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American Samoa · Attorney-Style Template

American Samoa Living Will & Advance Directive Template

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What's Included

Attorney-style American Samoa Living Will & Advance Directive template. Declares end-of-life treatment preferences under Am. Samoa Code Ann. tit. 13, §§ 1001 et seq. Covers life-sustaining treatment elections, CPR/DNR directives, mechanical ventilation, artificial nutrition and hydration, palliative care, and organ/tissue donation. Includes two-witness attestation plus notary acknowledgment block under American Samoa requirements.

Declarant information and legal capacity statement
Life-sustaining treatment directives (CPR, ventilator, dialysis)
Artificial nutrition and hydration election
Pain management and palliative/comfort care preferences
Specific medical treatment elections (surgery, chemotherapy, blood transfusion)
Mental health treatment instructions
Organ, tissue, and whole-body donation options
Disposition of remains preferences (burial vs. cremation)
Personal statement / additional instructions section
Revocation clause with instructions
State-specific advance directive statute reference
Two-witness attestation block
Optional notary acknowledgment block
Attorney execution instructions included

Who This Is For

  • Adults who want to direct their own end-of-life medical care
  • Anyone with a serious or chronic illness
  • Individuals who already have a Healthcare Power of Attorney and want written directives as backup
  • People who have strong feelings about CPR, ventilators, or feeding tubes
  • Those completing a full estate plan (pairs with Healthcare POA and Durable POA)

NOT Appropriate For

  • Anyone who needs a Healthcare Agent designated (use Healthcare POA instead)
  • Minors under 18
  • People seeking legal advice — consult a licensed attorney for complex situations

Legal Disclaimer

This template is for informational purposes only and does not constitute legal advice. No attorney-client relationship is formed by purchase. Consult a licensed American Samoa attorney for advice specific to your situation.

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