CLINICAL ETHICS CENTER at Memorial Medical Center

home page
Home Page

A Living will is a way of writing down which medical treatments you do or do not want at the end of your life. A living will takes effect only when you can no longer express your wishes yourself. A living will takes effect only if your physician(s) have determined that you suffer from a terminal or incurable, irreversible condition and death is imminent. A living will generally applies only to treatments that are considered "life support" or life-prolonging" such as the use of a ventilator.

Conditions of Application:
Incurable /Irreversible Terminal illness; Death imminent
Patient is unable to make decisions for him/herself
Types of Decisions Covered:
Life support; Life-prolonging treatment
How Preferences Are Expressed:
Expressed by patient in document
How Document Is Revoked:
By tearing the document; Oral revocation (should be documented); Or in writing

All of the advance directive forms are Adobe Acrobat files and require Adobe Acrobat Reader to open them. If you do not have Adobe Acrobat Reader installed on your computer, click here for a free downloadable Adobe Acrobat Reader copy.

Illinois Living Will Declaration Form (PDF Format)

Illinois Living Will Declaration Form (Spanish) (PDF Format)

Questions or comments - email us at Clinical Ethics Center
Last Updated May 24, 2012
Copyright © 2011-2012, Board of Trustees,
Southern Illinois University| Privacy Policy