Individuals may specify how they want medical treatment to take place, including end of life conditions. We have prepared an easy-to-use form, which can be printed out and completed. Or, you can complete the form on your computer screen and either send it electronically or print it out. You will need to initial and sign the form in person.

Please Note: Adobe Reader is required to fill out this form. Please print your completed form for your files.

If you don't have Adobe Reader installed, you can download it here.

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