Connecticut Living Will Form

The Connecticut living will, establishes an individual's preferences if they might want to acknowledge or dismiss treatments that could help save their lives if they are in a coma or otherwise unresponsive to treatment. This would possibly be accessible if the individual had no reasonable way of being relieved. The patient might decide to acknowledge or dismiss CPR, alternative way of breathing, or alternative way of eating and drinking.

Connecticut living will template

Connecticut Living Will Form

Definition 

§ 19a-570(a) 

Living will is a statement that is written in accordance with section 19a-575a, containing a declarant's desires regarding any part of their medical care, which includes retaining or removal of life support systems;

Laws

Signing Requirements – Two witnesses must be present at the signing. (§ 19a-575).

Statutes – § 19a-575

Instructions to Write a Colorado living will

Stage 1 – Naming the Principal – The principal’s complete legitimate name should be written first in the document.

Stage 2 – Instructions of the Principal – The assertions given must be surveyed by the Principal. If the principal agrees with the assertions, the treatment he or she would like administered or not. which include the following, should be selected:

  • Cardiopulmonary Resuscitation 

  • Artificial Respiration (which includes a respirator) 

  • Artificial means of providing nutrition and hydration

If they are other treatments you might want to have administered or not, think of them and indicate your desires on the lines provided for them. If you require more space, add an extra sheet and append it to the document.

Stage 3 – Other Specific Requests – If you have different solicitations that you might want to be perceived and executed, they should be written in the blanks provided. In the event that more space is required, an extra sheet should be added and appended to the document.

  • The assertion that concerns the arrangement of pain relief drugs should be read

  • The signature of the Principal should be dated in this format: mm/dd/yyyy

  • The imprint or signature of the Principal should be entered on the right side of the document after the date has been written. 

Stage 4 – Signatures of observers – The assertions must be observed by the witnesses before they sign the document. When the document has been properly read by the witnesses, the following should be carefully entered: 

First Witness – 

Signature of Witness 

Current Address 

City, State, Zip Code 

Second Witness – 

Signature of Witness 

Current Address 

City, State, Zip Code

Download our free Connecticut living will in an instant to create a legally binding document.

Download our free Connecticut living will in an instant to create a legally binding document.

Related Forms