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Notice of Death-with-Dignity Request


Notice of Death-with-Dignity Request
Notice of Death-with-Dignity Request

SKU:K306-2

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Use this form to let your doctor know of your wishes with respect to when care should be terminated if you become unable to express your wishes. You should also have a Living Will to support this document.

  • This form advises your doctor that you have prepared a Living Will and where it is located
  • Name the person you have designated—usually a relative—to make the decision to terminate care

Price: $9.95 


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Living Will & Power of Attorney for Health Care Kit
Living Will & Power of Attorney for Health Care Kit