GT
olden imes
ESTATE PLANNING M AKING
A monthly magazine for the region’s retirees by Target Publications June 1, 2015 / Vol. 26, No. 6
DIRECTIVE REGARDING MEDICAL TREATMENT (Living Will) GIVEN BY GOLDY TIMES
To my family, my relatives, my friends, my physicians, my employers, and all others
whom it may concern: I, Goldy Times, a resident of Juliaetta, Latah County, Idaho, being of sound mind, willfully, and voluntarily make known my desire that my life shall not be prolonged artificially under the circumstances set forth below, do hereby execute this directive to be effective as of the date hereof, and do hereby declare as follows: ARTICLE I - EXPRESSION OF INTENT
PLA N S F O R
THE INEVITA B LE E N D
If at any time I should have an incurable injury, disease, illness or condition certified to
ISN ’ T ALWAY S A N E A S Y
be terminal by two (2) medical doctors, who have examined me, and where the application of
SUBJECT TO B R O A C H
life-sustaining procedures of any kind would serve only to prolong my life artificially, and where
BUT IT ’ S A N E C E S S A R Y
two (2) medical doctors determine that my death is imminent, whether or not life-sustaining
ONE
/ P A G E 12
procedures are utilized, or I have been diagnosed as being in a persistent vegetative state, I direct that the following marked expression of my intent be followed, that I be permitted to die
DE I S IN Senior lunch menus — Page 3 & 4 Commentary by Michelle Schmidt
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naturally, and that I receive such medical treatment or care that may be required to keep me free of pain or distress. Idaho Code § 49-4504. Initial and mark only one of the following:
GT If at any time I should become unable to communicate my instructions, then I _____ direct that all medical treatment, care, nutrition and hydration necessary to restore my health, sustain my life, and to abolish or alleviate pain or distress be provided to me. Nutrition and hydration shall not be withheld or withdrawn from me if I would die from malnutrition or dehydration rather than from my injury, disease, illness or condition.
House Call — Page 18 Senior Talk — Page 21
DIRECTIVE REGARDING MEDICAL TREATMENT (Living Will) GIVEN BY GOLDY TIMES -- 1
Creason, Moore, Dokken & Geidl, PLLC P.O. Drawer 835, Lewiston ID 83501 (208)743-1516; Fax(208)746-2231