,,APP5DIX ,A
        ,,/EP-BY-/EP ,,DIREC;NS
    ,,ON ,,FILL+ ,,\ ,,YR ,,LIV+ ,,W

,X IS N LEGAL 6ASK A PHYSICIAN 6HELP Y
-MIT SUICIDE4 ,EV5 9 ,OREGON1 ": X IS
LEGAL =A T]M9,Y ILL PATI5T 63TROL !
EXACT "T ( 8 D1?1 X IS / N LEGAL =A
PHYSICIAN 6TAKE "P 9 ! SUICIDE4 ,X IS
NEC =! PATI5T 6G 2F A PANEL ( PHYSICIANS
& ASK T 9 ! FUTURE ^U ! REQUE/ (!
PATI5T1 ! PHYSICIAN 2 ALL[$ 6PRESCRIBE A
DOSE ( M$IC,N T WD 5D ! LIFE (! PATI5T4
,O!R REQUE/S1 H["E1 >E POSSI#4
  ,I "K ( AN 9/.E 9 : A PATI5T ASK$ 8
PHYSICIAN 6D :AT"E 0 NEC 65SURE T HE 2
A# 6LIVE "? ,*RI/MAS ,"D4 ,! PHYSICIAN 0
DIRECT$1 9 ! ,DIRECTIVE 6,PHYSICIANS1
6TAKE ALL M$ICAL /EPS POSSI# 79CLUD+ !
USE ( >TIFICIAL M$ICAL DEVICES7 UNTIL
#AB A4M41 ,DECEMB] #BF1 (! APPROPRIATE
YE>4 ,AF T "T1 ! PATI5T'S DIRECTIVE
9/RUCT$ T IF >TIFICIAL DEVICES _H BE5
EMPLOY$ 6KEEP HM ALIVE "? ,*RI/MAS ,"D1
T ^! DEVICES 7 6BE REMOV$1 &! PATI5T 0
6BE ALL[$ 6DIE NATUR,Y4 ,=TUNATELY1 X _H
N BE5 NEC 6H >TIFICIAL M$ICAL DEVICES2
HE DI$ AT HOME ! "D AF ,*RI/MAS4 ,!
IMPORTANT ?+ 6NOTE IS T ? "PICUL> PATI5T
_H AN ONGO+ REL,N%IP ) 8 PHYSICIAN4 ,!
O!R ?+ T MADE X POSSI# 6C>RY \ 8 WI%ES
LAY 9 ! NATURE (! P]SONAL;Y TYPES (! P
LI/$ Z 8 M$ICAL ADVOCATES4 ,? PATI5T
*OSE M$ICAL ADVOCATES :O WD C>RY \ 8
WI%ES 6! LR1 & MADE SURE T IF 8 REGUL>
PHYSICIAN W5T ON VAC,N OR 0 UNAVAILA#1
ANO!R PHYSICIAN WD N 2 ALL[$ 69T]F]E )
:AT ! PATI5T _H WRITT54 ,! ?IRD ?+ T
MADE ? PROCESS POSSI# WAS1 ( C\RSE1 T !
PATI5T _H WRITT5 8 WI%ES D[N AH1D ( "T4
  ,MO/ ,LIV+ ,WILLS MAKE ! ASSUMP;N T Y
>E FILL+ !M \ 2C Y WANT LL1 IF ANY1
M$ICAL 9T]V5;N4 ,S WE W />T )!
,DIRECTIVE 6,PHYSICIANS4 ,? DOCU;T IS A
GUIDEL9E N WRITT5 9 /"O & C 2 *ANG$ AT
ANY "T DUR+ YR LIFE4 ,IF Y ORD] "O F !
LI/+ ( PH"O NUMB]S 9 ! *APT] ON ,LIV+
,WILLS1 ! ^W+ MAY 2 SLI<TLY DI6]5T4 ,I W
D ^W+S = ALL ?REE TYPES ( ,DIRECTIVES
6,PHYSICIANS1 !N =! ,DURA# ,H1L? ,C>E
,P[] ( ,ATTORNEY4 ,! WIT;S /ATE;TS &
/ATE;TS =! ,DURA# ,H1L? ,C>E ,P[] (
,ATTORNEY /AY ! SAME =! 8,WAIT A ,M9UTE0
TYPES &! 8,I ,WANT ,"EY?+0 TYPES Z !Y D
=! 8,GETT+ ! ,HELL \ ( ,DODGE0 TYPES4
,MY -;TS 7( C\RSE1 ,I H "S7 W 2 NOT$
SEP>ATE F ! DOCU;T4 ,REMEMB]1 ? IS A
SAMPLE ,LIV+ ,W4 ,EA* /ATE HAS XS [N =MS
&! =MS C EV5 2 A LL DI6]5T F "O AG5CY
6ANO!R1 EV5 9 ! SAME /ATE4

    ,WELL1 Y GUESS$ X1 ,I DI$4 ,I _H S*
    SEV]E BRA9 DAMAGE F ! C> WRECK T TWO
    DOCTORS SD ,I WD H NO QUAL;Y ( LIFE4
    ,I "K MIRACLES O3UR B ,I DIDN'T WANT
    6TAKE ! *.E4 ,I WD L 6?ANK MY M$ICAL
    ADVOCATES = LETT+ ME G4 ,S,Y1 MY
    WIFE1 HAS D"O BETT] ?AN ,I ?"\2 %E
    TOOK MY LIFE 9SUR.E M"OY & />T$ H]
    [N BUSI;S4

,,SAMPLE ,,"O
,,DIRECTIVE ,,6,,PHYSICIANS 8,GETT+ !
,HELL \ ( ,DODGE0
  ,I1 2+ ( S.D M9D1 WILL;LLY &
VOLUNT>ILY MAKE "KN MY DESIRE T MY LIFE
% N 2 >TIFICI,Y PROL;G$ "U ! CIRCUM/.ES
SET =? 2L & D "HBY DCL3
#A4 ,IF AT ANY "T1 ,I %D H AN 9CURA# OR
    IRREV]SI# 3DI;N CAUS$ 09JURY1 41SE1
    OR ILL;S C]TIFI$ 6BE A T]M9AL 3DI;N
    0TWO PHYSICIANS1 & ": ! APPLIC,N (
    LIFE-SU/A9+ PROC$URES WD S]VE ONLY
    6>TIFICI,Y PROL;G ! MO;T ( MY D1? &
    ": MY ATT5D+ PHYSICIAN DET]M9ES T MY
    D1? IS IMM95T :E!R OR N LIFE-SU/A9+
    PROC$URES >E US$1 OR T D1? W RESULT
    )9 A RELATIVELY %ORT P]IOD ( "T )\T
    APPLIC,N ( S* LIFE-SU/A9+ PROC$URES1
    ,I DIRECT T S* PROC$URES 2 )HELD OR
    )DRAWN1 & T ,I 2 P]MITT$ 6DIE
    NATUR,Y4
    ,AU?OR'S -;T3 ,GETT+ TWO DOCTORS
    6AGREE ON ANY?+ C "S"TS 2 A MAJOR
    PRO#M4 ,T IS :Y YR M$ICAL ADVOCATES
    %D 2 ! K9D ( P :O >E N AFRAID 6GET M
    ?AN "O OP9ION4
#B4 ,LIFE-SU/A9+ PROC$URES MAY 9CLUDE3
    C>DIAC RESUSCIT,N1 ME*ANICAL
    RESPIR,N1 M$IC,NS1 ANTIBIOTICS1 &
    >TIFICIAL NUTRI;N & HYDR,N4
#C4 ,9 ! ABS;E ( MY ABIL;Y 6GIVE
    DIREC;NS REG>D+ ! USE ( S* LIFE-
    SU/A9+ PROC$URES1 X IS MY 9T5;N T ?
    DIRECTIVE % 2 HONOR$ 0MY FAMILY &
    PHYSICIANS Z ! F9AL EXPRES.N ( MY
    LEGAL "R 6REFUSE M$ICAL OR SURGICAL
    TR1T;T1 & A3EPT ! 3SEQU;ES F S*
    REFUSAL4
    ,AU?OR'S -;TS3 ,REMEMB] 8FAMILY0 >E
    ! P Y SELECT Z YR M$ICAL ADVOCATES4
    ,! DOCU;T DOES N SAY 8BIOLOGICAL
    FAMILY04
#D4 ,IF ,I H BE5 DIAGNOS$ Z 2+ PREGNANT
    & T DIAGNOSIS IS "KN 6MY PHYSICIAN1
    ? DIRECTIVE % H NO =CE OR E6ECT DUR+
    ! C\RSE ( MY PREGNANCY4
    ,AU?OR'S -;T3 ,9 O!R ^WS1 IF Y LIVE
    9 ,TEXAS1 Y >E GO+ 6BE 8HOOK$ UP0
    UNTIL ! BABY IS BORN4 ,? /ATE;T
    V>IES F /ATE 6/ATE4
#E4 ,? DIRECTIVE % 2 9 E6ECT UNTIL X IS
    REVOK$4
#F4 ,I "U/& ! FULL IMPORT ( ? DIRECTIVE
    & ,I AM EMO;N,Y & M5T,Y -PET5T 6MAKE
    ? DIRECTIVE4
#G4 ,I "U/& T ,I MAY REVOKE ? DIRECTIVE
    AT ANY "T4
    7,OP;NAL7 ,I "U/& T ,TEXAS LAW ALL[S
    ME 6DESIGNATE ANO!R P]SON 6MAKE A
    TR1T;T DECI.N = ME IF ,I %D 2COME
    -ATOSE1 9COMPET5T1 OR O!RWISE M5T,Y
    OR PHYSIC,Y 9CAPA# ( -MUNICAT+4 ,I
    "HBY DESIGNATE ! FOLL[+ P]SON 6MAKE
    S* A TR1T;T DECI.N = ME IF ,I %D
    2COME 9CAPA# ( -MUNICAT+ ) MY
    PHYSICIAN3
    ,,DATE
    ,,"N
    ,,A4RESS
    ,,PH"O ,,NUMB]
#H4 ,IF ! P]SON ,I H "ND ABV IS UNA#
    6ACT ON MY 2HALF1 ,I AU?ORIZE !
    FOLL[+ P]SON 7OR P]SONS7 6D S3
    ,,DATE
    ,,"N
    ,,A4RESS
    ,,PH"O ,,NUMB]
#I4 ,I H 4CUSS$ MY WI%ES ) ^! P]SONS &
    TRU/ _! JUDG;T4
    7,OP;NAL7 ,"U ! CIRCUM/.ES DESCRIB$
    9 ,P>AGRAPH #A ABV3 ,I 7D7 7D N7
    DIRECT MY PHYSICIAN 6)HOLD OR )DRAW
    >TIFICIAL NUTRI;N & HYDR,N
    7TUBEFE$+7 S T ,I W 2 P]MITT$ 6DIE
    NATUR,Y4
    ,AU?OR'S -;TS3 ,*ECK 8D0 OR 8D N0
    WANT TUBEFE$+4 ,"S P DON'T WANT
    MA*9ES S* Z ! RESPIRATOR B !Y WANT
    TUBEFE$+4 ,? DOCU;T GIVES Y A *.E
    6SEP>ATE T PROC$URE F ALL ! O!RS4

    ,I AM ,PAUL ! POSSUM1 "O (! WIT;SES
    :O M/ SIGN T ,I H WIT;S$ ! ,LIV+ ,W
    2+ SIGN$4 ,I'M HANG+ UPSIDE D[N 2C
    MAYBE ,I W5T 6SLEEP R1D+ ALL ^! BOR+
    DOCU;TS4 ,OR MAYBE ,I DIDN'T G
    6SLEEP4 ,Y W PROBABLY N"E "K4 ,I AM1
    AF ALL1 A POSSUM4

,,WIT;S ,,/ATE;T
  ,I AM N RELAT$ 6! DECL>ANT 0BLOOD OR
M>RIAGE2 NOR WD ,I 2 5TITL$ 6ANY POR;N
(! DECL>ANT'S E/ATE ON 8 DEC1SE1 NOR AM
,I ! ATT5D+ PHYSICIAN (! DECL>ANT OR AN
EMPLOYEE (! ATT5D+ PHYSICIAN1 OR A
PATI5T 9 ! H1L? C>E FACIL;Y 9 : !
DECL>ANT IS A PATI5T1 OR ANY P]SON :O
HAS A CLAIM AG/ ANY POR;N (! E/ATE (!
DECL>ANT ^U ! DEC1SE4 ,FUR!R1 IF ,I AM
AN EMPLOYEE (A H1L? C>E FACIL;Y 9 : !
DECL>ANT IS A PATI5T1 ,I AM N 9VOLV$ 9
PROVID+ DIRECT PATI5T C>E 6! DECL>ANT
NOR AM ,I DIRECTLY 9VOLV$ 9 ! F9ANCIAL
A6AIRS (! H1L? C>E FACIL;Y4
,,"N
,,DATE
,,"N
,,DATE
,,"N
,,DATE
    ,AU?OR'S -;TS3 ,REMEMB]1 ! WIT;SES
    ONLY WIT;S ! SIGN+ (! DOCU;T4 ,!Y D
    N TAKE "P 9 ANY (! DECI.N PROCESSES
    9 C>RY+ \ ! LA/ WI%ES (! 8DECL>ANT40
    ,OBVI\SLY1 ! 8DECL>ANT0 IS ! P]SON
    FILL+ \ 8 OR H] ,LIV+ ,W4 ,I H NO
    IDEA :Y ! WIT;SES H 6BE S DETA*$ F !
    SITU,N4 ,!Y H NO AU?OR;Y 9 ! EXECU;N
    (! ,LIV+ ,W4 ,AL1 REMEMB]1 ! ,LIV+
    ,W DOES N SAY T Y _C PICK A FELL[
    RESID5T ( YR NURS+ HOME 6BE YR
    M$ICAL ADVOCATE1 Y J _C USE HM/H] Z
    A WIT;S4 ,? PROVI.N AG/ GETT+ FELL[
    PATI5TS OR RESID5TS (! H1L? C>E
    FACIL;Y 6WIT;S YR ,LIV+ ,W MAY 2 9
    PLACE 6GU>D AG/ ! H1L? C>E FACIL;Y
    PUTT+ PRESSURE ON ! WIT;SES IF "! %D
    2 LITIG,N LAT] AB H[ ! ,LIV+ ,W 0
    C>RI$ \4
    
    ,I AM ! O!R WIT;S :O HAS 6WIT;S !
    SIGN+ (! DOCU;TS ON ! ,LIV+ ,W4 ,I
    "K1 2C ,I'M AN [L1 & ,I'M SUPPOS$
    6BE 8WISE04
    
    ,,DURA# ,,P[] ,,( ,,ATTORNEY ,,=
    ,,H1L? ,,C>E
    ,DESIGN,N ( ,H1L? ,C>E ,AG5T3
    
  ,I 79S]T "N ( P]SON FILL+ \ ,LIV+ ,W7
    AN ADULT 2+ ( S.D M9D "HBY APPO9T3
    ,"N
    ,A4RESS
    ,PH"O
    Z MY AG5T 6MAKE ANY & ALL H1L? C>E
    DECI.NS = ME1 EXCEPT 6! EXT5T ,I
    /ATE O!RWISE 9 ? DOCU;T4 ,? P[] (
    ATTORNEY % N T]M9ATE ON MY 4ABIL;Y4
    ,? DURA# P[] ( ATTORNEY = H1L? C>E
    TAKES E6ECT IF ,I 2COME UNA# 6MAKE
    MY [N H1L? C>E DECI.NS & ? FACT IS
    C]TIFI$ 9 WRIT+ 0MY PHYSICIAN4
    
  ,LIMIT,NS ON ! ,DECI.N ,MAK+ ,AU?OR;Y
    ( MY ,AG5T >E Z FOLL[S3 ------------
    ------------------------------------
    --
    
  ,DESIGN,N ( ,ALT]NATE ,AG5T3 7,Y >E N
    REQUIR$ 6DESIGNATE AN ALT]NATE AG5T
    B Y MAY D S4 ,AN ALT]NATE AG5T MAY
    MAKE ! SAME H1L? C>E DECI.NS IF !
    DESIGNAT$ AG5T IS UNA# OR UNWILL+
    6ACT Z YR AG5T4 ,IF ! DESIGNAT$ AG5T
    IS YR SP\SE1 ! DESIGN,N IS
    AUTOMATIC,Y REVOK$ 0LAW IF YR
    M>RIAGE IS 4SOLV$47
    ,AU?OR'S -;TS3 ,X IS A GD IDEA 6H
    ALT]NATE AG5TS4 ,REMEMB]1 YR 8AG5TS0
    >E ! M$ICAL ADVOCATES WE 4CUSS$ 9 !
    G5]AL *APT] ON ,LIV+ ,WILLS4 ,*OOSE
    YR ALT]NATE M$ICAL ADVOCATES )! SAME
    C>E Y TOOK :5 *OOS+ ! ORIG9AL "O4
  ,IF ! P]SON DESIGNAT$ Z MY AG5T IS
UNA# OR UNWILL+ 6MAKE H1L? C>E DECI.NS =
ME1 ,I DESIGNATE ! FOLL[+ P]SONS 6S]VE Z
MY AG5TS 6MAKE H1L? C>E DECI.NS = ME1 Z
AU?ORIZ$ 0? DOCU;T1 :O W S]VE 9 ! FOLL[+
ORD]3
  ,F/ ,ALT]NATE ,AG5T3
,"N
,PH"O
,A4RESS
  ,SECOND ,ALT]NATE ,AG5T3
,"N
,PH"O
,A4RESS
    ,AU?OR'S -;TS3 ,A REC5T 3V]S,N ) "O
    ( MY BRO!RS BR"\ =? ! FOLL[+ TACT;L
    -;T3 8,BE SURE & TELL !M 7REF]R+
    6R1D]S ( ? BOOK7 6ONLY APPO9T "O
    SON-(-A-BIT* AT A "T 6BE 9 *>GE ( _!
    ,LIV+ ,W4 ,O!RWISE !Y'LL H 6DIE
    0-MITTEE40
  ,! ORIG9AL ( ? DOCU;T IS KEPT AT3
,A4RESS3
  ,! FOLL[+ 9DIVIDUALS OR 9/ITU;NS H
SIGN$ COPIES ( ? DOCU;T3
,FILL 9 "NS & A4RESSES4
,DUR,N3
  ,I "U/& T ? P[] ( ATTORNEY = H1L? C>E
EXI/S 9DEF9ITELY F ! DATE ,I EXECUTE ?
DOCU;T UN.S ,I E/ABLI% A %ORT] "T OR
REVOKE ! ,DURA# ,H1L? ,C>E ,P[] (
,ATTORNEY4 ,IF ,I AM UNA# 6MAKE H1L? C>E
DECI.NS = MYF :5 ? ,H1L? ,C>E ,P[] (
,ATTORNEY EXPIRES1 ! AU?OR;Y ,I H GRANT$
MY AG5T 3T9UES 6EXI/ UNTIL ! "T ,I 2COME
A# 6MAKE H1L? C>E DECI.NS = MYF4
    ,AU?OR'S -;TS3 ,REMEMB]1 ! ,LIV+ ,W
    IS N US$ UN.S X IS DET]M9$ T ! P]SON
    :O FILL$ X \ IS N CAPA# ( MAK+ S.D
    M$ICAL DECI.NS4 ,IF Y GET BETT] &
    REGA9 YR ABIL;Y 6-MUNICATE YR [N
    NE$S1 ! ,LIV+ ,W IS NO L;G] AN
    ISSUE4
,PRIOR ,DESIGN,N ,REVOK$3
  ,I REVOKE ANY PRIOR P[] ( ATTORNEY =
H1L? C>E4
    ,AU?OR'S -;T3 ,? IS ! "P = Y1 !
    P]SON DO+ YR ,LIV+ ,W1 6FILL \ IF Y
    WI% 6*ANGE YR M9D AB :O Y H LI/$ Z
    YR M$ICAL ADVOCATES4 ,IF Y >E GO+
    6REVOKE "O OR M P ON ? DOCU;T1 2
    SURE & REPLACE !M ) O!RS4
,AC"KL$G;T ( ,4CLOSURE ,/ATE;T3
  ,I H BE5 PROVID$ )A 4CLOSURE /ATE;T
EXPLA9+ ! E6ECT ( ? DOCU;T4 ,I H R1D &
"U/OOD ! 9=M,N 3TA9$ 9 ! 4CLOSURE
/ATE;T4
,"N
,DATE
,,WIT;S ,,/ATE;T
  ,I DCL "U P5ALTY ( P]JURY T ! PR9CIPAL
HAS ID5TIFI$ HMF OR H]F 6ME1 T !
PR9CIPAL SIGN$ OR AC"KL$G$ ? ,DURA# ,P[]
( ,ATTORNEY = ,H1L? ,C>E 9 MY PRES;E1 T
,I 2LIEVE ! PR9CIPAL 6BE ( S.D M9D1 T !
PR9CIPAL HAS A6IRM$ & IS AW>E (! NATURE
(! DOCU;T & IS SIGN+ X VOLUNT>ILY & FREE
F DURESS1 T ! PR9CIPAL REQUE/$ T ,I S]VE
Z WIT;S 6! PR9CIPAL'S EXECU;N ( ?
DOCU;T1 T ,I AM N ! P]SON APPO9T$ Z AG5T
0? DOCU;T1 & T ,I AM N A PROVID] ( H1L?
OR RESID5TIAL C>E1 AN EMPLOYEE (A
PROVID] ( H1L? OR RESID5TIAL C>E1 !
OP]ATOR (A -MUN;Y C>E FACIL;Y1 OR AN
EMPLOYEE OR AN OP]ATOR (A H1L? C>E
FACIL;Y4
  ,I DCL T ,I AM N RELAT$ 6! PR9CIPAL
0BLOOD1 M>RIAGE1 OR ADOP;N1 & T1 6! BE/
( MY K1 ,I AM N 5TITL$ 6ANY "P (! E/ATE
(! PR9CIPAL ON ! D1? (! PR9CIPAL "U A W
OR 0OP],N ( LAW4
,,"N
,,A4RESS
,,DATE
    ,AU?OR'S -;TS3 ,^? :O WRITE LEGAL
    DOCU;TS D N SEEM 6"K H[ OR :5 6PUT
    P]IODS AT ! 5D ( _! S5T;ES4

    ,REMEMB] ME F ! F/ *APT]8 ,I DID GET
    BETT] & ,I'M 9 ! REHAB C5T] N[4 ,I
    WD L 6?ANK MY M$ICAL ADVOCATES =
    GIV+ ME T EXTRA "T1 ESPECI,Y S9CE
    ALL ! DOCTORS SD ,I'D N"E REGA9
    3SCI\S;S4 ,:AT D !Y "K8 ,I'M HAV+
    SPEE* !RAPY & US+ ! CANE4

,! 8,WAIT A ,M9UTE0 ,TYPE
  ,Z Y C SEE1 ! /&>D ,LIV+ ,W =M
7,DIRECTIVE 6,PHYSICIANS1 & ,DURA# ,H1L?
,C>E ,P[] ( ,ATTORNEY7 IS WRITT5 =!
8,GETT+ ! ,HELL \ ( ,DODGE0 TYPE--!
P]SON :O WANTS ONLY T M$ICAL ASSI/.E T
WD S]VE 6KEEP HM -=TA# & PA9-FREE1 B
DOES N PROL;G 8 LIFE UNNECESS>ILY4
,H["E1 Z 4CUSS$ 9 ! F/ *APT] ( ? BOOK 9
! G5]AL *APT] ON ,LIV+ ,WILLS1 "! >E A
NUMB] ( P :O WI% 6H ALL M$ICAL ASSI/.E
AVAILA# 6!M =A 8R1SONA#0 P]IOD ( "T4
,UNTIL N[1 ^! P H _H NO WRITT5 VEHICLE
"? : 6EXPRESS !MVS1 O!R ?AN ! 9S];N (!
^W 8R1SONA#0 PLAC$ 9 _! ,DIRECTIVE
6,PHYSICIANS : IS S VAGUE Z 6BE UN5=C1#4
,"H IS A SAMPLE ( :AT Y C WRITE IF Y >E
A 8,WAIT A ,M9UTE0 TYPE & WI% 6H A
,DIRECTIVE T IS M EXPLICIT 9 XS "T L9ES
?AN ! ^W 8R1SONA#0 IMPLIES4
  ,! WIT;S /ATE;TS & /ATE;TS =! ,DURA#
,H1L? ,C>E ,P[] ( ,ATTORNEY /AY ! SAME
=! 8,WAIT A ,M9UTE0 TYPES &! 8,I ,WANT
,"EY?+0 TYPES Z !Y D =! 8,GETT+ ! ,HELL
\ ( ,DODGE0 TYPES1 S X IS N NEC 6REPR9T
^? /ATE;TS "H4
  ,"H IS ! SAMPLE =! 8,WAIT A ,M9UTE0
TYPE3

,,SAMPLE ,,TWO
,,DIRECTIVE ,,6,,PHYSICIANS 8,WAIT A
,M9UTE0 ,TYPE
  ,I1 2+ ( S.D M9D1 WILL+LY & VOLUNT>ILY
MAKE "KN MY DESIRE & DIRECT MY PHYSICIAN
T MY LIFE % 2 MA9TA9$ 9 ! FOLL[+ MANN]3
  ,IF AT ANY "T ,I %D H AN 9CURA# OR
IRREV]SI# 3DI;N CAUS$ 09JURY1 41SE1 OR
ILL;S C]TIFI$ 6BE A T]M9AL 3DI;N 0TWO
PHYSICIANS1 & ": ! APPLIC,N ( LIFE-
SU/A9+ PROC$URES WD S]VE 6>TIFICI,Y
PROL;G ! MO;T ( MY D1?1 ,I WI% !
APPLIC,N ( ^! >TIFICIAL DEVICES 6BE
APPLI$ 9 ! FOLL[+ MANN]3 ,I WANT ALL
M$ICAL 9T]V5;N AVAILA# 6ME =A %ORT "T1 N
LESS ?AN TWO WEEKS1 OR M ?AN A MON?4 ,^!
LIFE-SU/A9+ PROC$URES MAY 9CLUDE3 C>DIAC
RESUSCIT,N1 ME*ANICAL RESPIR,N1
,C4,P4,R41 M$IC,NS1 ANTIBIOTICS1 &
>TIFICIAL NUTRI;N & HYDR,N4 ,IF ,I H N
%[N ANY IMPROVE;T 0! 5D (! "T P]IOD SET
=? 9 ? DOCU;T1 ,I WI% ALL >TIFICIAL
M$ICAL 9T]V5;N 6BE 4CONT9U$1 EXCEPT T :
W KEEP ME FREE ( PA9 & -=TA#1 & T ,I %D
2 ALL[$ 6DIE NATUR,Y4 ,=! PURPOSES ( ?
DOCU;T1 ,I DEF9E IMPROVE;T Z A /ATE 9 :
,I C RECOGNIZE P1 & C ANSW] "QS
3SI/5TLY1 "? SPEE*1 WRIT+1 OR ) "S BODY
MOVE;T 7S* Z H&SQUEEZ+1 EYE BL9K+1 *ANGE
9 BR1?+1 OR ANY O!R BODY MOVE;T7 T ,I C
D 3SI/5TLY Z ! ANSW] 6"QS POS$ 6ME4 ,X
IS MY "U/&+ T1 AC 6MO/ REHABILIT,N
!ORI/S1 ,I H UP 6SIX MON?S 6A YE>
6A*IEVE MAXIMUM RECOV]Y4 ,H["E1 IF ,I H
N MADE ANY IMPROVE;T Z DEF9$ ABV 9 ! "T
FRAME IMPOS$ 9 ? DOCU;T1 ,I WI% 6BE
ALL[$ 6DIE NATUR,Y4

8,S10 ,I C HE> Y ASK1 8H[ D ,I "K ? IS
LEGAL80 ,! ANSW] IS T "! IS NO?+ ILLEGAL
AB PUTT+ A "T LIMIT ON ! USE ( >TIFICIAL
PROL;G,N ( YR [N LIFE4 ,O!RWISE1 X WD 2
ILLEGAL 6FILL \ A /&>D ,LIV+ ,W T CALLS
= NO M$ICAL DEVICES4 ,WRIT+ ! ,DIRECTIVE
6,PHYSICIANS = 8,WAIT A ,M9UTE0 TYPES IS
C]TA9LY BETT] ?AN N WRIT+ ANY?+ AT ALL4
,MO/ P :O >E 8,WAIT A ,M9UTE0 TYPES
SIMPLY REFUSE 6FILL \ _! ,LIV+ ,WILLS 2C
( _! FE> T M$ICAL 9T]V5;N W 2 4CONT9U$
2F !Y H "T 6SEE IF !Y >E GO+ 6GET BETT]4
,WRIT+ YR WI%ES D[N IS NO GU>ANTEE T Y W
GET :AT Y WANT4 ,H["E1 IF Y WRITE NO?+1
YR WI%ES W N"E 2 "KN4

    ,HI1 REMEMB] ME F ! F/ *APT]8 ,I'M /
    ALIVE2 !Y H BR"\ ME BACK 6LIFE ?REE
    "TS & ,I AM 9 A L;GT]M C>E FACIL;Y
    N[1 ?ANKS 6,CYNDY1 ! SOCIAL "W]4
    ,I'M GLAD ,I WROTE ?+S D[N AH1D (
    "T4 ,I C HE> MO/ ( :AT P SAY &!
    DOCTORS TRI$ 6TALK MY HUSB& 96TAK+
    ME (F LIFE SUPPORT 2C (! 9SUR.E4 ,:5
    ,I GET BETT]1 ,I'M GO+ 6WRITE A BOOK
    AB MY EXP]I;ES4

8,I ,WANT ,"EY?+0 ,TYPE
  ,REVOK+ YR ,DIRECTIVE 6,PHYSICIANS IS
A GD WAY 6LET YR PHYSICIAN "K T Y WANT
ALL M$ICAL 9T]V5;N AVAILA# 6Y4 ,H["E1
ESPECI,Y = ^? :O LIVE 9 CITIES1 Y MAY N
H ! SAME PHYSICIAN AT ! 5D ( YR ILL;S Z
Y DID AT ! 2G9N+4 ,AL1 YR DOCTOR MAY
L1VE YR 9SUR.E PLAN1 OR YR 9SUR.E PLAN
MAY L1VE YR DOCTOR4 ,AL1 IF Y >E 9VOLV$
9 AN A3ID5T1 YR M$ICAL ADVOCATES MAY H
6D1L ) AN EM]G5CY ROOM PHYSICIAN :O HAS
NO CLUE Z 6YR WI%ES4 ,"H'S :AT Y C WRITE
IF Y N"E SIGN$ A ,DIRECTIVE 6,PHYSICIANS
9 ! F/ PLACE4 ,2L IS ! SAMPLE /ATE;T3

,,SAMPLE ,,?REE
,,DIRECTIVE ,,6,,PHYSICIANS 8,I ,WANT
,"EY?+0 ,TYPE
  ,I1 2+ ( S.D M9D1 WILL+LY & VOLUNT>ILY
MAKE "KN MY DESIRE & DIRECT MY
PHYSICIANS 6MA9TA9 MY LIFE 9 ! FOLL[+
MANN]3
  ,IF1 AT ANY "T1 ,I %D H AN 9CURA# OR
IRREV]SI# 3DI;N CAUS$ 09JURY1 41SE1 OR
ILL;S C]TIFI$ 0TWO PHYSICIANS 6BE A
T]M9AL 3DI;N1 & ": ! APPLIC,N ( LIFE-
SU/A9+ PROC$URES WD S]VE 6>TIFICI,Y
PROL;G ! MO;T ( MY D1?1 ,I "HBY DIRECT
MY PHYSICIANS 6TAKE ALL /EPS & MA9TA9 MY
LIFE Z L;G Z X IS M$IC,Y POSSI# 6D S4
,^! H]OIC M1SURES MAY 9CLUDE ! USE (
LIFE-SU/A9+ DEVICES4 ,LIFE-SU/A9+
PROC$URES MAY 9CLUDE3 C>DIAC RESUSCIT,N1
ME*ANICAL RESPIR,N1 ,C4,P4,R41 M$IC,NS1
ANTIBIOTICS1 & >TIFICIAL NUTRI;N &
HYDR,N4 ,=! PURPOSES ( ? DOCU;T1 ,I
DEF9E 8LIFE-SU/A9+0 Z ! ABIL;Y (! M$ICAL
PR(ES.N 6MA9TA9 MY HE>TB1T & RESPIR,NS4
,I WI% 6AVAIL MYF (! WONDR\S M$ICAL
TE*NOLOGICAL ADV.ES T >E MY "R Z A
PATI5T 9 ! ,UNIT$ ,/ATES ( ,AM]ICA 6H4
,:5 ,I AM SUPPOS$ 6DIE1 ,GOD W N LET !
M$ICAL SY/EM KEEP ME ALIVE1 NO MATT] :AT
9T]V5;N IS ATTEMPT$4

    ,I AM ,CYNDY1 YR SOCIAL "W]4 ,IF Y
    DECIDE 6H 8"EY?+0 !N WE W NE$ 64CUSS
    YR L;GT]M C>E & 9SUR.E B5EFITS4

,AU?OR'S -;TS3 ,OBTA9 A ,LIV+ ,W ^:
,DIRECTIVE 6,PHYSICIANS HAS A SPACE =
-;TS S* Z A L9E CALL$ 8,O!R04 ,"U 8,O!R0
Y C SIMPLY WRITE "S?+ S* Z 8,I WANT
TOTAL M$ICAL ASSI/.E =A P]IOD N LESS ?AN
TWO WEEKS OR M ?AN A MON?0 IF Y >E A
8,WAIT A ,M9UTE0 TYPE1 OR 8,I WANT TOTAL
M$ICAL ASSI/.E = Z L;G Z MY LIFE C 2
SU/A9$10 IF Y >E AN 8,I ,WANT ,"EY?+0
TYPE4
  ,I HOPE ^! TWO *APT]S ON ,LIV+ ,WILLS1
BO? ! G5]AL Z WELL Z ! /EP-BY-/EP *APT]1
H GIV5 Y "S?+ 6?9K AB1 Z WELL Z M
EXPLICITLY DEF9+ ! OP;NS Y H 9 -PLET+ YR
,LIV+ ,W4 ,I HOPE Y 5JOY ! MUSICAL SEC;N
( ? BOOK1 ! TIPS ON H[ 6BE A GD C>EGIV]
Z WELL Z A GD PATI5T1 & T Y H BE5
5T]TA9$ 0! SEC;N ON GU>DIAN ANGELS OR
\-(-BODY VISITS4 ,I HOPE ,I H />T$ Y ON
A NEW J\RNEY 9 ?1 YR [N P]SONAL M$ICAL
ODYSSEY4