Free Kentucky Living Will Form

To be heard and make decisions about your health even in those moments when you physically cannot voice them, you need to issue a living will form. It can be useful in the unfortunate event of a serious illness or accident.

The Kentucky Living Will form is part of the Kentucky advance directive. In this document, you can decide and arrange for basic health care services in advance:

  • Choose the person responsible for choosing your treatment
  • Refuse medical intervention or demand to fight for your life
  • Refuse or require artificial feeding or hydration services
  • Determine the relative future organ donation

Signing Requirements and Laws

According to Kentucky Law §311.623 on the will of life, passed in 1994, citizens have the right to issue an appropriate form which carries the right to represent the patient’s will in matters of medical assistance.

Upon reaching the age of majority, a state citizen has the right to make a living will. However, citizens during pregnancy should be aware that for this period, the will is terminated. Because registration does not require a lawyer, the form to fill out works on the law of the state of Kentucky (KRS 311.625). Family members, heirs to the property, and medical companies’ employees do not have the right to certify a will. You can use the services of a notary to do it.

The Living Will Form includes two sections:

  1. Health Care Surrogate — appointment of family members or close friends. In the future, they can make decisions about your further treatment if you cannot make them yourself.
  2. Living Will section  — determination of the desire for medical services to prolong life. To be completed so that your guardian and attending physician knows what your will is in this matter. This section also contains information about organ donation in case of your death.
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Steps to Fill Out the Form

To fill out the Kentucky Living Will form, follow the instructions below.

1.   Download the form on our website

To start making a Living Will, you can download the form as a PDF file or use our convenient Online Forms Building Software to fill out the Living Will form immediately.

2.   Check out the form

At the beginning of the form, type your full name and date of birth.

If you need advice on the content of the form, you have the right to consult a lawyer or doctor so that he can explain the medical details in an accessible way. You have the right to complete the form in whole or in part, depending on your desires and goals. If the format of the form does not suit you, you can change it after consulting your lawyer.

We remind you that the form of Living Will is not required for the provision of medical care. It only retains your right to choose further treatment in cases of disability. Such a serious decision as drafting should be a will of life to be a personal, non-imposed choice, and its decision should be accompanied by careful consideration.

* Before filling out the form, you must carefully study all the information written in it.

3.   Choose a confidant

The first item on the first page is called “Health Surrogate.” If you plan to appoint a caregiver to make decisions about your care if you have a disability, you should complete this section.

There must be a minimum of two (2) confidants in a will if the first is out of reach. The appointed confidant must be informed and received on probate.

It is better to approach filling out the form responsibly and to choose your confidant carefully. You need to find a competent person who respects your health and discuss whether he is ready for such responsibility. Also, the decision to draw up a Living Will should be discussed with the family and the doctor. It is an important part of drawing up the form.

In hospitalization cases, moving to a nursing home, it is necessary to inform the managing staff about the existence of a will of life.

4.   Define life-extension instructions

If you are planning to determine what kind of medical care you want and which one is denied, complete this section.

  • Life-prolonging treatment. In this subsection, you can specify whether you accept life support and continued treatment or whether you wish to die naturally.
  • Nourishment and/or Fluids. This subsection should indicate whether you are on artificial feeding through fluids or a feeding tube.
  • Surrogate Determination of Best Interest Important. Check and sign this box if you want the confidant in the first section to decide on the previous two items.
    * Important: filling in this section is available only if a confidant is appointed.

5.   Decide on Organ / tissue / eye donation

Here you can choose how to dispose of your organs after death. You can donate all organs in your body, individual ones of your choice, or refuse to donate.

6.   Sign the form

The date and form must be signed. You must date and sign in the presence of two (2) witnesses over 18 years of age or in the presence of a notary.

Published: Nov 3, 2020