Louisiana declaration 2026

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This document is a declaration of an individual's wishes regarding end-of-life medical treatment. It specifies that the individual does not want life-sustaining procedures to be used in cases of incurable conditions or profound comatose states, as certified by two physicians. The declarant can choose to withhold all life-sustaining measures or only certain procedures, while ensuring comfort care is provided. The declaration serves as a legal expression of the individual's right to refuse medical treatment.

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Click ‘Get Form’ to open the Louisiana Declaration in the editor.
Begin by entering the date of declaration in the format '___ day of _____ (month, year)'.
In the first blank, write your full name to identify yourself as the declarant.
Read through the conditions outlined regarding incurable injuries or illnesses. This section clarifies your wishes for life-sustaining procedures.
Choose one option by initialing either the first or second statement regarding life-sustaining procedures and hydration.
Sign the document at the designated area to validate your declaration.
Fill in your city, parish, and state of residence below your signature.
Ensure two witnesses sign and print their names in the provided spaces, confirming they believe you are of sound mind.

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