Questionnaire1


DIRECTORY

*WILLS
*INSTRUCTION

DOCUMENTS FOR PERIODS OF
PHYSICAL/MENTAL INCAPACITY

DIRECTIVE TO PHYSICIANS (LIVING WILL)

DECLARATION REGARDING
MENTAL HEALTH TREATMENT

MEDICAL POWER OF ATTORNEY

DURABLE POWER OF ATTORNEY

DESIGNATION OF A GUARDIAN

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DECLARATION REGARDING MENTAL HEALTH TREATMENT: This document directs certain mental health treatments that you will or will not accept.
Mental Health Treatment means electroconvulsive or other convulsive treatment, psychoactive medication or emergency mental health treatment. However, the Declaration declining mental health treatment can be changed by court order or by a physician if your condition has become sever resulting in an emergency. However, if you have declined the use of electroconvulsive treatment or other convulsive treatment then such treatment may not be given you under any circumstances.

Duration of the Declaration can be no longer than 3 years. The Declaration will continue in effect if at the date of expiration you are incompetent. The Declaration will continue in effect until you regain your competency.

LIMITATION OF THIS DIRECTIVE: This directive is limited to electroconvulsive and other convulsive treatment. These types of treatment are generally understood by most people. Decisions regarding the administration or withhold the administration of certain drugs should only be made in consultation with a physician. Additionally, preference for emergency mental health treatment should only be made in consultation with a physician.

Revocation of the Declaration can be done at any time provided you are competent.