Oklahoma Living Will Form
Oklahoma Living Will.pdf This legal form allows for a resident of Oklahoma to enter into a living will.Download
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IV. General Provisions a. I understand that I must be eighteen (18) years of age or older to exe\ cute this form. b. I understand that my witnesses must be eighteen (18) years of age or o\ lder and shall not be related to me and shall not inherit from me. c. I understand that if I have been diagnosed as pregnant and that diagnosi\ s is known to my attending physician, I will be provided with life-sustaining\ treatment and artificially administered hydration and nutrition unless I have, in my o\ wn words, specifically authorized that during a course of pregnancy, life-sustaining treatment and/or artificially administered hydration and/or nutrition shall be wit\ hheld or withdrawn. d. In the absence of my ability to give directions regarding the use of lif\ e-sustaining procedures, it is my intention that this advance directive shall be hono\ red by my family and physicians as the final expression of my legal right to choos\ e or refuse medical or surgical treatment including, but not limited to, the adminis\ tration of life- sustaining procedures, and I accept the consequences of such choice or r\ efusal. e. This advance directive shall be in effect until it is revoked. f. I understand that I may revoke this advance directive at any time. g. I understand and agree that if I have any prior directives, and if I sig\ n this advance directive, my prior directives are revoked. h. I understand the full importance of this advance directive and I am emot\ ionally and mentally competent to make this advance directive. i. I understand that my physician(s) shall make all decisions based upon hi\ s or her best judgment applying with ordinary care and diligence the knowledge an\ d skill that is possessed and used by members of the physician's profession in good s\ tanding engaged in the same field of practice at that time, measured by national\ standards. Signed this _____ day of_______________, 2______. __________________________________ Signature __________________________________ _________________________ Residence Date of birth (Optional for (City, county, and state) identification purposes) This advance directive was signed in my presence. __________________________________ ____________________________ Signature of Witness Signature of Witness __________________________________ ____________________________ \ Address Address ____________________________ _____________________________ City/State City/State OKDHS Pub. No. 87-07W Revised 6/2008 This publication is authorized by the Human Services Commission in accor\ dance with state and federal regulations and printed by the Oklahoma Dep\ artment of Human Services at a cost of $500.00 for 5,000 copies. Copies have been deposited with the Pu\ blications Clearinghouse of the Oklahoma Department of Libraries. OKDHS \ of fices may request copies on ADM-9 electronic supply orders. Members of the public may obtain copies \ by contacting the OKDHS Records Center at (405) 962-1721 or 1-877-283-\ 41 13 (toll free). For assistance in filling out this form call (405) 522-3069. _____ _____ _____ _____ _____ A dvance D irective for H ealth C are This form (in English, Vietnamese and Spanish) and answers to frequently asked questions (FAQS) are available at this web address: http://okpalliative.nursing.ouhsc.edu/oklaw.htm OKLAHOMA ADVANCE DIRECTIVE FOR HEALTH CARE If I am incapable of making an informed decision regarding my health car\ e, I direct my health care providers to follow my instructions below. I. Living Will If my attending physician and another physician determine that I am no l\ onger able to make decisions regarding my medical treatment, I direct my attending \ physician and other health care providers, pursuant to the Oklahoma Advance Directive Act, to follow my instructions as set forth below: 1. If I have a terminal condition, that is, an incurable and irreversibl\ e condition that even with the administration of life-sustaining treatment will, in the o\ pinion of the attending physician and another physician, result in death within six (\ 6) months: (Initial only one option) I direct that my life not be extended by life-sustaining treatment, exce\ pt that if I am unable to take food and water by mouth, I wish to receive artificiall\ y administered nutrition and hydration. I direct that my life not be extended by life-sustaining treatment, inc\ luding artificially administered nutrition and hydration. I direct that I be given life-sustaining treatment and, if I am unable \ to take food and water by mouth, I wish to receive artificially administered nutritio\ n and hydration. (Initial if applicable) See my more specific instructions in paragraph (4) below. 2. If I am persistently unconscious, that is, I have an irreversible con\ dition, as determined by the attending physician and another physician, in which th\ ought and awareness of self and environment are absent: (Initial only one option) I direct that my life not be extended by life-sustaining treatment, exc\ ept that if I am unable to take food and water by mouth, I wish to receive artificia\ lly administered nutrition and hydration. I direct that my life not be extended by life-sustaining treatment, inc\ luding artificially administered nutrition and hydration. II. My Appointment of My Health Care Proxy If my attending physician and another physician determine that I am no l\ onger able to make decisions regarding my medical treatment, I direct my attending \ physician and other health care providers pursuant to the Oklahoma Advance Directive Act to follow the instructions of: ______________________, whom I appoint as my health care proxy. If my health care proxy is or becomes unable or unwilling to serve, I ap\ point: ____________________________ as my alternate health care proxy with the \ same authority. My healthcare proxy is authorized to make whatever health care decisions\ I could make if I were able, except that decisions regarding life-sustaining tre\ atment and artificially administered nutrition and hydration can be made by my heal\ th care proxy or alternate health care proxy only as I have indicated in the foregoing\ sections. If I fail to designate a health care proxy in this section, I am deliber\ ately declining to designate a health care proxy. III. Anatomical Gifts Pursuant to the provisions of the Uniform Anatomical Gift Act, I direct that at the time of my death my entire body or designated body organs or body parts be do\ nated for purposes of: (Initial all that apply) _____ transplantation therapy _____ advancement of medical science, research, or education _____ advancement of dental science, research, or education Death means either irreversible cessation of circulatory and respiratory\ functions or irreversible cessation of all functions of the entire brain, including t\ he brain stem. I specifically donate: (Initial all that apply) _____ My entire body; or The following body organs or parts; _____ lungs _____ liver_____ arteries _____ pancreas _____ heart _____ glands _____ kidneys _____ brain _____ tissue _____ skin _____ bones/marrow _____ eyes/cornea/lens _____ bloods/fluids _____ tissue _____ other ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ _____ _____ _____ _____ _____ I direct that I be given life-sustaining treatment and, if I am unable \ to take food and water by mouth, I wish to receive artificially administered nut\ rition and hydration. (Initial if applicable) See my more specific instructions in paragraph (4) below . 3. If I have an end-stage condition, that is, a condition caused by inju\ ry, disease, or illness, which results in severe and permanent deterioration indicated b\ y incompetency and complete physical dependency for which treatment of the\ irreversible condition would be medically ineffective: (Initial one option only) I direct that my life not be extended by life-sustaining treatment, exce\ pt that if I am unable to take food and water by mouth, I wish to receive artificiall\ y administered nutrition and hydration. I direct that my life not be extended by life-sustaining treatment, inc\ luding artificially administered nutrition and hydration. I direct that I be given life-sustaining treatment and, if I am unable t\ o take food and water by mouth, I wish to receive artificially administered nutritio\ n and hydration. (Initial if applicable) See my more specific instructions in paragraph (4) below 4. Other. (Here you may: [a] describe other conditions in which you would want li\ fe-sustaining treatment or artificially administered nutrition and hydration provided,\ withheld, or withdrawn; [b] give more specific instructions about your wishes concern\ ing life- sustaining treatment or artificially administered nutrition and hydratio\ n if you have a terminal condition, are persistently unconscious, or have an end-stage c\ ondition; or [c] do both of these. _____ I direct that I be given life-sustaining treatment and, if I am un\ able to take food and water by mouth, I wish to receive artificially administered nut\ rition and hydration. (Initial if applicable) _____See my more specific instructions in paragraph (4) below. 3. If I have an end-stage condition, that is, a condition caused by inju\ ry, disease, or illness, which results in severe and permanent deterioration indicated b\ y incompetency and complete physical dependency for which treatment of the\ irreversible condition would be medically ineffective: (Initial one option only) _____I direct that my life not be extended by life-sustaining treatment,\ except that if I am unable to take food and water by mouth, I wish to receive artificiall\ y administered nutrition and hydration. _____ I direct that my life not be extended by life-sustaining treatment\ , including artificially administered nutrition and hydration. _____I direct that I be given life-sustaining treatment and, if I am una\ ble to take food and water by mouth, I wish to receive artificially administered nutritio\ n and hydration. (Initial if applicable) See my more specific instructions in paragraph (4) below. 4. Other. (Here you may: [a] describe other conditions in which you would want li\ fe-sustaining treatment or artificially administered nutrition and hydration provided,\ withheld, or withdrawn; [b] give more specific instructions about your wishes concern\ ing life- sustaining treatment or artificially administered nutrition and hydratio\ n if you have a terminal condition, are persistently unconscious, or have an end-stage c\ ondition; or [c] do both of these. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ______________________, ____________________________ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ __________ _____ _____ _____ _____ _____ _____ _____ II. My Appointment of My Health Care Proxy If my attending physician and another physician determine that I am no l\ onger able to make decisions regarding my medical treatment, I direct my attending \ physician and other health care providers pursuant to the Oklahoma Advance Directive Act to follow the instructions of: whom I appoint as my health care proxy. If my health care proxy is or becomes unable or unwilling to serve, I ap\ point: as my alternate health care proxy with the same authority. My healthcare proxy is authorized to make whatever health care decisions\ I could make if I were able, except that decisions regarding life-sustaining tre\ atment and artificially administered nutrition and hydration can be made by my heal\ th care proxy or alternate health care proxy only as I have indicated in the foregoing\ sections. If I fail to designate a health care proxy in this section, I am deliber\ ately declining to designate a health care proxy. III. Anatomical Gifts Pursuant to the provisions of the Uniform Anatomical Gift Act, I direct that at the time of my death my entire body or designated body organs or body parts be do\ nated for purposes of: (Initial all that apply) transplantation therapy advancement of medical science, research, or education advancement of dental science, research, or education Death means either irreversible cessation of circulatory and respiratory\ functions or irreversible cessation of all functions of the entire brain, including t\ he brain stem. I specifically donate: (Initial all that apply) My entire body; or The following body organs or parts; lungs liver arteries pancreas heart glands kidneys brain tissue skin bones/marrow eyes/cornea/lens bloods/fluids tissue other OKLAHOMA ADVANCE DIRECTIVE FOR HEALTH CARE If I am incapable of making an informed decision regarding my health car\ e, I direct my health care providers to follow my instructions below. I. Living Will If my attending physician and another physician determine that I am no l\ onger able to make decisions regarding my medical treatment, I direct my attending \ physician and other health care providers, pursuant to the Oklahoma Advance Directive Act, to follow my instructions as set forth below: 1. If I have a terminal condition, that is, an incurable and irreversibl\ e condition that even with the administration of life-sustaining treatment will, in the o\ pinion of the attending physician and another physician, result in death within six (\ 6) months: (Initial only one option) _____I direct that my life not be extended by life-sustaining treatment,\ except that if I am unable to take food and water by mouth, I wish to receive artificiall\ y administered nutrition and hydration. _____ I direct that my life not be extended by life-sustaining treatment\ , including artificially administered nutrition and hydration. _____ I direct that I be given life-sustaining treatment and, if I am un\ able to take food and water by mouth, I wish to receive artificially administered nutritio\ n and hydration. (Initial if applicable) See my more specific instructions in paragraph (4) below. 2. If I am persistently unconscious, that is, I have an irreversible con\ dition, as determined by the attending physician and another physician, in which th\ ought and awareness of self and environment are absent: (Initial only one option) _____ I direct that my life not be extended by life-sustaining treatment\ , except that if I am unable to take food and water by mouth, I wish to receive artificiall\ y administered nutrition and hydration. _____ I direct that my life not be extended by life-sustaining treatment\ , including artificially administered nutrition and hydration. A dvance D irective for H ealth C are This form (in English, Vietnamese and Spanish) and answers to frequently asked questions (FAQS) are available at this web address: http://okpalliative.nursing.ouhsc.edu/oklaw .htm __________________________________ __________________________________ _________________________ __________________________________ ____________________________ __________________________________ ____________________________ ____________________________ _____________________________ ______ _____ _______________ IV. General Provisions OKDHS Pub. No. 87-07W Revised 6/2008 This publication is authorized by the Human Services Commission in accor\ dance with state and federal regulations and printed by the Oklahoma Dep\ artment of Human Services at a cost of $500.00 for 5,000 copies. Copies have been deposited with the Pu\ blications Clearinghouse of the Oklahoma Department of Libraries. OKDHS \ of fices may request copies on ADM-9 electronic supply orders. Members of the public may obtain copies \ by contacting the OKDHS Records Center at (405) 962-1721 or 1-877-283-\ 41 13 (toll free).Relevant article from our knowledge database
You have to do this immediately. When you begin learning, you will do a great deal of watching. Should you not, and you're sued, you could lose everything. It's also known for different reasons. It is also going to offer you an idea about what to expect and offer some options for people who wish to try and save their homes and prevent foreclosure.
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In case it looks like you won't have the ability to work out a means to keep your house, some lenders will provide a deed instead of foreclosure'' or cash for keys.'' Besides losing your house and possibly having no place to call home, allowing your house to be foreclosed will dramatically impact your credit score and cause it to be more hard for you to be eligible for a new loan later on. Maybe you will want to provide these a home in your lawn. What happens is, in the event the house sells for under the total owed, the remainder of the loan balance is considered forgiven.''
The lender doesn't have any claim on any property that isn't permanently connected to the home. Whenever your lender forecloses on your house, your private property isn't included in the foreclosure. You could also begin getting collection calls from the lending company.
1 thing people frequently fret about when facing foreclosure is whether the lending company will have the ability to take other property and real estate they own too. You might discover that you are going to be better off should you attempt to delay the foreclosure as you conserve money for rent and moving expenses. The foreclosure and late payment record can stay on your credit report for as many as seven decades, but it doesn't imply that you will not be able to have a loan for seven decades.
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