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Michigan Living Will Form | Document Directing Health Care

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The Michigan living will, or legally known as the ‘Document Directing Health Care’, is a legal document that is completely written or dictated by the Declarant in their own words with their own meanings. This document will be expected, by the Declarant, to be followed by any and all who are involved in the end of life medical choices of the Declarant. This form will require witnesses and “DNR’s” are included.

Laws – § 333.5651 to § 333.5661

Medical Power of Attorney – Use in addition to the living will to select a surrogate that is able to make decisions on behalf of the patient.

How to Write

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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