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Maryland residents have the option to make their health care wishes known in advance through a document known as a Living Will. This critical form allows individuals to outline their preferences regarding medical treatment in scenarios where they are unable to communicate due to severe illness or incapacity. The Maryland Living Will form covers various aspects of health care decisions, including desires concerning life-sustaining treatments, artificial nutrition and hydration, and other medical interventions. It serves as a directive to physicians, family members, and health care agents, ensuring that an individual's medical treatment preferences are respected even when they cannot voice their wishes. By having a Living Will, people can provide clear instructions about the type of care they want to receive, thereby relieving family members of the burden of making difficult decisions during emotional times. The document is legally binding in Maryland, provided it complies with state-specific requirements, such as being properly witnessed or notarized, thus it is essential for residents to understand its provisions and the process for its execution properly.

Example - Maryland Living Will Form

Maryland Living Will Template

This living will is designed in accordance with the Maryland Health Care Decisions Act, which allows individuals to dictate their wishes regarding medical treatments and life-sustaining procedures in the event they become incapacitated and unable to communicate their decisions. It provides a way to communicate your health care preferences to family, friends, and health care professionals to avoid unnecessary confusion and stress during difficult times.

Complete the following sections to ensure your wishes are understood and respected.

Section 1: Personal Information

Full Name: ________________________________
Address: __________________________________
City: _____________________________________
State: Maryland
ZIP Code: ________________________________
Date of Birth: ____________________________
Social Security Number: ___________________

Section 2: Powers of Attorney

Designate an individual to serve as your health care agent, making health care decisions on your behalf if you are unable to do so.

Primary Health Care Agent
Name: ______________________________________
Relationship: _____________________________
Phone Number: ____________________________
Alternate Phone Number: ___________________

Alternate Health Care Agent (in the event the primary is unable to serve)
Name: ______________________________________
Relationship: _____________________________
Phone Number: ____________________________
Alternate Phone Number: ___________________

Section 3: Medical Treatment Preferences

Specify your preferences regarding the medical treatments you wish to receive or refuse in situations where recovery is not expected and you are unable to communicate.

  1. Life-Sustaining Treatment: Indicate your preferences regarding the use of life-sustaining measures (e.g., mechanical ventilation, dialysis) when your condition is deemed terminal and irreversible.
    • ____ I wish to receive all available life-sustaining treatments.
    • ____ I do not want any life-sustaining treatments and prefer to allow natural death.
  2. Artificial Nutrition and Hydration: State your wishes regarding the use of feeding tubes or IV fluids to keep you alive in terminal conditions.
    • ____ I wish to receive artificial nutrition and hydration under any circumstances.
    • ____ I do not want artificial nutrition and hydration if my condition is terminal and irreversible.
  3. Pain Management and Comfort Care: Express your desires concerning pain relief and comfort measures, even if these treatments may hasten death.
    • ____ I wish to receive medication to relieve pain and discomfort, even if it shortens my life.
    • ____ I wish to be kept comfortable, but do not want treatments that might significantly shorten my life.

Section 4: Signature and Witnesses

To validate this living will, your signature, along with the signatures of two witnesses or a notary public, is required. Witnesses must not be related to you by blood or marriage, entitled to any part of your estate, or responsible for your health care costs.

Your Signature: ____________________________ Date: _______________
Witness 1 Signature: ____________________________ Date: _______________
Witness 2 Signature: ____________________________ Date: _______________

Please review your living will regularly and update it as needed to reflect your current wishes.

Form Specifics

Fact Detail
Governing Law The Maryland Living Will, formally known as an "Advance Directive," is governed by Maryland Health-General Code, §§ 5-601–5-614.
Purpose It allows individuals to state their wishes for medical treatment in scenarios where they are unable to communicate their decisions due to illness or incapacity.
Components The form typically includes a Living Will section and a Health Care Power of Attorney section, allowing appointment of an agent to make decisions on the individual's behalf.
Validity Requirements Must be signed by the declarant in the presence of two witnesses, who also need to sign the document. Witnesses should not be beneficiaries of the declarant's estate.
Revocation An Advance Directive can be revoked at any time by the declarant, regardless of their mental state, through various methods such as a written statement or oral declaration.
Accessibility It's recommended to inform family members and healthcare providers of the existence and location of the Living Will to ensure it is easily accessible when needed.
Witness Restrictions Witnesses cannot be someone who is responsible for the health care of the declarant, a beneficiary of the declarant’s estate, or have claims against the estate.
When it Becomes Effective The document becomes effective when the declarant is determined by two physicians to be unable to make their own medical decisions.
Optional Provisions May include specific wishes about the use of dialysis, mechanical breathing, tube feeding, or other life-sustaining treatments.

How to Write Maryland Living Will

In Maryland, the Living Will is an essential document that allows individuals to outline their preferences for medical treatment in the event they become unable to make these decisions for themselves. This form is a proactive step in healthcare planning, ensuring that the individual's wishes are known and considered. Completing the Maryland Living Will form requires attention to detail and an understanding of one's medical treatment preferences. Below is a step-by-step guide to assist in filling out this form accurately.

  1. Start by gathering your personal information, including your full legal name, date of birth, and address. This information will be used to identify you as the subject of the Living Will.
  2. Read through the entire form to understand the types of decisions you will need to make. This will include choices about life-sustaining treatments, artificial nutrition, and hydration.
  3. In the section designated for treatment preferences, clearly indicate which medical treatments you would want to receive or refuse if you were in a terminal condition, a persistent vegetative state, or have an end-stage condition. Be as specific as possible.
  4. If you have strong feelings about receiving or not receiving specific types of treatments, such as artificial respiration or tube feeding, make sure to address these in the relevant sections of the form.
  5. Appoint a healthcare agent by providing the name, relationship, and contact information of the person you trust to make healthcare decisions for you if you cannot. Ensure this person has agreed to this responsibility and understands your wishes.
  6. Sign and date the form in the presence of two witnesses who are not your healthcare agent or relatives by blood or marriage. The witnesses must be over 18 years of age and should sign and print their names, attesting to your signature.
  7. Review the completed form to ensure all information is accurate and reflects your treatment preferences accurately. Make a copy for your healthcare agent, close family members, and your primary healthcare provider.

Once the Maryland Living Will form is filled out, it should be kept in a safe but accessible place where it can be easily found in an emergency. It's also wise to discuss your decisions with close family members and your healthcare provider to ensure your wishes are understood and can be acted upon if necessary. Remember, the Living Will can be updated at any time should your preferences or circumstances change.

Things You Should Know About This Form

  1. What is a Maryland Living Will?

    A Maryland Living Will is a legal document that outlines your preferences regarding medical treatments and interventions if you become unable to make decisions for yourself due to incapacity. It allows you to specify what life-sustaining treatments you would or would not like to receive in situations where recovery is not expected.

  2. Who should have a Living Will in Maryland?

    Any adult who wants to ensure their medical treatment preferences are followed in the event they can no longer communicate their decisions should have a Living Will. It offers peace of mind to both the individual and their family members by providing clear instructions on medical care.

  3. How does one create a Living Will in Maryland?

    To create a Living Will in Maryland, you need to fill out the appropriate form, detailing your wishes for medical treatment in various scenarios. After filling it out, you must sign it in the presence of two witnesses. These witnesses must also sign, affirming that you are making your decisions voluntarily and are of sound mind.

  4. Are there any special requirements for witnesses in Maryland?

    Yes, in Maryland, witnesses to a Living Will cannot be individuals who may inherit from you, healthcare providers who are currently treating you, or employees of a health care facility where you are receiving care. Witnesses should be impartial parties who have no financial or medical interest in your death.

  5. What types of decisions can be included in a Maryland Living Will?

    A Maryland Living Will can include decisions about the use of life-sustaining procedures, like artificial ventilation and feeding tubes, if you are in a persistent vegetative state or if recovery is not expected. It can also cover preferences for pain management, organ donation, and other end-of-life care options.

  6. Can a Living Will be revoked or changed in Maryland?

    Yes, you can revoke or change your Living Will at any time while you are competent. To revoke, you can either create a new living will that states new preferences and explicitly revokes the old one, or you can destroy the original document. To modify, it is recommended to create a new Living Will that reflects your current wishes.

  7. How do healthcare providers in Maryland know if I have a Living Will?

    It is your responsibility to inform your healthcare providers about your Living Will. You should give copies to your healthcare agent (if you have designated one), your primary care provider, and any facilities where you receive care. It’s also wise to inform close family members or friends about the existence and location of your Living Will.

  8. What happens if I do not have a Living Will in Maryland?

    If you do not have a Living Will in Maryland, decisions about your medical care will typically be made by your closest family members or a legally appointed guardian. This might not always reflect your personal preferences and could lead to disputes among family members about the best course of action.

Common mistakes

One common mistake people make when filling out the Maryland Living Will form is overlooking the need to clearly specify their health care agent. Selecting a health care agent is crucial as this person will make decisions on your behalf if you cannot. Having a clear choice ensures your medical care aligns with your wishes.

Another frequent error is failing to discuss their choices with their designated health care agent. It's one thing to select an agent, but fully informing them about your preferences in various medical scenarios is crucial. This ensures they are prepared to make decisions that accurately reflect your desires.

A third mistake involves not being specific about medical treatments you do or do not want. The Maryland Living Will form allows you to outline specific wishes for medical care, including treatments you would refuse under certain conditions. Vagueness here can lead to unwanted medical interventions.

Individuals often neglect to update their Living Will. Life changes—such as new diagnoses, changes in personal relationships, or shifts in perspective—can alter what one desires in their care. Regular review and updates to your Living Will are essential to ensure it reflects your current wishes.

Not having the document signed and witnessed as required by Maryland law is a critical oversight. For a Living Will to be legally valid, it must be signed by the person creating it in the presence of two witnesses. These witnesses must also meet specific criteria, which if overlooked, can invalidate the document.

There's also a tendency to misplace the Living Will or fail to inform others of its location. A Living Will is only useful if it can be found when needed. Informing your health care agent, family members, and possibly your primary care physician of its location is essential.

Many individuals mistakenly believe they have adequately communicated their wishes verbally and that a formal document is unnecessary. However, in stressful situations, memories can falter, and verbal instructions are not legally binding in the way a completed Living Will is. Documentation is essential.

Another error is assuming that filling out a form once covers all bases. However, Maryland law may change, as might available medical treatments or your personal preferences. Regularly reassessing your Living Will ensures it is both legally compliant and aligned with your current desires.

Finally, using a generic form without ensuring it meets Maryland's specific requirements is a mistake. While many resources are available, ensuring the form complies with Maryland law is essential for it to be effective. This may require consulting with a legal professional who is knowledgeable about state-specific requirements.

Documents used along the form

When individuals in Maryland decide to create a Living Will, a document that outlines their preferences for medical treatment should they become unable to make decisions themselves, several other forms and documents often accompany this critical document to ensure comprehensive healthcare planning. These forms complement the Living Will by addressing various aspects of a person's medical and personal care preferences, providing a more robust framework for decision-making in times of incapacitation. Below are five commonly used documents that are typically utilized alongside the Maryland Living Will form.

  • Advance Health Care Directive: This document combines a Living Will and a Health Care Power of Attorney. It not only allows a person to specify their healthcare preferences in detail but also designates a trusted individual to make health care decisions on their behalf if they are unable to do so.
  • Health Care Power of Attorney: Quite different from a general Power of Attorney, this document specifically allows a person to appoint someone else to make health care decisions for them if they become incapacitated. It is broader in scope than a Living Will, as it is not limited to end-of-life decisions.
  • Mental Health Advance Directive: Focuses on an individual's preferences regarding mental health treatment and can include consent for or refusal of specific treatments. This document is crucial for those with mental health considerations and works alongside a Living Will to cover decisions not strictly related to physical health.
  • Do Not Resuscitate (DNR) Order: A critical document for those who wish to refuse cardiopulmonary resuscitation (CPR) in the event their breathing stops or their heart stops beating. A DNR order is often recommended for individuals with severe, life-limiting illnesses and is a direct command to healthcare professionals.
  • Organ Donor Designation: Although not a form of advance directive, indicating one's wishes about organ donation is an important consideration. This can be done through a separate form, or in Maryland, individuals can also make their preferences known on their driver's license or state ID.

Together with the Living Will, these documents offer a framework that ensures a person's healthcare preferences are known and respected, fostering peace of mind for both the individual and their loved ones. It is advised for individuals to consult with healthcare professionals and legal advisors to ensure each document is appropriately executed and reflects their desires accurately.

Similar forms

The Maryland Living Will shares similarities with the Health Care Power of Attorney. Both documents allow individuals to make important decisions about their medical care in advance. In the case of the Living Will, it's about specifying the kinds of treatments one would or would not want to receive if they become unable to voice their decisions. The Health Care Power of Attorney, on the other hand, designates a trusted person to make health care decisions on the individual's behalf. This shared goal of ensuring one's health care preferences are respected links these two documents closely together.

Next in line is the Advance Directive, which is quite similar to the Living Will but broader in scope. The Maryland Living Will is specifically focused on end-of-life care decisions, such as life support and pain management, under circumstances where recovery is not expected. The Advance Directive encompasses this but also can include instructions for other medical situations that might not be life-ending. Essentially, an Advance Directive is a combination of a Living Will and a Health Care Power of Attorney, making it a comprehensive planning document.

The Do Not Resuscitate Order (DNR) is another document that shares a common purpose with the Maryland Living Will. Both are aimed at guiding medical teams on how to proceed with treatment during critical health situations. While a Living Will provides detailed instructions on the extent of medical intervention an individual desires, a DNR specifically addresses the issue of not initiating CPR (Cardiopulmonary Resuscitation) in the event the individual’s heart stops or they stop breathing. The focus on avoiding specific life-sustaining treatments links a DNR closely with the broader directives found in a Living Will.

A Durable Power of Attorney for Finances is, at first glance, quite different from a Maryland Living Will, focusing on financial decisions rather than health care ones. However, both documents are crucial components of a thorough estate plan, ensuring that an individual's affairs are managed according to their wishes if they're unable to make decisions themselves. By appointing a trusted agent to oversee financial matters, the Durable Power of Attorney for Finances complements the health care directives of a Living Will by covering another essential aspect of personal agency and future planning.

Last but not least, the Five Wishes Document offers a more person-centered approach to the ideas behind the Maryland Living Will. It guides individuals through the process of documenting their preferences regarding medical treatment, comfort, and how they wish to be treated by others, as well as their desires for their memorial. While it serves a similar purpose to the Living Will by ensuring a person's wishes are known and respected, the Five Wishes Document stands out by encompassing aspects of care beyond the medical, including personal, emotional, and spiritual wishes, offering a holistic view of end-of-life planning.

Dos and Don'ts

When filling out the Maryland Living Will form, it's crucial to ensure that your wishes regarding healthcare are clearly documented should you be unable to make decisions for yourself. To guide you through this sensitive process, here are key do's and don'ts to consider:

Do's:
  • Review the form thoroughly before you start filling it out. Understanding each section ensures that you accurately express your healthcare preferences.
  • Use clear and straightforward language to describe your healthcare wishes. Avoid using medical jargon or terms that might be misunderstood.
  • Consult with healthcare professionals if you have questions about specific treatments or conditions mentioned in the form. They can provide valuable insights that might influence your decisions.
  • Discuss your wishes with family members and healthcare providers. Sharing your decision-making process can help ensure your wishes are understood and respected.
  • Sign and date the form in the presence of two witnesses, as required by Maryland law. Make sure your witnesses are not your healthcare provider or beneficiaries in your will, to avoid conflicts of interest.
Don'ts:
  • Don't leave sections blank unless they are not applicable to your situation. If a section doesn’t apply, it's better to note it as “N/A” (not applicable) rather than leaving it empty to avoid any confusion.
  • Don't use ambiguous language that could be open to interpretation. Be as specific as possible about your healthcare wishes to prevent ambiguity.
  • Don't forget to update your Living Will if your healthcare wishes change. Life events such as marriage, divorce, or the diagnosis of a serious illness can affect your decisions.
  • Don't neglect to discuss your Living Will with your designated health care agent if you've appointed one. This person should fully understand your preferences and be willing to advocate on your behalf.
  • Don't fail to keep your Living Will in an accessible location. Ensure copies are with your healthcare agent, your primary care physician, and in any personal records that can be accessed by loved ones in case of an emergency.

Misconceptions

There are several misconceptions about the Maryland Living Will form. Understanding these can help individuals make informed decisions about their healthcare and end-of-life planning.

  • Only for the Elderly: Many people believe that a Living Will is only for older adults. However, it's important for any adult to have a plan in place, as unforeseen circumstances can happen at any age.

  • Too Complicated to Complete: Another misconception is that the process of completing a Living Will is complicated. In reality, Maryland provides resources to make the process straightforward, and legal advice can be sought if needed.

  • Legally Binding Across States: Some individuals think that a Living Will made in Maryland is valid in all other states. While many states recognize out-of-state documents, specific requirements can vary, and it's advisable to review regulations when moving or spending significant time in another state.

  • Requires a Lawyer: There's a common belief that you need a lawyer to create a Living Will. While legal advice can be beneficial, especially in complex situations, Maryland residents can complete a Living Will without a lawyer by following state guidelines.

  • Not Revocable: A misconception exists that once you create a Living Will, it cannot be changed. In fact, individuals can amend or revoke their Living Will at any time, as long as they are mentally competent.

  • Only Covers Life-Support Termination: Some think that Living Wills only cover the withdrawal of life-support machines. However, they can also include wishes regarding other medical treatments and end-of-life care preferences.

  • Automatically Implemented: There's a belief that a Living Will is automatically implemented once incapacity occurs. In reality, a healthcare agent or medical personnel needs to present and reference the document when making decisions about the incapacitated individual's care.

It's crucial for Maryland residents to understand these misconceptions to ensure their healthcare wishes are accurately documented and respected.

Key takeaways

In Maryland, a Living Will, also referred to as an Advance Directive, is a critical document that allows individuals to outline their medical treatment preferences in the event that they become unable to communicate their wishes directly. The process of filling out and using the Maryland Living Will form involves several key considerations:

  • Understanding the purpose: The Living Will serves as a guide for healthcare providers and loved ones, detailing the types of life-sustaining treatments you would or would not like to receive if you face a terminal condition, an end-stage condition, or are in a persistent vegetative state.
  • Clearly stating your decisions: It's important to be as specific as possible when outlining your wishes. This may include decisions regarding resuscitation, mechanical ventilation, tube feeding, dialysis, and other end-of-life treatments.
  • Selecting a health care agent: While not mandatory, appointing a health care agent in your Living Will can ensure that someone you trust will oversee the implementation of your wishes. This agent should be someone who understands your values and is willing and able to make potentially difficult decisions on your behalf.
  • Discussion with healthcare providers: Prior to finalizing your Living Will, having a candid conversation with your doctor or other healthcare providers can provide insight into the nature of certain medical interventions. This can help ensure that your decisions are well-informed.
  • Legal requirements: The Maryland Living Will must be witnessed by two individuals who are not part of your immediate family or beneficiaries in your will. These witnesses cannot be your healthcare agent or provider, ensuring an unbiased witness to your directives.
  • Sharing your Living Will: Once completed, it's crucial to share copies of your Living Will with your healthcare agent (if you have appointed one), close family members, your primary healthcare provider, and potentially your attorney. Ensuring multiple trusted people have access to this document can facilitate its smooth implementation when necessary.

By considering these key takeaways when completing and distributing your Maryland Living Will, you can help ensure that your healthcare preferences are understood and respected in circumstances where you may not be able to communicate them yourself.

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