"Living Will" - Alabama

An Alabama Living Will - sometimes confused with an Advance Directive - is a document that allows an individual to clarify their wishes regarding health care and treatment in case of temporary or permanent incapacity.

The form must at the very least address the three following topics:

  • The election of an agent or a healthcare proxy;
  • Life support;
  • Palliative care.

An Alabama Living Will is defined and regulated by Title 22. Health, Mental Health, and Environmental Control § 22-8A-4 of the Code of Alabama which states that any legal adult may execute a will directing the providing or withholding of life-sustaining treatment, artificially provided hydration and nutrition. Not valid if pregnant.

Download and fill out a ready-made template below or make your own Living Will with our online form builder.

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What Is an Alabama Living Will?

A Living Will is a written, legal document that spells out the medical treatments an individual would and would not want to be used to keep them alive. The form also clarifies the preferences for other medical decisions, such as pain management or organ donation. The person for whom the will is created is called the Principal.

The document may be revoked at any time as long as the Principal still has the mental capacity to do so. The Principal may also elect a trusted individual - or agent - to make decisions on their behalf when they are no longer able to speak for themselves.

How to Make a Living Will in Alabama?

An Alabama Living Will template commonly includes the kinds of medical procedures administered to patients who are seriously ill. These include the following:

  • The transfusion of blood and blood products;
  • Cardiopulmonary resuscitation;
  • Diagnostic tests;
  • Dialysis;
  • The administration of drugs - specifically pain medication, food, and water;
  • Tissue and organ donation;
  • The use of a respirator;
  • Surgery.

A patient has to print their will in several copies. It is recommended to keep the original with other important paperwork where a family member or agent may expect to find them. The copies of the Living Will must be handed out to the medical professionals and relatives tasked with either administering the treatment or executing the will.

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Download "Living Will" - Alabama

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Alabama Living Will
I, _______________________________ with a mailing address of ______________
____________________________________________________________________,
being of sound mind, memory, disposition, understanding, and at least eighteen years
of age, do willfully and freely, by this Living Will, direct my family, physician(s),
attorney, and any other individuals who may in the future become responsible for my
health and well-being and any resolutions related thereto, whether partly or fully, to
take the following actions in each of the circumstances described in this Living Will
below.
1. If I develop a condition deemed to be “terminal” with my attending physician
and one other medical professional both agreeing within a reasonable degree of
medical certainty that I cannot be cured, I request the following:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
2. If I fall into a coma with my attending physician and one other medical
professional both agreeing within a reasonable degree of medical certainty that
there is no chance for recovery, I direct the following:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
3. If I develop a persistent vegetative state with my attending physician and one
other medical professional both determining within a reasonable degree of
medical certainty that there is no chance for recovery, I request the following:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Alabama Living Will
I, _______________________________ with a mailing address of ______________
____________________________________________________________________,
being of sound mind, memory, disposition, understanding, and at least eighteen years
of age, do willfully and freely, by this Living Will, direct my family, physician(s),
attorney, and any other individuals who may in the future become responsible for my
health and well-being and any resolutions related thereto, whether partly or fully, to
take the following actions in each of the circumstances described in this Living Will
below.
1. If I develop a condition deemed to be “terminal” with my attending physician
and one other medical professional both agreeing within a reasonable degree of
medical certainty that I cannot be cured, I request the following:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
2. If I fall into a coma with my attending physician and one other medical
professional both agreeing within a reasonable degree of medical certainty that
there is no chance for recovery, I direct the following:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
3. If I develop a persistent vegetative state with my attending physician and one
other medical professional both determining within a reasonable degree of
medical certainty that there is no chance for recovery, I request the following:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
4. In addition to the directions I have listed on this Living Will, I also want the
following:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Signatures
Principal
By signing this Living Will in front of the witnesses named below, I hereby execute
and subscribe to the statements made in this Living Will both freely and voluntarily,
and wholeheartedly request that my family, physician(s), attorney, and any other
individuals who may in the future become responsible for my health and well-being
and any decisions related thereto, whether partly or fully, all abide by my wishes as
pronounced herein.
_________________________________
Name
_________________________________
Signature
_________________________________
Date of signing
Witnesses
This Living Will was signed by _________________________________ in the
presence of the following two witnesses, who by their signatures below, confirm that
_________________________________ was, at the time this document was signed,
at least eighteen years of age, of sound mind, memory, disposition, understanding, not
under any improper influence and able to understand the weight of this decision. The
undersigned have subscribed this document in the presence of each other and
_________________________________ and at their request.
First Witness: ​ _ ________________________________ ​ w ith a mailing address of
____________________________________________________________________.
_________________________________
Signature
_________________________________
Date of signing
Second Witness: ​ _ ________________________________ ​ w ith a mailing address of
____________________________________________________________________.
_________________________________
Signature
_________________________________
Date of signing
Notary Acknowledgement
STATE OF ALABAMA
COUNTY OF _________________________________
I, _________________________________, a Notary Public of said County, do certify
that _________________________________, as Principal, and __________________
________________ and _________________________________, as witnesses,
whose names are signed to the writing above bearing date on the _______ day of
______________, ______, have this day acknowledged the same before me.
Given under my hand this _______ day of ______________, ______.
My commission expires: ___________________________________
______________________________________
Signature of Notary Public
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