The following is the boiler-plate Advance Directive in Oklahoma:
ADVANCE DIRECTIVE FOR HEALTH CARE
I, ____________________, being of sound mind and eighteen (18) years of age or older, willfully and voluntarily make know my desire, by my instructions to others through my living will, that my life shall not be artificially prolonged under the circumstances set forth below. I thus do hereby declare:
I. Living Will
a. If my attending physician and another physician determine that I am no longer able to make decisions regarding my medical treatment, I direct my attending physician and other health care providers, pursuant to the Oklahoma Rights of the Terminally Ill or Persistently Unconscious Act, to withhold or withdraw treatment from me under the circumstances I have indicated below by my signature. I understand that I will be given treatment that is necessary for my comfort or to alleviate my pain.
b. If I have a terminal condition:
(1) I direct that life-sustaining treatment shall be withheld or withdrawn if such treatment would only prolong my process of dying, and if my attending physician and another physician determine that I have an incurable and irreversible condition that even with the administration of life-sustaining treatment will cause my death within six (6) months.
______________________ (signature)
(2) I understand that the subject of the artificial administration of nutrition and hydration (food and water) that will only prolong the process of dying from an incurable and irreversible condition is of particular importance. I understand that if I do not sign this paragraph, artificially administered nutrition and hydration will be administered to me. I further understand that if I sign this paragraph, I am authorizing the withholding or withdrawal of artificially administered nutrition (food) and hydration (water).
______________________ (signature)
c. If I am persistently unconscious:
(1) I direct that life-sustaining treatment be withheld or withdrawn if such treatment will only serve to maintain me in an irreversible condition, as determined by my attending physician and another physician, in which thought and awareness of self and environment are absent.
______________________ (signature)
(2) I understand that the subject of the artificial administration of nutrition and hydration (food and water) for individuals who have become persistently unconscious is of particular importance. I understand that if I do not sign this paragraph, artificially administered nutrition and hydration will be administered to me. I further understand that if I sign this paragraph, I am authorizing the withholding or withdrawal of artificially administered nutrition (food) and hydration (water).
______________________ (signature)
______________________ (signature)
II. Other Provisions
a. I understand that if I have been diagnosed as pregnant and that diagnosis is known to my attending physician, this advance directive shall have no force or effect during the course of my pregnancy.
b. In the absence of my ability to give directions regarding the use of life-sustaining procedures, it is my intention that this advance directive shall be honored by my family and physicians as the final expression of my legal right to refuse medical or surgical treatment including, but not limited to, the administration of any life-sustaining procedures, and I accept the consequences of such refusal.
c. The advance directive shall be in effect until it is revoked.
d. I understand that I my revoke this advance directive at any time.
e. I understand and agree that if I have any prior directives, and if I sign this advance directive, my prior directives are revoked.
f. I understand the full importance of this advance directive and I am emotionally and mentally competent to make this advance directive.
Signed this _____ day of ___________, 200__.
_______________________________
Name
_______________________________
City, County & State of Residence
This Advance Directive For Health Care, consisting of two pages, was on the above stated date signed by Declarant in the presence of each of us who, in the presence of Declarant and in the presence of each other, have signed our names as witnesses thereto. I am eighteen (18) years of age or older and am not a legatee, devisee or heir at law of the Declarant.
___________________ _____________________
(Signatures)
___________________ _____________________
(Address)
The wills and estate is one of the most ancient and most litigated branch of the law. Yey after centuries of wills being adjudicated upon,we have yet to come up with a boiler plate one.
Thanks. I wonder if this would work for Texas.