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The New Living Will Form I, ______________________

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Post# of 3036
Posted On: 10/22/2013 11:14:53 AM
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Posted By: acc724
The New Living Will Form

I, __________________________, being of sound mind and body, do not wish to be kept alive indefinitely by artificial means. Under no circumstances should my fate be put in the hands of pinhead politicians who couldn't pass ninth-grade biology if their lives depended on it.

If a reasonable amount of time passes and I fail to ask for:
( please initial all that apply )

_________ a pizza
_________ a beer
_________ a steak
_________ a kiss
_________ coffee or a latte
_________ the remote control
_________ a bowl of ice cream
_________ chocolate
_________ cookies
_________ sex

It should be presumed that I won't ever get better. When such a determination is reached, I hereby instruct my appointed person and
attending physicians to pull the plug, reel in the tubes and call it a day.

Under no circumstances shall the members of Congress enact a special law to keep me on life-support machinery. It is my wish that these boneheads mind their own sweet business, and pay attention instead to the future of the millions of Americans who aren't in a permanent coma.

Signature:___________________ Witness: _____________________


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