Create A Living Will


Why a Living Will is Important

A living will is a crucial document that ensures your healthcare wishes are respected if you cannot communicate due to illness or personal injury. It provides clear instructions to your doctors and loved ones, reducing confusion and emotional stress during critical moments. By having a living will, you take control of your medical decisions, ensuring that your values and preferences are honored, even when you can’t speak for yourself.

Get Your Free Living Will Today

Don’t wait until it’s too late to secure your healthcare future. BCN Law Firm offers a simple and convenient way to create your living will. Fill out our free living will form online. Protect your healthcare decisions today by starting the process right here on our website!

Free Consultation*

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Name*
Your Name(Required)
Your Email Address(Required)
Your Address(Required)
Please enter a number from 1000 to 9999.
MM slash DD slash YYYY

Life Support

I desire that my doctor make a concerted effort to return me to an acceptable quality of life using then available treatments and therapies.
An unacceptable quality of life means:(Required)
Check all that apply.
If I have the quality of life listed above, then...(Required)
Check only one.

Life-Sustaining Treatment

Some people do not wish to have certain life sustaining treatments under any circumstance, even if recovery is a possibility.
I DO NOT wish to have these treatments under any circumstances:(Required)
You do not have to check any

End Of Life Wishes

(hospice care, funeral arrangements, etc.)

Power Of Attorney

It provides peace of mind to be able to choose someone you know and who knows you to make healthcare decisions on your behalf when you no longer can communicate your wishes.
I designate to act as my agent:(Required)
Agent Address(Required)
Agent consent(Required)
Check all that apply.
Please send a copy of this form to my designate(Required)

Secondary Agent

If you primary agent is unwilling or unable to serve, who do you appoint as your successor agent?
Successor Agent
Successor Address

Contact BCN Law Firm

Clermont

Phone352.394.2103
Fax: 352.394.2105

Address:
1635 E. Hwy 50, Suite 300
Clermont, FL 34711

Office Hours:
Monday – Friday 8:30 am to 5:00 pm

The Villages

Phone352.775.4739
Fax: 352.775.4749

Address:
8564 CR 466, Suite 306
The Villages, Fl 32162

Office Hours:
Monday – Friday 8:30 am to 5:00 pm

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Start Your Living Will Today

At BCN Law Firm, we’re here to help you protect your future by creating a comprehensive living will that reflects your values and healthcare preferences. Don’t wait until it’s too late to ensure your wishes are followed. Use our website to begin the process of creating your living will, or contact us today to speak directly with one of our attorneys. We’re ready to assist you every step of the way.

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