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Connecticut Living Will & Advance Directive Template

Fill-in-the-Blank · State-Specific · Instant Download

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What's Included

Attorney-style Connecticut Living Will & Advance Directive template. Drafted under Conn. Gen. Stat. §§ 19a-570 et seq. (Connecticut Removal of Life Support Systems Act). Provides Connecticut-compliant advance directive language covering life support, artificial nutrition/hydration, comfort measures, organ donation, and designation of a second opinion physician. Includes § 19a-575a form language, two-competent-witness attestation, and notary block. Includes fill-in-the-blank treatment preference sections, organ and tissue donation election, comfort care directives, and step-by-step execution instructions. Instant .docx download.

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 Connecticut attorney for advice specific to your situation.

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