Fillable Living Will Template for Vermont State Access Your Form

Fillable Living Will Template for Vermont State

The Vermont Living Will form is a legally binding document that allows individuals to outline their preferences for medical treatment in the event that they are unable to communicate their decisions due to a serious illness or incapacity. It ensures that a person's healthcare wishes are known and considered when they cannot speak for themselves. For those interested in establishing their healthcare directives, filling out the Vermont Living Will form is a crucial step. Click the button below to start the process.

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Outline

In the beautiful state of Vermont, individuals are empowered to make decisions about their medical care, even in circumstances where they may be unable to communicate their wishes personally. This empowerment comes in the form of the Vermont Living Will, a document that stands as a beacon of autonomy, allowing a person to make clear their health care preferences in advance. The form covers critical healthcare decisions such as the acceptance or refusal of medical treatments, life-sustaining measures, and the use of artificial nutrition and hydration, ensuring that one's medical treatment aligns with their values and beliefs even if they become incapacitated. Additionally, it provides a platform to appoint a Health Care Agent, someone trusted to make decisions on one's behalf, further solidifying the individual's control over their medical care. This document, while contemplating scenarios many may find uncomfortable, offers peace of mind and asserts control over personal health care decisions, reflecting the forward-thinking legislation Vermont is known for. Understanding the major aspects and implications of this vital document not only prepares individuals for future uncertainties but also ensures that their medical care aligns with their personal desires and life philosophy.

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Vermont Living Will Template

This Living Will is created pursuant to the laws of the State of Vermont, specifically the Vermont Patient's Bill of Rights (18 V.S.A. § 1851-1859), to document my wishes regarding medical treatment in the event that I am unable to communicate my desires.

Personal Information

Full Name: ___________________________________________________

Date of Birth: ___________________________________________________

Address: ___________________________________________________

Designation of Health Care Agent

In the event that I am unable to make or communicate decisions regarding my health care, I designate the following individual as my Health Care Agent:

Name: ___________________________________________________

Relationship: ___________________________________________________

Phone Number: ___________________________________________________

Alternate Phone Number: ___________________________________________________

If the individual named above is unable, unwilling, or unavailable to act as my Health Care Agent, I designate the following individual as an alternate:

Name: ___________________________________________________

Relationship: ___________________________________________________

Phone Number: ___________________________________________________

Alternate Phone Number: ___________________________________________________

Instructions for Health Care

I provide the following instructions regarding my health care, including but not limited to end-of-life care, pain relief, and any other care that may be required to manage my condition:

  1. Life-Sustaining Treatment: In the event that I am in a terminal condition, or permanently unconscious, I direct that: (choose one)
    • All available treatments that may extend life, including mechanical ventilation, resuscitation, and artificially administered nutrition and hydration, be provided.
    • All treatments other than those necessary to keep me comfortable should be discontinued or withheld.
  2. Pain Relief: Regardless of my condition, I direct that treatment to relieve pain or discomfort be provided at all times, even if it may hasten my death.
  3. Other Instructions: _____________________________________________ _______________________________________________________________ _______________________________________________________________

Organ Donation

Upon my death, I wish to donate: (choose one)

  • Any needed organs or tissues.
  • Only the following organs or tissues: ________________________.
  • Do not donate any organs or tissues.

Signature

I understand the contents of this document and I am mentally competent to make this Living Will. I make these directives of my own free will to guide my health care providers and my family or representatives about my care.

Signature: ___________________________________________________

Date: ___________________________________________________

This document was witnessed by:

Name: ___________________________________________________

Signature: ___________________________________________________

Date: ___________________________________________________

Name: ___________________________________________________

Signature: ___________________________________________________

Date: ___________________________________________________

File Details

Name of Fact Detail
Definition A Vermont Living Will is a legal document that outlines an individual's preferences regarding medical treatment if they are unable to communicate their decisions due to serious illness or incapacity.
Governing Law The Vermont Advance Directive for Health Care Law, Title 18, Chapter 111 of Vermont Statutes, governs the creation and use of Living Wills in Vermont.
Components It typically includes decisions on the use of life-sustaining treatment, artificial nutrition and hydration, and other end-of-life care preferences.
Validity Requirements To be valid, the document must be signed by the principal or by another individual on the principal’s behalf, in the presence of two witnesses who are not related to the principal or financially responsible for the principal’s medical care.
Revocation The principal can revoke the document at any time, in any manner that communicates an intent to revoke, regardless of mental or physical capacity.
Durability The Living Will remains effective indefinitely unless the principal specifies an expiration date or revokes it.
Accessibility It is recommended to provide copies of the Living Will to the principal’s healthcare provider, healthcare agent, and a trusted family member or friend to ensure the document’s instructions are followed.

Detailed Instructions for Filling Out Vermont Living Will

Filling out a Vermont Living Will form is an essential step in ensuring your health care preferences are respected, even if you can no longer communicate your wishes. This document allows individuals to outline their desires regarding medical treatment and end-of-life care, assigning someone to make decisions on their behalf if necessary. While the process may seem daunting, following a step-by-step guide can simplify it, ensuring your living will accurately reflects your wishes and complies with Vermont state laws.

  1. Begin by gathering personal information required for the form, including your full legal name, date of birth, and address. This helps to identify you clearly as the maker of the living will.
  2. Designate a health care agent by providing the name, relationship, contact number, and address of the person you trust to make health care decisions for you if you are unable to do so. Make sure you have discussed your wishes and their willingness to act on your behalf before listing them.
  3. Detail your specific wishes regarding medical treatment. This section allows you to accept or refuse certain types of care, including life-sustaining treatments and artificially provided nutrition and hydration. Be as clear and detailed as possible.
  4. Consider including instructions for pain management and palliative care, emphasizing the importance of your comfort and quality of life.
  5. Outline your preferences for organ donation, if applicable. Specify whether you wish to donate your organs and tissues for transplant, research, or both.
  6. Sign the form in the presence of two witnesses or a notary public. Vermont law requires your signature to be witnessed by two individuals who are not related to you, will not inherit from you, and are not designated as your health care agent.
  7. Have the witnesses sign the form, indicating their presence during your signing and verifying that you appeared to understand the nature of the document and were free from duress or undue influence.
  8. Consider providing copies of the completed living will to your health care agent, family members, and primary care physician. Keeping the original document in a safe but accessible place is advisable, ensuring it can be referred to when needed.

By following these steps, you can complete a Vermont Living Will form that clearly articulates your health care preferences. This document not only provides peace of mind for you and your loved ones but also ensures that your health care decisions are respected, aligning with your values and wishes. Remember, it's wise to review and potentially update your living will periodically, particularly after significant life changes.

Your Questions, Answered

What is a Vermont Living Will?

A Vermont Living Will is a legal document that allows an individual to outline their preferences for medical treatment in the event they become unable to communicate their decisions due to illness or incapacity. This document can specify which life-sustaining treatments, if any, the person wishes to receive or decline.

Who should have a Vermont Living Will?

Any adult in Vermont who wishes to have control over their medical treatment decisions in the event they are incapacitated should consider having a Living Will. It's particularly important for those with strong preferences about end-of-life care or those with serious medical conditions.

How does one create a Vermont Living Will?

To create a Vermont Living Will, the individual must complete a Living Will form that meets the requirements set forth by Vermont law. This process often involves considering various medical scenarios and making decisions about desired medical interventions. Once completed, the document must be signed by the individual in the presence of two witnesses, who also must sign, attesting that the individual is of sound mind and is making these decisions freely and voluntarily.

Can a Vermont Living Will be changed or revoked?

Yes, a Vermont Living Will can be changed or revoked at any time by the creator as long as they are of sound mind. To revoke a Living Will, the individual can destroy the document, create a new Living Will that states the previous one is revoked, or communicate their wish to revoke the Will in any manner at any time before two witnesses.

What happens if I don't have a Vermont Living Will?

If an individual becomes incapacitated without a Vermont Living Will, decisions about their medical treatment will be made by their healthcare providers or, in some cases, by family members. These decisions may not reflect the individual's own preferences regarding life-sustaining treatments or end-of-life care.

Is a lawyer needed to create a Vermont Living Will?

While it is not mandatory to use a lawyer to create a Vermont Living Will, consulting with a legal professional can provide valuable guidance. A lawyer can help ensure that the Living Will meets all legal requirements, reflects the individual's wishes accurately, and considers all relevant medical and ethical issues.

Common mistakes

Filling out a Vermont Living Will form is an important step in making your healthcare wishes known. However, mistakes can happen during this process, which can potentially lead to misunderstandings about your healthcare preferences. Let's highlight some common missteps to avoid to ensure your Living Will reflects your true intentions.

  1. Not being specific about medical treatments. When detailing your wishes in a Living Will, clarity is crucial. A common error is being too vague or general about the type of medical care you want or don't want. For instance, simply saying you don't want "extraordinary measures" without defining what that means to you can lead to different interpretations by healthcare providers.

  2. Failing to update the document. Lives change, and so might your healthcare preferences. A mistake often made is not revising your Living Will to reflect new wishes or health conditions. Remember, what made sense years ago might not align with your current healthcare goals.

  3. Not discussing wishes with loved ones. Even though you've put your wishes in writing, not talking about them with your family or healthcare proxy can lead to confusion and distress during critical times. Ensure your loved ones understand your preferences and know where to find your Living Will should it need to be consulted.

  4. Leaving the form incomplete. Sometimes, in the haste to get things done, sections of the Living Will might be left blank or not fully completed. This can cause significant issues down the line, as missing information might lead to your wishes not being followed accurately.

  5. Not properly executing the document according to state laws. Each state has specific requirements for making a Living Will legally binding. In Vermont, this might involve witnessing or notarization requirements. Overlooking these legal formalities can render your Living Will ineffective.

  6. Choosing an unsuitable healthcare agent. The person you name as your healthcare agent or proxy plays a critical role. Choosing someone who doesn't understand your values or who may not be available when needed is a mistake. It's important to select a healthcare agent who is both willing and able to advocate on your behalf.

To avoid these pitfalls, take your time when completing your Vermont Living Will. Be as specific as possible, revisit and update the document as needed, and discuss your healthcare wishes with your loved ones and healthcare agent. By paying attention to these details, you can help ensure that your healthcare preferences are understood and respected.

Documents used along the form

When preparing a Living Will in Vermont, it's important to consider a comprehensive approach for end-of-life planning. This typically involves completing additional forms and documents that complement the Living Will, ensuring that all aspects of a person's wishes are clearly understood and legally documented. Such documents not only specify medical preferences but also address the management of financial affairs and the distribution of assets. Below is a list of other important forms and documents often used together with the Vermont Living Will form to provide a complete legal and personal directive tailored to an individual's needs.

  • Durable Power of Attorney for Health Care: This legal document allows an individual to designate another person to make health care decisions on their behalf if they become unable to do so. Unlike a Living Will, which specifically addresses end-of-life care decisions, this document covers a broad range of health care decisions.
  • Do Not Resuscitate (DNR) Order: This medical order tells health care professionals not to perform CPR if the individual's breathing stops or if the heart stops beating. It is designed for people with serious illnesses or those at the end of life.
  • Financial Power of Attorney: This document grants someone else the authority to manage the individual's financial affairs. This could include paying bills, managing investments, and making other financial decisions, particularly if the individual is incapacitated.
  • Will: A Will is a legal document that outlines how an individual's assets and property will be distributed upon their death. It can also appoint a guardian for any minor children.
  • Trust Document: Trusts can be established to provide specific instructions for the distribution of assets, potentially avoiding the need for probate. Trusts can be particularly useful for managing assets for beneficiaries over time.
  • Organ and Tissue Donation Registration: This form allows individuals to specify their wishes regarding organ and tissue donation upon death. These registrations are often made through state registries or noted on driver's licenses.
  • Funeral Planning Declaration: This document allows individuals to outline their preferences for funeral arrangements and the disposition of their remains, such as burial or cremation.
  • Letter of Intent: Although not legally binding, a letter of intent can provide valuable guidance to family members and executors about personal wishes that are not covered in other legal documents. This might include details about memorial services or the distribution of personal belongings.

Together, these documents form a comprehensive legal strategy to address a wide range of issues from health care decisions to financial management and final wishes regarding funeral arrangements. It's advisable to consult with legal and financial professionals when preparing these documents to ensure they accurately reflect the individual's wishes and are executed according to Vermont law. By taking a holistic approach to end-of-life planning, individuals can provide clear guidance to their loved ones and legally safeguard their preferences.

Similar forms

The Vermont Living Will form is similar to several other legal documents, but it has its own unique aspects that distinguish it from the others. Primarily, it serves as a directive for healthcare decisions when a person can no longer communicate their wishes directly. This document is vital for ensuring that an individual's preferences regarding medical treatment and life-sustaining measures are respected and followed. Let's explore how it compares to other related documents.

Advance Healthcare Directive: The Vermont Living Will is often compared to an Advance Healthcare Directive. Both documents allow individuals to outline their preferences for medical care in the event that they are incapacitated. The main similarity lies in their purpose: to guide healthcare providers and loved ones in making decision that align with the individual’s wishes. However, an Advance Healthcare Directive is broader in scope. It not only includes the living will's instructions for end-of-life care but also allows for the appointment of a healthcare agent to make decisions on the individual's behalf. Thus, while both documents are preparatory in nature, the Advance Healthcare Directive offers a more comprehensive approach by encompassing both the living will's functions and the designation of a healthcare proxy.

Durable Power of Attorney for Health Care: The Vermont Living Will is also similar to a Durable Power of Attorney for Health Care (DPOA-HC). Both are instrumental in planning for medical decisions when one cannot make them personally. The similarity primarily lies in their focus on healthcare decisions. However, the DPOA-HC specifically enables the individual to appoint a healthcare agent (proxy) to make decisions for them, covering a wide range of medical decisions, not just those concerning end-of-life care. Unlike the living will, which directly addresses specific treatments or interventions an individual wishes to accept or refuse, the DPOA-HC focuses on appointing someone to make those decisions, thereby providing a broader delegation of authority.

Do Not Resuscitate (DNR) Orders: The Vermont Living Will shares common ground with Do Not Resuscitate (DNR) orders, but they serve different functions. A DNR is a medical order that prevents health care professionals from performing CPR if the patient's breathing or heartbeat stops. While both a living will and a DNR concern end-of-life decisions, a living will is broader, covering various life-sustaining treatments beyond CPR. A DNR order is typically very specific and is used in imminent life-threatening situations, often by individuals with serious illnesses or at the end stage of life. Meanwhile, a living will provides comprehensive instructions for a range of medical interventions and conditions, not limited to the circumstances where resuscitation might be considered.

Dos and Don'ts

Creating a Living Will is a responsible step towards ensuring your wishes are respected in times when you may not be able to express them yourself. When filling out the Vermont Living Will form, paying attention to the details is crucial. Below are important dos and don'ts to guide you through the process.

Things you should do:

  1. Thoroughly read all the instructions provided with the form before beginning to fill it out. Understanding each section fully can help you make informed decisions about your healthcare wishes.

  2. Discuss your decisions with close family members, friends, and especially with the person you intend to appoint as your health care agent. Open and honest discussions can provide clarity and comfort to your loved ones.

  3. Seek guidance from a healthcare professional if you have questions about medical treatments or interventions mentioned in the form. Their expertise can help you make decisions that align with your values and wishes.

  4. Be as specific as possible about your healthcare preferences, including conditions you find unacceptable for living, treatments you would want to try, and those you would want to avoid.

  5. Sign and date the form in the presence of two witnesses or a notary public as required by Vermont law. This ensures that your Living Will is legally valid.

  6. After completing the form, make copies for your healthcare agent, family members, and healthcare providers to ensure that everyone involved in your care is aware of your wishes.

Things you shouldn't do:

  1. Do not fill out the form in haste. Take your time to consider your values and how they translate into medical decisions. Rushing through the process can lead to choices that might not fully reflect your wishes.

  2. Avoid using unclear language or medical jargon. If you're not sure about how to describe your wishes, ask for help from a healthcare provider or legal professional.

  3. Do not leave any sections incomplete unless they are not applicable to your situation. An incomplete form can lead to confusion or misinterpretation of your wishes in critical situations.

  4. Avoid choosing a healthcare agent without discussing it with them first. Ensure the person you select is willing and able to act on your behalf in accordance with your wishes.

  5. Do not forget to review and update your Living Will periodically. As your circumstances or health changes, your wishes might also change.

  6. Lastly, do not keep your Living Will a secret from those closest to you. Sharing and discussing your wishes with loved ones and your healthcare team is essential for ensuring your preferences are honored.

Misconceptions

When addressing the topic of the Vermont Living Will form, various misconceptions tend to arise. It’s crucial to dispel these misunderstandings to ensure individuals are fully informed about their choices regarding end-of-life care.

  • Only for the Elderly: A common misconception is that Living Wills are solely for older people. However, any adult over the age of 18 can and should consider creating a Living Will. It serves as a precautionary measure, allowing individuals to outline their wishes regarding medical treatment in the event that they are unable to communicate these decisions themselves.

  • Too Complex to Create Without a Lawyer: Many people believe that drafting a Living Will requires legal expertise or the assistance of a lawyer. While legal advice can be beneficial, particularly in complicated situations, Vermont offers resources and templates that enable individuals to create their own Living Will without necessitating professional legal help.

  • Legally Binding in All States: It is often assumed that a Living Will is universally recognized across all states. Although many states have laws respecting Living Wills from other jurisdictions, there are variations in laws and requirements. It is advisable for individuals to review the specifics of their Living Will to ensure it complies with the laws of any state where they may receive healthcare.

  • Only Covers End-of-Life Decisions: There's a common belief that Living Wills are solely focused on decisions related to end-of-life care, such as life support withdrawal. While these are significant aspects, Living Wills can also specify preferences for other medical interventions, pain management, and even organ donation preferences.

  • Merge with Other Legal Documents: Some people think a Living Will is the same as a Power of Attorney (POA) for healthcare, or that one document can serve both functions. However, these are distinct documents. A Living Will articulates an individual’s wishes regarding medical care, whereas a healthcare POA designates someone else to make decisions on their behalf.

  • Set in Stone Once Created: Another misconception is that once a Living Will is made, it cannot be altered. In fact, individuals can update or revoke their Living Will at any time, as long as they are mentally capable. It’s recommended to review and possibly revise this document periodically, especially after major life events.

  • Coverage of Financial Affairs: There is sometimes confusion that Living Wills extend to decisions about financial affairs. This is not the case. Living Wills focus exclusively on healthcare decisions. Managing financial matters would require a separate document, such as a financial Power of Attorney.

Understanding these misconceptions and the facts that counter them, can significantly influence individuals’ decisions about creating a Living Will. It ensures that people’s choices regarding healthcare are honored, even when they cannot advocate for themselves.

Key takeaways

The Vermont Living Will form is a crucial document that ensures your healthcare preferences are respected if you cannot communicate them yourself. When filling out and using this document, here are some key takeaways to keep in mind:

  • Understand what a Living Will is: It's a legal document that outlines your wishes regarding medical treatment if you're incapacitated.
  • Know the requirements: In Vermont, you must be at least 18 years old and of sound mind to create a Living Will.
  • Consider your healthcare preferences: Think carefully about your values and what types of medical treatment you would or wouldn't want.
  • Choose a healthcare agent wisely: This person will make healthcare decisions on your behalf, so it's important to select someone who understands your wishes and is willing to act on them.
  • Be specific: The more specific you are in your Living Will, the easier it will be for your healthcare providers and agent to follow your wishes.
  • Sign and witness your Living Will: Your Living Will must be signed in front of two witnesses, who also need to sign the document.
  • Keep it accessible: After signing, keep your Living Will in a place where it can be easily found. Inform your healthcare agent, family, and doctors of its location.
  • Review and update regularly: As your health and circumstances change, so might your wishes. Review your Living Will periodically and update it as needed.
  • Communicate with loved ones: It's important to discuss your healthcare wishes with your family and healthcare agent, so they understand your preferences.
  • Know it can be revoked: If you change your mind, you can cancel your Living Will at any time, as long as you are competent.

Creating a Living Will is a responsible step to ensure your healthcare preferences are known and respected. Take the time to consider your choices carefully, and seek guidance if you have questions or concerns about the process.

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