Give copies of the signed original to your health care agent, family members, and anyone else you think appropriate. Keep the original document in a safe place that will be easily accessible to others in case of an emergency and tell someone where it is. Conn. Gen. Stat. If you have any questions about this document or want assistance, in filling it out, please consult an attomey. This designation shall become effective only when I become incapable of making and communicating my own health care decisions.
Any prior designation is revoked.
Food and water are not medical treatment, but basic necessities. I direct that medication to alleviate my pain be provided, as long as the medication is not used in order to cause my death. I also direct that I be provided basic nursing care and procedures to provide comfort care. I reject, however, any treatments that use an unborn or newborn child, or any tissue or organ of an unborn or newborn child, who has been subject to an induced abortion. This rejection does not apply to the use of tissues or organs obtained in the course of the removal of an ectopic pregnancy.