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Form - 20 Pa. Cons. Stat. § 5447

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     § 5447.  Form.
        A living will may be in any written form expressing the
     wishes of a principal regarding the initiation, continuation,
     withholding or withdrawal of life-sustaining treatment and may
     include other specific directions, including, but not limited
     to, designation of a health care agent to make health care
     decisions for the principal if the principal is determined to be
     incompetent and to have an end-stage medical condition or is
     permanently unconscious. An example of a living will appears in
     the combined form set forth in Subchapter D (relating to
     combined form).
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Last modified: November 27, 2007