Printable blank Wisconsin Living Will Form

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What is the Wisconsin Living Will Form?

This fillable Wisconsin Living Will Form is used by adults in the state of Wisconsin to state their wishes for life-sustaining procedures and feeding tubes for the cases, in which the person is in a terminal condition or in a persistent vegetative state.

What I need the Wisconsin Living Will Form for?

  • To deliver your wish to die naturally in case you are in terminal condition or in a persistent vegetative state;
  • To declare that you want feeding tubes used in case you are in terminal condition or in a persistent vegetative state;
  • To deliver your wish to have or not to have life-sustaining procedures used if you are in a persistent vegetative state.

How to fill out the Wisconsin Living Will Form?

The form consists of five pages in total. The first three pages are devoted to the detailed instructions on when and how the form is used and in which cases it should be filled out. 
Page 4 of the printable Wisconsin Living Will form is filled out by entering your name and checking the boxes that indicate your decisions on the corresponding issues. 
The last page of the form is filled out by entering information about yourself and signing the document in the corresponding field. In order to fill out the form correctly, two witnesses must sign the form at the same time as you. 

Organizations that work with the Wisconsin Living Will Form

Healthcare organizations in the state of Wisconsin

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