Wash. Rev. Code § 70.122.030
Current through 2024
Health Care Directive
Directive made this . . . . day of . . . . . . (month, year).
I . . . . . ., having the capacity to make health care decisions, willfully, and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, and do hereby declare that:
I DO want to have artificially provided nutrition and hydration.
I DO NOT want to have artificially provided nutrition and hydration.
Signed . . .. |
City, County, and State of Residence
The declarer has been personally known to me or has provided proof of identity and I believe him or her to be capable of making health care decisions.
Witness . . .. |
Witness . . .. |
RCW 70.122.030