Updated June 01, 2022
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.
How to Write
Download: Adobe 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