donation Registration: By registering as an organ donor, an individual expresses their wish to donate organs and tissues after death. This registration can be noted in a separate document or on a driver’s license.
  • Funeral Planning Declaration: This document outlines preferences for funeral arrangements and the disposition of remains. It helps loved ones and executors follow through with an individual’s wishes regarding their final arrangements.

Each of these documents serves a crucial role in ensuring a person’s healthcare and personal wishes are respected and followed. Together with a living will, these forms create a comprehensive legal and medical directive that addresses various aspects of end-of-life care, financial management, and personal dignity. It's advisable for individuals to discuss these documents with legal counsel to ensure they are correctly completed and reflective of the individual's wishes.

Similar forms

  • Health Care Proxy or Medical Power of Attorney: This document, like a Living Will, enables individuals to outline their preferences for medical care. However, it specifically assigns a trusted person to make healthcare decisions on their behalf if they are unable to do so themselves, aligning with the declarant's wishes as much as possible.

  • Do Not Resuscitate (DNR) Order: Similar to a Living Will in its health-related directives, a DNR specifically instructs healthcare providers not to perform CPR if the patient's breathing stops or if the heart stops beating. It is a more specific instruction within the broader scope of a Living Will.

  • Last Will and Testament: Although primarily focused on the distribution of assets after death, a Last Will shares the proactive planning nature of a Living Will. Both documents serve to communicate the wishes of the individual ahead of time, though in different aspects of personal affairs.

  • Durable Power of Attorney: This document grants another person the authority to make decisions on behalf of the individual, typically covering financial and legal matters, whereas a Living Will addresses healthcare decisions. The similarity lies in appointing others to act in one's stead.

  • Organ Donor Registration: An organ donor registration specifies an individual's wish to donate their organs upon death, a decision that might also be included within a Living Will. Both documents guide medical personnel regarding a patient's preferences for their body.

  • Advance Directive: Often considered a broader term that can include the structure of a Living Will, an Advance Directive outlines what kind of care individuals prefer if they become unable to make decisions for themselves, covering a range of treatments and life-sustaining measures.

  • Physician Orders for Life-Sustaining Treatment (POLST): Similar to a Living Will, a POLST provides specific instructions for healthcare providers about the types of life-sustaining treatment a patient desires, typically in the context of a serious illness.

  • Five Wishes Document: This form combines elements of a Living Will and Health Care Proxy, offering a comprehensive approach to detailing one's care preferences and appointing a decision-maker. It encourages a holistic view of the patient’s wishes regarding personal, spiritual, and medical care needs.

  • Guardianship Appointment: Similar to aspects of a Living Will and other advance directives, this legal tool involves appointing a guardian to make personal, medical, and sometimes financial decisions on behalf of someone who cannot make those decisions themselves.

  • Trust Document: While primarily used for managing one’s estate, a trust document shares with a Living Will the principle of preparing in advance for future circumstances. It differs in scope, focusing on assets rather than healthcare decisions.

Dos and Don'ts

When filling out the Florida Living Will form, it's important to pay attention to certain dos and don'ts to ensure the document accurately reflects your wishes regarding health care. Below are essential points to consider:

Do:

  1. Read the entire form carefully before you start to fill it out, making sure you understand each section.
  2. Use clear and straightforward language to specify your wishes regarding medical treatment and life-prolonging procedures.
  3. Discuss your decisions with family members or close friends to ensure they understand your wishes.
  4. Have the form witnessed as required by Florida law. This typically involves having two adult witnesses who are not related to you by blood or marriage.
  5. Consult with a healthcare professional if you have any questions about certain medical terms or treatments mentioned in the form.
  6. Keep the original copy of the completed form in a safe but accessible place, and inform your family or healthcare proxy of its location.
  7. Review and update your living will periodically, especially after major life events such as marriage, divorce, or the diagnosis of a serious illness.

Don't:

  • Leave any sections blank. If a section does not apply or you prefer not to make a decision on that matter, write “N/A” (not applicable).
  • Use technical or ambiguous language that could be open to interpretation.
  • Forget to date and sign the form, as it would not be considered valid without your signature.
  • Let someone else decide for you or pressure you into making decisions that don't align with your values and wishes.
  • Fail to discuss your living will with your appointed health care surrogate or proxy, if you have named one. They should fully understand your desires.
  • Assume family members automatically know your wishes or will agree with them without prior discussion.
  • Overlook the importance of updating your living will after legal changes in health care directives that could affect your document's validity.

Misconceptions

Florida Living Wills are essential legal documents that allow individuals to express their wishes regarding medical treatments if they become unable to communicate them themselves. Despite their importance, several misconceptions surround their use and implications. Understanding these myths can help individuals make informed decisions about their healthcare planning.

  • Only for the Elderly: Many believe that Living Wills are only necessary for older adults. However, unexpected medical situations can arise at any age, making it important for anyone over the age of 18 to consider creating one.

  • Too Complicated to Create: There's a common misconception that creating a Living Will is a complex process requiring legal expertise. In reality, Florida has straightforward guidelines, and forms are available to simplify the process, allowing individuals to complete them without a lawyer.

  • Legally Binding Immediately: Some people think that once a Living Will is signed, it becomes effective immediately. However, it only takes effect when the individual is incapacitated and unable to communicate their healthcare decisions themselves.

  • Only Addresses End-of-Life Treatment: While it's true that Living Wills often include directives on end-of-life care, they can also cover a range of medical decisions, including treatments the individual wishes to refuse or accept under certain medical conditions.

  • Overrules Family Decisions: Another misconception is that a Living Will negates the family's role in decision-making. Instead, it serves to guide family members and healthcare providers on the individual’s preferences, alleviating the burden of making those tough decisions.

  • Is the Same as a Health Care Power of Attorney: Many confuse a Living Will with a Health Care Power of Attorney (HCPOA). While a Living Will specifies the individual’s wishes regarding life-prolonging treatments, an HCPOA designates a person to make healthcare decisions on their behalf.

  • Cannot be Changed Once Finalized: Some people hesitate to make a Living Will, fearing it cannot be altered. However, Living Wills can be updated or revoked at any time, as long as the individual is competent to do so.

  • Ensures All Wishes Will Be Followed Exactly: While Living Wills are crucial in guiding healthcare providers, certain situations may arise where it's not possible to follow the directives to the letter. Communication with healthcare providers and a detailed document can help ensure wishes are as closely followed as possible.

Dispelling these misconceptions about Florida Living Wills empowers individuals to take proactive steps in managing their healthcare decisions. It’s essential for everyone to understand the benefits and limitations of these documents to ensure their healthcare wishes are respected.

Key takeaways

Understanding the Florida Living Will form is essential for ensuring your healthcare wishes are respected. This document allows you to outline your preferences regarding life-prolonging procedures if you are incapacitated. Here are five key takeaways to consider when filling out and using the Florida Living Will:

  1. Ensure the form is completely filled out. It must clearly state your wishes regarding the use of life-prolonging treatments or procedures when you are no longer able to communicate your desires.
  2. The Living Will must be witnessed by two individuals. Neither of whom should be a spouse or a blood relative. This step is crucial for the document to be legally valid.
  3. Discuss your decisions and the contents of your Living Will with family members and your healthcare provider. It's important they understand your wishes and know where to find the document if needed.
  4. Keep the original document in a safe but accessible place. Copies should be given to your healthcare proxy (if you have appointed one), family members, and your healthcare providers.
  5. Remember to review and update your Living Will regularly, especially after any significant life changes such as marriage, divorce, or a diagnosis of a serious illness, to ensure it continues to reflect your current wishes.

By following these guidelines, you can ensure that your Florida Living Will is both a valid and effective tool for guiding your healthcare in circumstances where you're unable to make decisions for yourself.

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