Homepage Official Living Will Form for the State of West Virginia
Article Map

In West Virginia, individuals have the power to make decisions about their healthcare, especially concerning end-of-life care, through a document known as a Living Will. This form is a critical tool that allows a person to clearly express their preferences regarding medical treatments they wish to receive or refuse, in the event they become unable to communicate their wishes due to illness or incapacitation. It serves to guide healthcare providers and family members during difficult times by outlining the person's directives about life-sustaining treatments, including the use of ventilators, feeding tubes, and other life-prolonging interventions. By having a Living Will, individuals ensure their health care preferences are known and respected, providing peace of mind to themselves and their loved ones. The document also plays a vital role in legal and medical contexts, as it is recognized by West Virginia law and helps to reduce uncertainties or disputes about the care an individual desires. Crafting a West Virginia Living Will requires careful thought and consideration, as it concerns deeply personal decisions. It is a definitive statement about one's values and wishes regarding end-of-life care, reflecting on personal beliefs, medical advice, and legal implications, ensuring that an individual's autonomy is respected even when they cannot speak for themselves.

West Virginia Living Will Example

West Virginia Living Will Template

This Living Will is designed to comply with the West Virginia Health Care Decisions Act and allows you to express your wishes regarding medical treatment in the event that you are unable to communicate your decisions. It is a legally binding document when properly filled out and executed according to the requirements of West Virginia law.

Part 1: Personal Information

Full Name: _________________________________________________________

Date of Birth: ________________________

Address: ___________________________________________________________

City: _________________________ State: WV Zip Code: ________________

Phone Number: _________________________

Part 2: Health Care Directives

This section allows you to make specific directives about your health care in the case that you are diagnosed with a terminal condition or are persistently unconscious and can no longer make decisions for yourself.

  1. Life-Prolonging Treatments: I do/do not (circle one) want life-prolonging treatments if I am diagnosed with a terminal condition or am persistently unconscious. Life-prolonging treatments include, but are not limited to, mechanical ventilation, resuscitation, and artificially provided nutrition and hydration.
  2. Pain Relief: Regardless of my decision regarding life-prolonging treatments, I wish to receive medication or other treatment necessary to relieve pain.
  3. Specific Instructions: _______________________________________________________________________________________________________________________________________.

Part 3: Health Care Power of Attorney

If you wish to appoint a Health Care Power of Attorney to make health care decisions for you in the event that you are unable to do so, complete the following:

Primary Health Care Agent:

Name: ______________________________________________________________

Relationship: _______________________________________________________

Phone Number: _________________________

Alternate Health Care Agent (if primary is unwilling or unable):

Name: ______________________________________________________________

Relationship: _______________________________________________________

Phone Number: _________________________

Part 4: Organ Donation

I do/do not (circle one) wish to donate my organs, tissues, and eyes upon my death. If I have marked "do," the following organs, tissues, and eyes may be donated for the purpose of transplantation, therapy, research, or education: _____________________________________________________.

Part 5: Signature

This Living Will becomes effective only when I cannot communicate my desires regarding medical treatment. By my signature below, I affirm that I am of sound mind and I understand the contents of this document, and I declare that I knowingly and voluntarily execute this Living Will.

Date: _________________________

Signature: _________________________________________________________

State of West Virginia, County of __________________: This document was acknowledged before me on (date) ______________ by (name of declarant) ___________________________________ who is personally known to me or has produced identification in the form of ________________________________________.

Notary Public: ______________________________________________________

My commission expires: _________________

Part 6: Witnesses

State law requires that this Living Will must be signed in the presence of two witnesses, who must also sign the document. Witnesses cannot be anyone who is entitled to any part of your estate upon your death under a will or by operation of law, or anyone who is responsible for your medical costs.

Witness 1: Name: ____________________________________________________

Relationship to Declarant: ___________________________________________

Witness 1 Signature: ___________________ Date: ______________________

Witness 2: Name: ____________________________________________________

Relationship to Declarant: ___________________________________________

Witness 2 Signature: ___________________ Date: ______________________

PDF Attributes

Fact Detail
1. Purpose The West Virginia Living Will is designed to allow individuals to state their wishes about medical treatment in the event they become unable to communicate those wishes themselves.
2. Governed by West Virginia Code, Chapter 16, Article 30, also known as the "West Virginia Health Care Decisions Act."
3. When it becomes effective It becomes effective when the individual is determined by a physician to be unable to make their own health care decisions.
4. Primary function Allows an individual to state preferences about the use of life-prolonging medical interventions, treatments, and procedures.
5. Applicability Applicable to adults who are of sound mind at the time of its execution.
6. Requirements for validity Must be voluntarily executed, signed by the declarant or another at his or her direction, and witnessed by two individuals.
7. Witnesses The witnesses cannot be the person who signed the living will on behalf of the declarant, related to the declarant by blood or marriage, entitled to any portion of the estate, or directly financially responsible for the declarant’s medical care.
8. Revocation Can be revoked at any time by the declarant through a signed, dated written document; by physically destroying the document; or by verbally expressing the intent to revoke, in the presence of a witness.
9. Accessibility The document should be made accessible to the declarant's health care provider, who will make it a part of the declarant's medical records.
10. Limitations Does not permit the authorization of mercy killing, assisted suicide, or euthanasia.

Guide to Filling Out West Virginia Living Will

A living will is a crucial document that allows individuals in West Virginia to make known their wishes regarding medical treatment, in the event they become unable to communicate those desires themselves. Filling out the living will form is a straightforward process but requires careful thought and decision-making. Below are the steps to complete the West Virginia Living Will form, ensuring your healthcare preferences are respected.

  1. Begin by reading the form thoroughly to understand the scope and implications of the decisions you are about to make.
  2. Enter your full legal name at the top of the document to identify yourself as the principal (the person making the living will).
  3. Specify your desires regarding life-prolonging medical treatments. Indicate whether you want treatments to be used, not used, or used only under certain conditions if you have a terminal condition or are in a persistent vegetative state.
  4. Make decisions about the use of artificial nutrition and hydration (feeding tubes) under the same conditions, and clearly mark your choices on the form.
  5. Consider appointing a healthcare proxy or surrogate by entering the name, relationship, and contact information of the person you trust to make healthcare decisions for you if you are unable to do so. This step is not mandatory but is advisable.
  6. Read the statement regarding the revocation of the living will, which explains how you can change or cancel it in the future. Understanding this procedure is important for maintaining control over your medical treatment preferences.
  7. Sign the form in the presence of two witnesses who are not related to you by blood or marriage, do not stand to benefit from your estate, and are not your healthcare providers or employees of your healthcare providers. Their role is to affirm your identity and your voluntary decision to create a living will.
  8. Have the witnesses sign and date the form, confirming that they have witnessed your signature and agree that you appeared to be of sound mind and free from duress at the time of signing.
  9. Consider having the form notarized, although this is not a requirement in West Virginia, it can lend additional legal weight to the document.
  10. Keep the original document in a safe but accessible place. Provide copies to your healthcare proxy (if appointed), family members, and primary care physician to ensure that your wishes are known.

Completing your living will is a proactive step towards ensuring your healthcare preferences are known and respected. It provides peace of mind to you and clarity to your loved ones and healthcare providers during challenging times. Remember, you can review and amend your living will as your circumstances or preferences change, ensuring that it always reflects your current wishes.

Things You Should Know About West Virginia Living Will

What is a Living Will form in West Virginia?

A Living Will form in West Virginia is a legal document that allows individuals to outline their wishes regarding life-sustaining treatment if they become terminally ill or incapacitated and cannot make decisions for themselves. It gives guidance to healthcare providers and family about the person's healthcare preferences.

Who should have a Living Will in West Virginia?

Any competent adult in West Virginia who wishes to ensure their medical treatment preferences are honored should have a Living Will. It's especially important for those with strong convictions about the care they receive at the end of life or those with chronic health conditions.

How can someone create a Living Will in West Virginia?

To create a Living Will in West Virginia, a person must complete the official Living Will form or another form that meets state requirements. The form must be signed by the individual in the presence of two witnesses who are not related by blood or marriage and who will not inherit anything from the person's estate. It can also be notarized instead of having witnesses.

Are there specific requirements for witnesses or notarization in West Virginia?

Yes, the West Virginia Living Will must be either notarized or signed by two witnesses. The witnesses must not be the person's heir or entitled to any portion of the person's estate under a will or by operation of law, and they should not be directly responsible for the cost of the person's medical care.

What should be included in a West Virginia Living Will?

The form should clearly state the individual's desires concerning life-prolonging medical interventions, including mechanical ventilation, feeding tubes, and CPR, under circumstances where recovery is not expected. It may also specify desires for pain management and other palliative care.

Can a Living Will be revoked or changed in West Virginia?

Yes, a Living Will can be revoked or altered at any time by the creator as long as they are mentally competent. This can be done through a written revocation, physically destroying the document, or verbally revoking it in the presence of a witness who is 18 years or older.

What happens if I have a Living Will from another state?

West Virginia law respects Living Wills created in other states as long as they comply with the laws of that state or West Virginia's laws. It's a good idea to consult a legal expert to ensure the document meets local requirements, especially if permanent residency changes.

Does a Living Will guarantee my wishes will be followed in West Virginia?

While a Living Will is legally binding and healthcare providers must follow it, there can be situations where your wishes may not be followed exactly as outlined. Discrepancies might occur if the Living Will is not specific enough, if it hasn't been updated to reflect current laws, or if family members challenge it. It's important to discuss your wishes with your family and healthcare providers to minimize misunderstandings.

Common mistakes

When it comes to preparing a West Virginia Living Will, it’s crucial to pay attention to detail. This document, significant for stating your wishes about medical treatment if you're unable to communicate, requires careful consideration. However, people often rush through the process, leading to mistakes that can affect the validity of their living will or their future medical care. Let's explore ten common mistakes made when filling out a West Virginia Living Will form.

  1. Not reviewing state-specific requirements. West Virginia has its own laws about what must be included in a Living Will. Failing to adhere to these specifics can render the document invalid or less effective.

  2. Skipping important decisions. Sometimes, individuals overlook or rush through sections that require decisions about specific treatments or circumstances. This lack of specificity can lead to confusion later on.

  3. Using unclear language. Clarity is key in a Living Will. Ambiguous terms or unclear wishes can lead to interpretations that might not align with your true intentions.

  4. Forgetting to update the document. Life changes, such as new diagnoses or treatments, can affect your decisions. Regularly reviewing and updating your Living Will ensures it reflects your current wishes.

  5. Not discussing your wishes with loved ones or a healthcare proxy. Communication ensures that those involved in your care know your preferences, making it easier for them to honor your wishes.

  6. Neglecting to sign the document in accordance with state laws. In West Virginia, certain formalities must be observed for a Living Will to be legally binding. Missing these steps can invalidate the document.

  7. Failing to distribute copies of the Living Will to relevant parties. Doctors, family members, and healthcare proxies should have copies to make informed decisions on your behalf.

  8. Using a generic form without tailoring it to personal needs. While general forms are a good starting point, customizing your Living Will to reflect your specific wishes is vital.

  9. Not considering a durable power of attorney. A Living Will is crucial, but pairing it with a durable power of attorney for healthcare decisions ensures someone can make decisions if you're unable to do so.

  10. Assuming the form is only for the elderly or terminally ill. People of any age can face situations where a Living Will is necessary, so it’s prudent for adults to prepare one.

By avoiding these common mistakes, you can create a West Virginia Living Will that effectively communicates your health care preferences, ensuring your wishes are respected during critical times. Remember, the peace of mind that comes from having a well-prepared Living Will is invaluable for both you and your loved ones.

Documents used along the form

Discussing the West Virginia Living Will form opens the door to exploring a handful of important documents that usually accompany or complement it. These documents, while serving distinct purposes, work collectively towards ensuring one's medical and personal wishes are honored in times when they might not be able to communicate them. Here's a closer look at these crucial documents that often stand alongside a Living Will.

  • Medical Power of Attorney: This legal document allows an individual to designate another person (known as an agent or proxy) to make healthcare decisions on their behalf in the event of incapacity. Unlike a Living Will, which applies only to end-of-life decisions, a Medical Power of Attorney is broader in scope and covers any health care decision when the individual cannot make their wishes known.
  • Durable Power of Attorney for Finances: While a Medical Power of Attorney relates to health care decisions, a Durable Power of Attorney for Finances is all about financial matters. It enables an individual to nominate someone to manage their finances - from paying bills to making investment decisions - should they become incapacitated.
  • Do Not Resuscitate (DNR) Order: Often paired with a Living Will, a DNR is a doctor's order that tells health care providers not to perform CPR (cardiopulmonary resuscitation) if a person's breathing stops or if the heart stops beating. It's intended for individuals with a terminal illness or those who are at a very advanced age and wish to pass away naturally without aggressive interventions.
  • Organ and Tissue Donation Registration: This document isn't a directive for care, but it's a critical piece that enables individuals to register their intent to donate organs and tissues upon death. Registration typically involves filling out a specific form or indicating wishes on one’s driver’s license. This decision can significantly impact many lives, making it an important consideration when planning for end-of-life care.

When individuals consider their options for end-of-life planning, understanding the purpose and importance of these associated documents is crucial. Together with a Living Will, they form a comprehensive plan that respects the individual’s healthcare and personal wishes, providing peace of mind for them and their families. It is always advised to consult with a legal professional when preparing these documents to ensure they reflect the person's wishes accurately and are executed in accordance with West Virginia law.

Similar forms

The West Virginia Living Will form shares similarities with the Advance Healthcare Directive found in other states. Like the Living Will, an Advance Healthcare Directive allows individuals to outline their preferences for medical treatment should they become unable to make decisions for themselves. This document typically includes the designation of a health care agent to make decisions on the individual’s behalf, mirroring the Living Will’s purpose of guiding healthcare providers according to the person’s wishes.

A Health Care Power of Attorney is another document that parallels the West Virginia Living Will form. This document grants a designated person the authority to make health care decisions on behalf of the individual if they are incapacitated. While the Health Care Power of Attorney focuses more on delegating decision-making authority, both it and the Living Will express the individual's preferences regarding medical treatments and interventions.

The Do Not Resuscitate (DNR) order is also similar to the West Virginia Living Will. A DNR specifically directs medical personnel not to perform CPR if the person's breathing stops or if the heart stops beating. Both the DNR and the Living Will are critical in end-of-life planning, ensuring that medical treatment aligns with the patient's wishes.

A Medical Order for Life-Sustaining Treatment (MOLST) or Physician Orders for Life-Sustaining Treatment (POLST) form coincides with the essence of the Living Will. These forms record a patient's preferences for medical treatments, including resuscitation, intubation, and use of antibiotics, among others. MOLST or POLST forms are completed and signed by both the patient and their physician, acting as actionable medical orders, similar to the directives outlined in a Living Will.

The Five Wishes document goes beyond the medical focus of the West Virginia Living Will form but shares the core intent. It addresses personal, spiritual, and emotional wishes in addition to medical desires at the end of life. As such, it complements the more medically focused Living Will by offering a broader scope for expressing end-of-life preferences.

An Organ Donation Registration Form is another related document. Although its focus is specifically on the donation of organs and tissues after death, it intersects with the Living Will's goal of making one's medical wishes known. Individuals often include their intentions regarding organ donation within their Living Will to ensure that their decisions are respected.

The Durable Power of Attorney for Finances is indirectly related to the West Virginia Living Will. While the former deals with financial and property decisions in the event that the individual becomes incapacitated, both types of documents are designed to ensure that personal wishes are adhered to, and a trusted individual is appointed to make decisions on the person's behalf.

A Living Trust, though primarily used for asset management and distribution, shares the preemptive planning aspect of a Living Will. It allows for the smooth transition of property to beneficiaries without the need for probate court. Like a Living Will, a Living Trust involves making decisions ahead of time to ensure wishes are carried out as intended.

The Mental Health Advance Directive is a specialized form of advance directive that focuses on psychiatric care. It allows individuals to specify their preferences for treatment in the event of a mental health crisis and can include the appointment of an agent to make decisions on their behalf. This document mirrors the Living Will by addressing the specific area of mental health treatment preferences.

Lastly, the Emergency Medical Information Form, although not a legal document, serves a similar purpose to the Living Will by providing medical personnel with critical information such as medical conditions, allergies, medications, and emergency contacts. While it’s more of a snapshot compared to the detailed directives in a Living Will, both documents aim to inform medical treatment under emergency or incapacitated situations.

Dos and Don'ts

Creating a Living Will in West Virginia is an important step in ensuring that your healthcare preferences are respected. Here are some dos and don'ts to consider when filling out the form.

  • Do read the entire form before you start filling it out to understand what information is required and how your decisions can affect your healthcare.
  • Do consult with a healthcare provider if you have questions about medical treatments or procedures mentioned in the form. Understanding the implications of your choices is crucial.
  • Do talk to your family or close friends about your decisions. It's important they understand your wishes and why you've made certain choices.
  • Do consider consulting with an attorney specializing in estate planning or elder law. They can ensure your Living Will complies with West Virginia laws and advise on how it fits into your overall estate plan.
  • Do clearly state your wishes about the use of life-sustaining treatments, artificial nutrition, and hydration. Being specific can prevent confusion later.
  • Don't leave sections of the form blank. If a question doesn't apply to you, write "N/A" (not applicable) so it's clear you didn't overlook the question.
  • Don't let anyone pressure you into making decisions that don't align with your values or wishes. This is your document and should reflect your personal choices.
  • Don't forget to sign and date the form in front of the required witnesses or a notary public, as per West Virginia law. An unsigned or improperly witnessed Living Will may not be legally valid.
  • Don't store your Living Will where no one can find it. Make sure your healthcare power of attorney, family, or friends know where it is and can access it if needed.

Misconceptions

When it comes to the West Virginia Living Will form, there are several misconceptions that people often believe. Understanding these myths can help individuals make informed decisions about their healthcare and end-of-life wishes. Here, we clarify some of these misunderstandings:

  • Only elderly people need a Living Will. The reality is that a Living Will is important for adults of all ages. Unexpected medical situations can occur at any time, and having a Living Will ensures that your healthcare preferences are respected, regardless of your age.

  • A Living Will is the same as a Last Will and Testament. This is not true. A Living Will expresses your wishes regarding medical treatment in circumstances where you can no longer communicate those wishes. A Last Will and Testament deals with the distribution of your assets after your death.

  • If you have a Living Will, doctors won't try to save your life. A common misconception is that a Living Will means healthcare providers will cease all life-saving measures. In reality, it allows you to specify which treatments you do or do not want in specific situations. Its purpose is to inform your healthcare team of your wishes, not to deny emergency care if you desire it.

  • Your family can override your Living Will. In West Virginia, a Living Will is legally binding. This means that healthcare providers are required to follow it once properly informed, even if family members have different opinions.

  • You can only make a Living Will if you are terminally ill. Another misconception is that Living Wills are only for those who have been diagnosed with a terminal illness. However, anyone can establish a Living Will at any time, so long as they are of sound mind and meet the legal requirements to do so.

  • A lawyer must draft your Living Will. While legal advice can be helpful, especially in complex cases, West Virginia provides statutory forms that individuals can complete without an attorney. It's crucial, however, to ensure that the form is completed accurately and meets all legal requirements.

  • A Living Will takes effect as soon as it's signed. This is not necessarily the case. A Living Will only comes into effect under the conditions specified within it, typically when the individual can no longer communicate their healthcare wishes.

  • Creating a Living Will is a one-time task. As peoples' situations and preferences change, it may be necessary to update their Living Will. It's a good practice to review and, if needed, revise your Living Will periodically or after significant life changes.

Knowing the facts about West Virginia Living Wills can empower individuals to take control of their healthcare decisions and ensure their wishes are known and respected. It's an important step in planning for the future and can provide peace of mind for both you and your loved ones.

Key takeaways

Completing a Living Will in West Virginia is a meaningful step in planning for future healthcare decisions. This document allows individuals to outline their wishes regarding medical treatment in the event that they are unable to communicate those decisions themselves. When filling out and utilizing the West Virginia Living Will form, key takeaways include:

  • Understanding the Purpose: The Living Will is specifically designed to record your preferences for medical treatment, including life-sustaining procedures, if you are in a terminal condition or a persistent vegetative state.
  • Filling It Out Correctly: It's crucial to complete the form with accurate information and clear instructions. Doing so ensures that healthcare providers and loved ones understand your wishes.
  • Legal Requirements: The form must be signed in the presence of two witnesses who are not related to you by blood or marriage and are not beneficiaries of your estate. Additionally, it does not require notarization in West Virginia.
  • Discussing with Family: It's advisable to talk about your Living Will with family members and other loved ones. This discussion can prevent confusion and ensure that your wishes are understood and respected.
  • Consulting with Healthcare Providers: Sharing your Living Will with your doctor and other healthcare providers is essential. They can offer valuable advice and ensure your instructions are noted in your medical records.
  • Keeping It Accessible: After completing the form, keep it in a place where it can be easily found and accessed in an emergency. Copying the document and distributing it to trusted individuals is also recommended.

Remember, a Living Will can be updated or revoked at any time, as long as you are competent. Periodic review and updating of your Living Will are advisable to ensure it continues to reflect your current wishes and circumstances.

Please rate Official Living Will Form for the State of West Virginia Form
4.73
Stellar
229 Votes