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Living Will Form

A living will or healthcare directive allows a person to create end-of-life treatment preferences. Use this free online Living Will form template to gather all necessary information from the principal and prepare a legal document. Customize the form's appearance and content to meet the requirements of your state or country. Add a section to collect specific instructions or preferences regarding pain management, comfort care, and end-of-life care. Convert the completed form into a signed PDF file using Plumsail Documents.

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Fields and controls

  • The form is broken down into steps using the Wizard container. This enhances the user experience as principals can navigate between form sections easily and see their progress through the form.

  • The phone fields accept only 10-digit numbers, and the Social Security number field accepts only 9 digits to prevent input errors. It's done with the Masked Text field type.

  • The email fields only accept data that matches the specified pattern to ensure users enter valid emails. Patterns are an alternative to the Masked Text field to restrict user input.

  • By signing the form, the Principal affirms understanding, voluntariness, mental capacity, and end-of-life wishes.

Disclaimer

This form template is an example and should not be considered a substitute for legal advice. We recommend to consult with an attorney to create a legally valid living will that meets your specific needs and complies with the laws of your state or country.