New Living Will Form


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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 or doctors interested in simply running up the medical bills. If a reasonable amount of time passes and I fail to ask for at least one of the following:

______Whiskey

______Beer

______Sex

______Cigarette

______Computer with Internet connection

______Pizza

If none of the above has happened, 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.

Signature: __________________________

Witness: ___________________________

Date: ______________________________

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