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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 pin head politicians who couldn't pass ninth-grade biology if their lives depended on it. Nor in the hands of lawyers / doctors who are interested simply in running up the bills.


If a reasonable amount of time passes and I fail to ask for at least one
of the following:

Cold Beer, Bloody Mary, Gin and Tonic, Scotch , Martini, Steak, Lobster, Sauteed Prawns, Pizza, The Remote Control, A Bowl of Chili, Chocolate, or 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.

At this point, it is time to call the bar to arrange my funeral, and ask
all of my friends to raise their glasses to toast the good times we have
had.

Signature: ___________________________


Date: ___________________________