My Advance Care Plan KWI Form page 11 Living Will (Health Care Directive) I consent to the following health care; I do NOT consent to the following health care; Cardio-Pulmonary Resuscitation Yes No Artifical Life Support Yes No Tube Feeding Yes No If I become incompetent of decision making, I wish the following to be my substitute decision makers; Other wishes / comments; If you are human, leave this field blank. Save
