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Michigan Living Will Form

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Michigan Living Will Form

Updated August 03, 2023

A Michigan living will, or “Document Directing Health Care,” allows a person to make instructions in the event they should become terminally ill or permanently unconscious. The instructions refer to medical preferences, such as, to provide or withhold life-sustaining treatment options.

Signing Requirements – There are no statutes governing living wills in Michigan. Although, it is recommended to have this a living will notarized.

How to Write

Download: PDF, MS Word, OpenDocument

Step 1 – Establishment of Declarant – Enter the Declarant’s full legal name at the top of the form

  • Declarant then must read the statement below the entry of their name

Step 2 – Declarant’s Desires for Medical Treatment –

  • In their own words and description, the Declarant will describe their choices for end of life or terminal condition treatment
  • Once completed, read the remaining statements, if in agreement
  • Enter the date of the document in mm/dd/yyyy format
  • Enter Declarant’s signature
  • Enter Declarant’s complete physical address

Step 3 – Statement of Witnesses –

  • The witnesses must read the statement regarding the declarant, if in agreement each witness must:
  • Enter their printed name
  • Enter their Signature
  • Enter their full physical address

Step 4 – DO-NOT-RESUSCITATE ORDERS – There are two forms for DNR – Both should be completed identically

  • Enter attending physician’s name at the top of the form
  • Enter Declarant’s signature
  • Date signature in mm/dd/yyyy format
  • Type or print declarant’s full name
  • Enter Signature of person who signed for declarant, if applicable
  • Date signature in mm/dd/yyyy format
  • Type or print full name
  • Physician’s Signature
  • Date signature in mm/dd/yyyy format

Step 5 – Attestation of Witnesses – The witnesses must read the statement. If in agreement:

  • Enter each witness’ respective signatures
  • Date in mm/dd/yyyy format
  • Type or Print the name of each witness
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