Scribd Logo
Upload

Welcome to Scribd!

  • 209 views

    Jan Aldrin Afos Living Will

    Uploaded by

    Lemwil Aruta Saclay
    Jan Aldrin Estrada Afos declares this living will to express his wishes concerning medical treatment if he becomes terminally ill or permanently unconscious. He does not want artificial nutrition or hydration in this situation but does want maximum pain relief. He appoints Dr. Delila Andres as his health care agent to make decisions based on his expressed wishes or what is in his best interest. His family and medical providers will not be liable for following the directions in this living will.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Jan Aldrin Afos Living Will

    Uploaded by

    Lemwil Aruta Saclay
    209 views2 pages
    Jan Aldrin Estrada Afos declares this living will to express his wishes concerning medical treatment if he becomes terminally ill or permanently unconscious. He does not want artificial nutrition or hydration in this situation but does want maximum pain relief. He appoints Dr. Delila Andres as his health care agent to make decisions based on his expressed wishes or what is in his best interest. His family and medical providers will not be liable for following the directions in this living will.

    Original Description:

    wewewe

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Jan Aldrin Estrada Afos declares this living will to express his wishes concerning medical treatment if he becomes terminally ill or permanently unconscious. He does not want artificial nutrition or hydration in this situation but does want maximum pain relief. He appoints Dr. Delila Andres as his health care agent to make decisions based on his expressed wishes or what is in his best interest. His family and medical providers will not be liable for following the directions in this living will.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    209 views2 pages

    Jan Aldrin Afos Living Will

    Uploaded by

    Lemwil Aruta Saclay
    Jan Aldrin Estrada Afos declares this living will to express his wishes concerning medical treatment if he becomes terminally ill or permanently unconscious. He does not want artificial nutrition or hydration in this situation but does want maximum pain relief. He appoints Dr. Delila Andres as his health care agent to make decisions based on his expressed wishes or what is in his best interest. His family and medical providers will not be liable for following the directions in this living will.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    You are on page 1of 2

    Living Will

    of
    JAN ALDRIN ESTRADA AFOS

    I, JAN ALDRIN ESTRADA AFOS, of legal age, being of sound mind, do hereby
    declare that this is my Living Will and I voluntarily make this declaration. I intend this
    declaration to be honored as the expression of my legal right to authorize or refuse medical
    treatment.

    My desires concerning medical treatment are:

    If all of the following conditions are met:

    1. I become terminally ill or permanently unconscious as determined by any duly


    licensed physician;

    2. I can no longer convey my thoughts in any manner;

    3. That there is no more available remedy to my situation.

    I direct my healthcare providers to refrain from any treatment that involves artificial
    nutrition or artificial hydration. However, I do want maximum pain relief even if this might
    hasten my death.

    I appoint Dr. Delila Andres to be my health care agent with full power of attorney to
    make health care decisions based on this document and any views I may have previously
    expressed. In situations where my wishes are unknown, I instruct my health care agent to
    make decisions based on what he considers to be in my best interest and in keeping with my
    own personal values.

    My family, the medical facility, and all doctors, nurses and other medical personnel
    involved in my care shall have no civil or criminal liability for following my wishes as
    expressed in this declaration.

    I may change my mind at any time by communicating in any manner that this
    declaration does not reflect my wishes.

    I sign this document this 7th day of November at19-F, Libis., Quezon City after
    careful consideration and full understanding of its meaning and consequences.

    ________________________________

    Page 1 of 2
    LIVING WILL OF JAN ALDRIN ESTRADA AFOS
    SIGNED IN THE PRESENCE OF:

    ____________________________ _____________________________

    Lemwil Saclay John Roel Villaruz

    ACKOWLEDGEMENT

    REPUBLIC OF THE PHILIPPINES)


    _____________ )

    BEFORE ME, this 7th day of November, 2016, in Quezon City, Philippines,
    personally appeared the following persons together with their respective witnesses, showing
    to me their competent evidence of identity:

    Lemwil Saclay PRC License No. 2345653


    John Roel Villaruz Driver’s Licese

    known to me to be the same persons who executed the foregoing LIVING WILL, consisting
    of two (2) pages including this page upon which this acknowledgement is written, and they
    acknowledged to me that the same is their free act and deed.

    IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal,
    the day, year and place above written.
    Atty. Reymart Lopez
    NOTARY PUBLIC

    Doc. No. 01
    Page No.01
    Book No. 01
    Series of 2018

    Page 2 of 2
    LIVING WILL OF JAN ALDRIN ESTRADA AFOS

    You might also like