The Wisconsin Living Will enforces a lawful understanding to map out a person’s elected desires to follow for medical action should the person become unconscious or unable to make the needed health care decisions independently. The state of Wisconsin has developed a form to utilized as a living will that is also referred to as a Declaration to Health Care Professionals. In contrast to a medical power attorney, a living will serves to identify the choices to be made for an individual instead of nominating an alternate person to make the choices on their behalf. Provided in the document’s language are particular areas to describe a subjects’ requests concerning measures to take in a situation of a vegetative state or terminal condition of the patient. The principal’s signature must be received with the assistance of two (2) acceptable witnesses to verify the pledge.
Laws
Statute – Declaration to Health Care Professionals § 154-02 – 154-15
Definition – § 154-01 – 154-02
Signing Requirements – Acknowledgment by two (2) tenable witnesses according to the prescribed requirements found in the Wisconsin State Statutes § 154-03(1).
Other Versions
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- American Bar Association – Toolkit for Health Care Advance Planning
- Greater Wisconsin Agency on Aging Resources – Comparison of Wisconsin’s Living Will and Power of Attorney for Healthcare
- State Bar of Wisconsin – Wills/Estate Planning
- University of Wisconsin Health – Advance Care Planning
- Wisconsin Department of Health Services – End of Life Planning
Related Forms (7)
- Advance Directive (Medical POA & Living Will)
- Advance Directive Wallet Card
- Document of Anatomical Gift
- Durable (Financial) Power of Attorney Form
- Authorization for Final Disposition
- DNR (Do-Not-Resuscitate) Order
- HIPAA Release Authority
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Download: Adobe PDF
Authorization for Final Disposition Form F-00086
Download: Adobe PDF
Document of Anatomical Gift – Authorization for Organ and Tissue Donation Form F-43025 (also available in Spanish/en Español)
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Emergency Care Do Not Resuscitate Order (DNR) Form F-44763
Download: Adobe PDF
Health Care Power of Attorney Addendum – HIPAA Release Authority
Download: Adobe PDF
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