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Declaration made this day of , (month, year … I, , being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the …
Date: 1/25/2018 Size: 131KB

https://www.sos.la.gov/OurOffice/PublishedDocuments/LivingWillDeclarationForm.pdf

Declaration made this day of , (month, year … I, , being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the …
Date: 1/25/2018 Size: 131KB

https://sos.la.gov/OurOffice/PublishedDocuments/LivingWillDeclarationForm.pdf