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2005 LAWS OF MARYLAND
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Ch. 137
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(3) If I have an end-stage condition, that is a condition caused by injury,
disease, or illness, as a result of which I have suffered severe and permanent
deterioration indicated by incompetency and complete physical dependency and for
which, to a reasonable degree of medical certainty, treatment of the irreversible
condition would be medically ineffective -
______ I direct that my life not be extended by life-sustaining procedures,
including the administration of nutrition and hydration artificially.
______ I direct that my life not be extended by life-sustaining procedures, except
that if I am unable to take food by mouth, I wish to receive nutrition and hydration
artificially.
(4) I direct that no matter what my condition, medication not be given to me to
relieve pain and suffering, if it would shorten my remaining life.
(5) I direct that no matter what my condition, I be given all available medical
treatment in accordance with accepted health care standards.
(6) If I am pregnant, my decision concerning life-sustaining procedures shall
be modified as follows:
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____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
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(7) Upon my death, I wish to donate:
______ Any needed organs, tissues, or eyes.
______ Only the following organs, tissues, or eyes:
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__________________________________________________________________________
__________________________________________________________________________
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I authorize the use of my organs, tissues, or eyes:
______ For transplantation
______ For therapy
______ For research
______ For medical education
______ For any purpose authorized by law.
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- 960 -
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