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When thoughts turn toward the end of life, many individuals find comfort in knowing their healthcare preferences will be honored. In Missouri, this comfort can be achieved through the completion of a Living Will form, a legal document that allows a person to outline their wishes regarding medical treatment in the event they become unable to communicate these decisions due to illness or incapacity. This form serves as a guide for family members and healthcare providers, ensuring that the medical care provided aligns with the individual's values and preferences. Crafting a Living Will is an act of foresight and compassion, relieving loved ones of the burden of making difficult healthcare decisions during emotional times. Ensuring one's desires are documented can also prevent potential conflicts among family members about what they believe the individual would have wanted. Key aspects of the Missouri Living Will include decisions about the use of life-sustaining treatment, artificial hydration and nutrition, and other end-of-life care options. It's a vital tool in estate planning, giving individuals control over their medical treatment and peace of mind knowing their wishes will be respected.

Sample - Missouri Living Will Form

This Missouri Living Will Template is created in accordance with the Missouri Natural Death Act, allowing individuals to declare their wishes regarding life-sustaining treatment in the event they become incapacitated and unable to communicate their healthcare decisions.

Personal Information

Full Name: _________________________

Date of Birth: _________________________

Address: _________________________

City: _________________________

State: Missouri

Zip Code: _________________________

Living Will Declaration

I, _________________________ (the "Declarant"), a resident of the state of Missouri, being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, hereby declare:

Life-Sustaining Treatment

Should I be diagnosed as suffering from a terminal condition, where the application of life-sustaining treatment would only serve to artificially prolong the dying process, I direct that such treatments be withheld or withdrawn and that I be permitted to die naturally. I understand "terminal condition" to mean an incurable and irreversible condition that, even with the application of life-sustaining treatment, will, in the opinion of my attending physician, cause death within a relatively short time.

Nutrition and Hydration

I further direct that nutrition and hydration (food and water) be withheld or withdrawn from me in the event I am in a persistent vegetative state or in a terminal condition, except as needed to provide comfort care.

Declaration Regarding Pain Relief

It is my wish that my comfort and pain relief be diligently attended to, even if such care hastens my death.

Other Directions

(Optional space for additional directions, such as organ donation preferences)

______________________________________________________________________________

______________________________________________________________________________

Designation of Health Care Surrogate

In the event I become incapable of making my own health care decisions, I designate the following individual as my Health Care Surrogate to make decisions regarding my health care treatment:

Name of Surrogate: _________________________

Relationship: _________________________

Address: _________________________

Phone Number: _________________________

In the event my primary surrogate is unable, unwilling, or unavailable to act in this capacity, I hereby appoint the following person as an alternate surrogate:

Name of Alternate Surrogate: _________________________

Relationship: _________________________

Address: _________________________

Phone Number: _________________________

Signature

I understand the importance of this declaration and make it after careful consideration. This Living Will is effective until I revoke it. No alternative or additional health care directive will be valid during the time this declaration remains unrevoked.

Today's Date: _________________________

Signature: _________________________

Printed Name: _________________________

Witnesses

I declare that the person who signed this document is personally known to me and appears to be of sound mind and acting willingly and free from duress. He/she signed this document in my presence.

Witness 1 Signature: _________________________

Printed Name: _________________________

Date: _________________________

Witness 2 Signature: _________________________

Printed Name: _________________________

Date: _________________________

PDF Form Information

Fact Name Description
Definition A Missouri Living Will is a legal document that lets individuals outline their preferences for medical treatment in situations where they can no longer communicate their wishes.
Governing Law The Missouri Living Will is governed by sections 459.010 to 459.055 of the Revised Statutes of Missouri, known collectively as the "Missouri Durable Power of Attorney for Health Care Act."
Validity Requirements For a Living Will to be valid in Missouri, it must be signed by the declarant (the person making the declaration) in the presence of two or more witnesses who are not related to the declarant by blood, marriage, or entitled to any part of the declarant's estate.
Revocation An individual can revoke their Missouri Living Will at any time, in any manner, without regard to their mental or physical condition. The revocation becomes effective when communicated to the attending physician.
Scope of Decisions The document allows individuals to make decisions about the use of life-prolonging procedures, including nutrition and hydration, if they are in a persistent vegetative state or if death is imminent due to a terminal condition.

How to Write Missouri Living Will

Filling out a Missouri Living Will is an essential step for those wishing to ensure their healthcare preferences are honored in circumstances where they can no longer communicate their wishes directly. This legal document allows individuals to outline their desires regarding medical treatment and life-support measures. The process requires careful consideration and precise completion to reflect one’s choices accurately. Here, we provide a detailed guide on how to fill out the form, ensuring it is legally valid and effectively communicates your healthcare directives.

  1. Begin by gathering all necessary information, including your full legal name, address, and specific healthcare preferences.
  2. Locate the Missouri Living Will form, which is typically available through legal resources online or healthcare providers.
  3. Carefully read the introductory section of the form to understand its purpose and scope.
  4. Enter your full legal name in the designated space at the top of the form, ensuring it matches the name on your official identification documents.
  5. Proceed to the section labeled “Healthcare Directices” or a similar title. Here, specify your wishes regarding life-prolonging medical treatments, including but not limited to artificial ventilation, tube feeding, and resuscitation attempts. Be as detailed as possible to prevent ambiguity.
  6. If you wish to designate a healthcare power of attorney—a person to make medical decisions on your behalf should you become incapacitated—include this person’s name, relationship to you, and contact information in the specified section.
  7. Review the form carefully, ensuring all provided information reflects your wishes accurately and is free from errors.
  8. Sign and date the form in the presence of the required number of witnesses; Missouri law may dictate specific witnessing requirements to ensure the document’s legal validity.
  9. After all signatures are acquired, make copies of the signed document for your records, and distribute them as necessary to your healthcare power of attorney, family members, and healthcare providers.

By following these steps carefully, you can successfully complete a Missouri Living Will, thus ensuring your healthcare preferences are known and can be acted upon in situations where you may not be able to communicate them yourself. It’s advisable to consult with a legal professional if you have any questions during this process to ensure that the document meets all legal requirements in Missouri.

Key Details about Missouri Living Will

What is a Missouri Living Will?

A Missouri Living Will is a legal document that lets a person (the principal) outline their preferences for medical treatment in situations where they are no longer capable of making decisions themselves due to incapacity or serious illness. It guides family members and healthcare providers on whether to administer life-sustaining treatments, such as mechanical ventilation or tube feeding, if the individual is in a persistent vegetative state or faces a terminal condition without the hope of recovery.

Who should have a Living Will in Missouri?

Any competent adult in Missouri who wishes to have their healthcare wishes respected during times when they cannot communicate should consider creating a Living Will. This document is particularly important for those with strong feelings about end-of-life care, those facing serious illnesses, or anyone concerned about the possibility of becoming incapacitated.

How can I create a Missouri Living Will?

To create a Living Will in Missouri, the individual must draft a document stating their healthcare preferences, especially regarding life-sustaining treatment. Missouri law requires this document to be either signed in front of a notary or witnessed by two individuals who meet specific criteria. Neither witness should be related to the principal by blood, marriage, or adoption, and at least one of the witnesses cannot be a beneficiary of the principal's estate.

Is a lawyer required to make a Living Will in Missouri?

No, a lawyer is not required to make a Living Will in Missouri. While legal advice can be beneficial, especially in complex situations, an individual can create a Living Will on their own as long as they follow the state requirements for signing and witnessing the document. Various resources and templates are available to help with the process.

What should I do with my completed Missouri Living Will?

Once a Living Will is completed, it's important to ensure it can be easily accessed in an emergency. Copies should be given to the individual's healthcare provider, a trusted family member or friend, and the person or people named as healthcare power of attorney, if applicable. The principal might also want to keep a copy in an easily accessible place and consider registering it with a state registry, if available, where healthcare providers can access it in emergency situations.

Can I change or revoke my Missouri Living Will?

Yes, an individual can change or revoke their Missouri Living Will at any time as long as they are considered competent to make healthcare decisions. This can be done by creating a new Living Will that states the previous one is revoked, destroying the original document, or by a written and dated statement expressing the desire to revoke. It's important to communicate any changes to everyone who had a copy of the original document.

Common mistakes

In Missouri, as in many states, creating a Living Will is a crucial step towards ensuring one's healthcare preferences are respected. However, there are common errors people often make when filling out the Missouri Living Will form. Being aware of these can help individuals avoid potential misunderstandings or the invalidation of their document.

  1. Not specifying health condition criteria clearly: The form requires individuals to describe specific health conditions under which they wish to withhold or withdraw life-sustaining treatment. A common mistake is being too vague or overly broad, which can lead to interpreta.."

  2. Failure to update the form: Health preferences might change, but people often forget to update their Living Will. This document should reflect current wishes, therefore reviewing and updating it periodically or after significant life events is crucial.

  3. Omitting the designation of a health care proxy: While not strictly part of the Living Will, incorporating the appointment of a durable power of attorney for healthcare decisions can complement the Living Will’s directives, ensuring decisions are made by a trusted individual if one is unable to communicate.

  4. Not discussing the document with healthcare providers: A Living Will becomes effective only when it is presented to and acknowledged by healthcare providers. Failing to discuss this document with one’s healthcare team can lead to unawareness of the patient’s wishes.

  5. Forgetting to sign and date the form in the presence of required witnesses or a notary: This formal step is necessary for the Living Will to be legally recognized. The absence of proper witnessing or notarization invalidates the document.

  6. Using overly technical or medical jargon: Some individuals might attempt to use complex medical terms to appear more precise. However, this can lead to misunderstandings if the terminology is not used correctly or if medical professionals interpret these terms differently.

  7. Not providing copies to the right people: After completing the Living Will, individuals often fail to distribute copies to key parties such as family members, health care agents, and doctors, which can result in the directives not being followed.

  8. Lack of specificity in treatment preferences: It is crucial to be as specific as possible when stating which treatments one does or does not want to receive. Broad statements may not provide clear guidance to healthcare providers.

  9. Ignoring the need for state-specific requirements: While there are general guidelines for Living Wills, each state has specific requirements. Missourians often overlook this, leading to the creation of a document that may not be fully compliant with Missouri law.

  10. Incorrectly assuming that the form covers all aspects of health care decisions: A Living Will is primarily focused on end-of-life decisions. It does not cover other types of health care decisions, which is why it’s important to also have a Healthcare Power of Attorney in place.

By avoiding these common pitfalls, individuals can ensure their Missouri Living Will accurately reflects their wishes and will be upheld. Giving attention to detail, reviewing the document regularly, and consulting with legal or medical professionals when unclear on any aspect of the Living Will can make a difference in its effectiveness and enforceability.

Documents used along the form

When preparing for future healthcare decisions, a Missouri Living Will form plays a central role. However, it is often accompanied by other forms and documents that collectively ensure an individual's wishes are respected and legally recognized. These documents cover a wide range of directives, from designating a proxy to make decisions when one can't, to specifying preferences for particular treatments. Let's explore some of these critical documents that are frequently used alongside a Missouri Living Will.

  • Durable Power of Attorney for Health Care: This legal document allows an individual to appoint a trusted person to make healthcare decisions on their behalf if they are unable to do so. This person, often called a healthcare proxy or agent, has the authority to make decisions aligned with the wishes laid out in the Living Will.
  • Do Not Resuscitate (DNR) Order: A DNR order is a medical order signed by a physician stating that in the event of a cardiac or respiratory arrest, no resuscitative measures should be attempted. This document complements a Living Will by providing clear instructions regarding resuscitation.
  • Organ and Tissue Donation Form: This document specifies an individual's wishes regarding organ and tissue donation in the event of their death. It's essential for ensuring that these wishes are carried out correctly.
  • Declaration of Mental Health Treatment: This form allows individuals to make decisions about their mental health care in advance, including consenting to or refusing specific types of mental health treatments, should they later be deemed incapable of making such decisions.
  • Health Insurance Port-Angy Act (HIPAA) Authorization: A HIPAA Authorization form permits healthcare providers to disclose an individual's health information to designated persons. It's crucial for family members or healthcare proxies who need access to this information to make informed decisions.
  • Emergency Medical Services (EMS) Do Not Resuscitate Order: Similar to a DNR order but specifically designed for emergency medical personnel, this document instructs EMS workers not to perform CPR or other life-saving procedures in emergency situations.
  • Advance Directive Packet: Some individuals choose to compile their healthcare-related documents into an advance directive packet. This packet, often including the Living Will among other documents listed above, ensures that all relevant healthcare directives are in one readily accessible place.

Together, these documents provide a comprehensive framework for healthcare planning. By taking the time to understand and complete them, individuals in Missouri can ensure their healthcare preferences are known and respected, paving the way for peace of mind for themselves and their families. It's recommended to discuss these documents with legal and healthcare professionals to ensure they accurately reflect one's wishes and comply with Missouri law.

Similar forms

The Missouri Living Will form shares similarities with the Durable Power of Attorney for Health Care. Both documents empower individuals to make decisions regarding their medical care beforehand. While a Living Will specifically outlines the types of medical treatments and life-sustaining measures a person wants or does not want at the end of their life, a Durable Power of Attorney for Health Care appoints another person to make health care decisions on their behalf if they are unable to communicate their wishes. This similarity lies in their common goal of ensuring a person’s health care preferences are honored when they can no longer express them.

Another document akin to the Missouri Living Will form is the Do Not Resuscitate (DNR) Order. Both documents focus on the medical treatments at the end of life. However, while a Living Will can cover a range of treatments and conditions, a DNR specifically instructs health care providers not to perform CPR if a person’s breathing stops or if their heart stops beating. The link between them is their function to guide health care professionals on how to act – or not act – in critical situations according to the patient's wishes.

The Health Care Proxy is also similar to the Missouri Living Will form. Both are advance directives that guide medical care decisions. The Living Will specifies the kinds of medical treatment an individual desires, focusing on life-sustaining treatment preferences. Conversely, a Health Care Proxy designates an agent to make all health care decisions, not limited to end-of-life care, on behalf of the person. This similarity provides a comprehensive approach to safeguarding individual health care preferences across different scenarios.

Lastly, the Five Wishes document shares common ground with the Missouri Living Will form in addressing end-of-life care preferences. The Five Wishes document goes beyond traditional health care directives by including personal, emotional, and spiritual wishes along with medical directives. It combines the elements of a Living Will and a Health Care Power of Attorney, offering a holistic view of an individual’s end-of-life care wishes. The similarity is in the core purpose of ensuring that an individual’s preferences are known and respected when they are most vulnerable.

Dos and Don'ts

Filling out a Living Will in Missouri is an important step in planning for your healthcare future. It ensures your wishes are known if you're unable to communicate them yourself. To make this process smoother, here's a list of do's and don'ts.

  • Do take your time to understand each section of the form. It's crucial to know exactly what each part means for your care and how it reflects your wishes.
  • Do discuss your wishes with your family, close friends, and healthcare providers. It's important they understand your preferences to honor them when the time comes.
  • Do consult with a healthcare provider or an attorney if you have any questions or need clarification on medical or legal terms. They can provide valuable insights and guidance.
  • Do be as specific as possible when detailing your healthcare preferences. Clear instructions can help avoid confusion or interpretation issues later on.
  • Do choose a trusted person as your healthcare proxy. This individual will make decisions on your behalf, so it's crucial they understand and respect your healthcare wishes.
  • Don't leave any sections blank unless the instructions clearly state it's optional. Incomplete information can lead to questions or challenges in enforcing your living will.
  • Don't use ambiguous language. Being clear and precise can prevent misunderstandings about your healthcare preferences.
  • Don't forget to sign and date the form in the presence of the required witnesses. Without your signature and that of the witnesses, the living will may not be legally valid.
  • Don't keep your Living Will a secret. Share copies with your healthcare proxy, family, and healthcare providers to ensure your wishes are followed.

By following these guidelines, you can create a Living Will that accurately reflects your healthcare wishes, providing peace of mind to you and your loved ones.

Misconceptions

Many individuals have misconceptions about the Missouri Living Will form, beliefs that often cloud their judgment about this crucial tool for healthcare planning. Below are six common myths demystified to provide clarity and aid in informed decision-making.

  • Myth 1: A Living Will is only for the elderly. The truth is, unexpected medical situations can arise at any age. The Living Will is a crucial document that allows any adult to outline their healthcare wishes, ensuring that these preferences are known and considered, regardless of their age.

  • Myth 2: You don't need a lawyer to create a Living Will in Missouri. While it's accurate that you can legally draft a Living Will without legal assistance, consulting a professional can ensure that your document clearly articulates your wishes and meets all Missouri statutory requirements, thereby reducing the likelihood of disputes or misunderstandings.

  • Myth 3: A Living Will and a Last Will and Testament are the same. These documents serve different purposes: a Living Will specifies your healthcare preferences if you are unable to communicate them yourself, whereas a Last Will and Testament outlines the distribution of your estate after your death. Confusing these can lead to significant gaps in your planning.

  • Myth 4: Once created, a Living Will cannot be changed. The flexibility of a Living Will is one of its strengths. In Missouri, as in other states, you can revise your Living Will as often as you like, reflecting changes in your health, your relationships, or your end-of-life care preferences.

  • Myth 5: A Living Will is enough to ensure all your healthcare preferences are followed. While a Living Will is pivotal, it's often best paired with a Durable Power of Attorney for Health Care. This ensures that someone you trust can make healthcare decisions on your behalf, covering decisions not specified in your Living Will.

  • Myth 6: My family will know what I want without a Living Will. Assuming that family members can predict your healthcare preferences can lead to stresses and disagreement at a difficult time. A clearly written Living Will can provide guidance and peace of mind for your loved ones, clearly outlining your preferences.

Key takeaways

When considering the completion and use of the Missouri Living Will form, it's essential to understand its purpose and how it can serve as a critical document in one’s health care planning. The following key takeaways provide valuable insights into the process and importance of this legal document.

  • Understanding the Purpose: A Missouri Living Will allows individuals to outline their wishes regarding medical treatment if they become unable to communicate those wishes themselves due to illness or incapacity.
  • Legal Requirements: To ensure the living will is legally valid in Missouri, it must be signed in the presence of two qualified witnesses who are not related to you by blood or marriage and who are not beneficiaries of your estate.
  • Choosing an Agent: While a living will does not always require one, considering appointing a health care proxy or power of attorney for health care decisions can provide additional clarity and ensure your wishes are followed.
  • Specifying Medical Interventions: The form allows you to specify which life-sustaining treatments you would want or not want, including the use of ventilators, feeding tubes, and CPR, among others.
  • Review and Update Regularly: Over time, your preferences for care might change. It’s a good practice to review and, if necessary, update your living will to reflect your current wishes.
  • Sharing the Document: It’s crucial to share your living will with your family, your chosen agent (if applicable), and your healthcare providers to ensure that your wishes are well-known and can be easily accessed when needed.
  • Combining with Other Documents: For a comprehensive approach to your healthcare planning, consider combining your living will with other advance directives, such as a durable power of attorney for health care.
  • Seek Professional Advice: If you have concerns or questions about filling out your Missouri Living Will form, consulting with a legal professional can provide personalized guidance tailored to your situation.

By carefully considering these aspects, individuals can take proactive steps to ensure their healthcare preferences are respected, providing peace of mind to both them and their families. Remember, the Missouri Living Will is more than just a form; it's a statement of your values and wishes regarding your healthcare and end-of-life care.

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