The Louisiana Living Will is the formal document used to specify your desires surrounding life-ending decisions. When an individual enters a comatose state and a living will (or medical POA) has not been executed, loved ones can feel conflicted with how things should be handled, especially if there are differing opinions between the fellow family members. With the implementation of this instrument, the individual can declare that they wish not to prolong their life should the doctor consider their condition irreversible. To complete the form, users will have to provide the date of execution, their name, whether or not they wish to receive artificial nutrition & hydration, and their signature which is to be performed in front of two (2) witnesses.
(Donate Life Louisiana is an online registry where residents of the state can sign up to be organ donors.)
Laws
Statutes – RS 40:1151 et seq.
Definition – “Declaration” means a witnessed document, statement, or expression voluntarily made by the declarant, authorizing the withholding or withdrawal of life-sustaining procedures, in accordance with the requirements of this Subpart. A declaration may be made in writing, orally, or by other means of nonverbal communication. (§ 1151.1(4))
Statutory Form – § 1151.2(C)(1)
Signing Requirements – Acknowledgment of Two (2) Witnesses (§ 1151.2(A)(2))
Revocation – § 1151.3
Other Versions (5)
- Franciscan Missionaries of Our Lady Health System
- LSU Health
- Ochsner Health System
- Peoples Health
- Spanish/Español
Franciscan Missionaries of Our Lady Health System Version
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- Lallie Kemp Medical Center – You Decide Brochure
- Louisiana Healthcare Connections – Advance Medical Directives
- Louisiana State Bar – End-of-Life Decisions
- Ochsner Health – Advance Care Planning Conversations (in Spanish, in Vietnamese)
- Peoples Health – Louisiana Advance Directives Handout
Related Forms (6)
- Advance Directive (Medical POA & Living Will)
- Advance Directive for Mental Health Treatment
- Advance Directive Wallet Cards
- Durable (Financial) Power of Attorney
- HIPAA Authorization Form
- Physician Orders for Scope of Treatment (LaPOST) Form
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Advance Directive for Mental Health Treatment
Download: Adobe PDF
Laws: RS 28:221 et sec.
Advance Directive Wallet Cards
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
HIPAA Authorization Form (specific to Blue Cross, Blue Shield, & HMO)
Download: Adobe PDF
Physician Orders for Scope of Treatment (LaPOST) Form
Download: Adobe PDF
Spanish Version: Adobe PDF
Laws: RS 40:1155.1 et seq.
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