Death is as much a reality as birth, growth, maturity, and old age. Death is the one certainty of life. If the time comes when I can no longer take part in decisions for my own future, let this statement stand as an expression of my wishes and directions, while I am still of sound mind.
If at such a time the situation should arise in which there is no reasonable expectation of my recovery from extreme physical or mental disability, I direct that I be allowed to die and not be kept alive by medications, artificial means or "heroic measures." I do, however, ask that medication be mercifully administered to me to alleviate suffering even though this may shorten my remaining life.
This statement is made after careful consideration and is in accordance with my strong convictions and beliefs. I want the wishes and directions here expressed carried out to the extent permitted by law. Insofar as they are not legally enforceable, I hope that those to whom this will is addressed will regard themselves as morally bound by these provisions.
This is merely a statement of my beliefs and wishes. It is not a legal document nor shall it replace or supersede the actual legal documents I have legally executed including a Living Will and a Health Care Power of Attorney.