Living Will. If Resident has executed an advance directive in the form of a living will relating to the provision of health care services in the event of terminal or other illnesses/conditions, Resident shall provide a copy of the living will to Messiah Village, and a copy of any revisions or changes made to the document during Resident’s term of Occupancy. In the event of transfer to Nursing Care, Messiah Village will attempt to comply with the instructions or requests of Resident as reflected in Resident’s living will, if Resident’s advance instructions/requests are consistent with law and Messiah Village’s policy, as such policy may change from time to time. If Messiah Village cannot comply with Resident’s advance directive as reflected in Resident’s living will, then Messiah Village shall assist in arranging for the transfer of Resident to another health care provider, if reasonably available, which will comply with Resident’s advance directive. The transfer and cost of care in another health care facility shall be an additional cost, and Resident shall be responsible to pay such costs.
Living Will. I understand that if an emergency medical condition should occur I will be transferred to the closest hospital for further evaluation and treatment. I understand that if I have an advance directive or living will, the surgery center will still transfer me to the closest hospital which will make decisions about following any advance directive or living will. If I should be transferred to a hospital, I consent to the hospital to release copies of my medical records to the surgery center to review the episode of care. I have the following Copy given to Surgery Center □ Living Will □ □ Health care surrogate, proxy, or durable power of attorney □ □ Power of Attorney □
Living Will. A living will (treatment directive) is a written declaration directing your doctor to withhold or withdraw death prolonging procedures should you lack the capacity to make the decisions. It does not apply to any other health-care decisions. A living will directs your doctor’s actions when the use of death-prolonging procedures would serve only to postpone the moment of death, but would not provide a cure for the condition.
Living Will. Do you have a Living Will and Durable Power of Attorney? YES NO If YES, please furnish us with a copy for your medical chart or allow us to make a copy to attach to your chart. Thank you. If NO, would you like more information regarding this subject? YES NO
Living Will. Also known as a “medical directive” or “medical declaration,” it instructs a doctor, hospital, or medical provider not to administer life-sustaining procedures if you are terminally ill or permanently unconscious. Being terminally ill generally means that there are less than six months to live. If you do not want artificial nutrition or hydration, the law requires that you say so in the document. Be certain to check state laws as each state has its own limitations and requirements. Advance Directive An advance directive is a legal document, written in advance of an incapacitating illness that allows you to state your preferences about medical care. Most states recognize two forms of advance directives—a living will and a durable power of attorney for health care. Did You Know…
