The Living Will Declaration Form serves as a crucial legal instrument in Irish healthcare planning, enabling individuals to maintain autonomy over their medical care even when they cannot actively participate in decision-making. This document becomes particularly relevant when individuals wish to establish clear directives for their future medical care, especially in situations involving end-of-life decisions, critical care, or long-term treatment plans. The form must comply with the Assisted Decision-Making (Capacity) Act 2015 and other relevant Irish legislation, requiring careful consideration of medical preferences, appointment of healthcare representatives, and proper legal execution. It typically includes detailed medical directives, personal care preferences, and may also address organ donation wishes. The document remains revocable while the declarant maintains capacity and serves as a vital tool for healthcare providers, family members, and legal representatives in understanding and implementing the declarant's healthcare wishes.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
1. Personal Information: Declarant's full legal name, date of birth, address, and other identifying information
2. Statement of Capacity: Declaration that the person is of sound mind and making the directive voluntarily
3. General Healthcare Preferences: Overall healthcare philosophy and general treatment preferences
4. Specific Medical Directives: Detailed instructions regarding life-sustaining treatments, resuscitation, and other critical care decisions
5. Designated Healthcare Representative: Appointment and contact details of the person(s) chosen to make healthcare decisions if the declarant loses capacity
6. Revocation Rights: Statement explaining the right to revoke or modify the living will at any time while having capacity
7. Execution: Signature section including date, declarant's signature, and witness attestations
1. Organ Donation Wishes: Specific instructions regarding organ and tissue donation
2. Pain Management Preferences: Detailed preferences regarding pain management and palliative care
3. Religious or Cultural Considerations: Specific religious or cultural preferences that should be respected in medical treatment
4. Pregnancy Provisions: Special instructions that apply if the declarant is pregnant at the time the directive takes effect
5. Alternative Healthcare Representative: Appointment of backup representatives if the primary representative is unavailable
6. Personal Messages: Personal messages or additional instructions to family members or healthcare providers
1. Schedule A - Medical Conditions: Detailed list of pre-existing medical conditions and current medications
2. Schedule B - Witness Attestation Form: Detailed witness information and formal attestation statements
3. Schedule C - Healthcare Representative Acceptance: Formal acceptance by designated healthcare representative(s) of their role and responsibilities
4. Schedule D - GP Certification: Optional certification by the declarant's GP regarding capacity assessment
5. Appendix 1 - Glossary of Medical Terms: Definitions of medical and technical terms used in the document
6. Appendix 2 - Contact List: List of important contacts including healthcare providers, representatives, and family members
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Legal Services
Medical Services
Elder Care
Palliative Care
Mental Health Services
Hospital Administration
Insurance
Social Services
Relevant Teams
Legal
Medical Records
Patient Services
Risk Management
Compliance
Clinical Operations
Social Services
Insurance Processing
Healthcare Administration
Patient Advocacy
Relevant Roles
General Practitioner
Hospital Administrator
Medical Consultant
Palliative Care Specialist
Solicitor
Legal Executive
Healthcare Risk Manager
Medical Social Worker
Nurse Manager
Elder Care Coordinator
Healthcare Compliance Officer
Mental Health Professional
Insurance Claims Manager
Patient Advocacy Coordinator
Medical Records Manager
Find the exact document you need
Non Employment Self Declaration Form
An Irish legal document where contractors formally declare their self-employed status and compliance with relevant tax and employment laws.
find out more
Good Declaration
A mandatory customs document for declaring goods to Irish customs authorities, complying with both Irish and EU customs regulations.
find out more
Driving Licence Self Declaration Form
An Irish legal document for self-declaring medical fitness and other requirements for driving license applications and renewals, administered by the National Driver Licence Service.
find out more
Driving Licence Declaration Form
An Irish legal document for declaring personal information and fitness to drive when applying for or renewing a driving licence, compliant with RSA requirements.
find out more
Declaration For Entry Of Unaccompanied Articles
An Irish customs declaration document for goods entering the country without their owner, compliant with EU and Irish customs regulations.
find out more
Declaration Form For Scholarship
An Irish legal document establishing the terms and conditions of a scholarship award between an educational institution and recipient, ensuring compliance with Irish education and data protection laws.
find out more
Uniform Support Declaration
A standardized financial disclosure document used in Irish family law proceedings for maintenance and support cases, detailing income, expenses, assets, and liabilities.
find out more
Living Will Declaration Form
An Irish legal document under the Assisted Decision-Making (Capacity) Act 2015 that allows individuals to specify advance healthcare preferences and appoint healthcare representatives.
find out more
My Health Declaration
An Irish law-compliant health declaration document for recording and disclosing personal health information, structured according to Irish healthcare and data protection regulations.
find out more
Statutory Declaration Of Identity
An Irish legal document where an individual formally declares their identity details under oath, witnessed by an authorized official under the Statutory Declarations Act 1938.
find out more
Statutory Declaration Of Acknowledgement Of Parentage Form
An Irish legal document used to formally declare and acknowledge parentage of a child, sworn before a Commissioner for Oaths or Notary Public.
find out more
Signed Declaration Of Applicant And The Parent Legal Guardian
An Irish law-compliant declaration document combining minor applicant statements with parent/guardian consent and declarations.
find out more
Self Declaration Form For Vehicle Ownership Transfer
An Irish legal document for self-declaring vehicle ownership transfer between parties, compliant with Irish road traffic and registration regulations.
find out more
Parents Declaration Form For Scholarship
An Irish legal document used by parents/guardians to declare information and eligibility for educational scholarships, ensuring compliance with Irish education laws.
find out more
Income Declaration Form For Scholarship
An Irish legal document for declaring income and financial circumstances for scholarship eligibility assessment, compliant with Irish education and data protection laws.
find out more
Age Declaration Form
An Irish legal document for formal age declaration and verification, compliant with local employment and data protection laws.
find out more
Age Declaration Certificate
An Irish legal document for formal age declaration and verification, compliant with Irish law and suitable for various official purposes.
find out more
Declaration Of Domicile
A formal legal declaration establishing Ireland as an individual's permanent domicile for tax and legal purposes under Irish law.
find out more
Affidavit Declaration
A formal sworn statement made under Irish law, verified by an authorized official, serving as legal evidence in court proceedings and administrative matters.
find out more
Sworn Declaration
An Irish law Sworn Declaration is a formal written statement of facts, witnessed by an authorized official, that carries legal weight and can be used as evidence in court or administrative proceedings.
find out more
Statutory Declaration Form
An Irish legal document containing a formal sworn statement of facts, witnessed by an authorized official under the Statutory Declarations Act 1938.
find out more
Self Declaration Form COVID 19
An Irish-compliant COVID-19 Self Declaration Form for collecting essential health and contact information from individuals entering organizational premises.
find out more
Referee Declaration Form
An Irish-law governed declaration form for referees, establishing their qualifications, commitments, and legal obligations in accordance with Irish regulations.
find out more
Digital Referee Declaration Form
An Irish-compliant digital declaration form for sports referees, incorporating legal requirements and professional standards under Irish law.
find out more
Supplier Declaration Form
An Irish legal document for suppliers to declare compliance with regulatory requirements, business practices, and procurement standards under Irish and EU law.
find out more
Self Declaration Form For Passport
An Irish legal document for passport applications where applicants formally declare their identity and citizenship status under Irish law.
find out more
Police Declaration Form
An official form used in Ireland for making legally binding declarations to An Garda siochana for various verification and certification purposes.
find out more
New Declaration Form
An Irish law-compliant Declaration Form for formal statements or affirmations, including witness authentication and legal acknowledgments.
find out more
Medical Declaration Form
An Irish law-governed document for declaring medical information and health status, compliant with Irish healthcare regulations and data protection requirements.
find out more
International Declaration Form
A legally binding declaration form under Irish law used for making official statements in international contexts, compliant with both Irish and EU regulations.
find out more
Declaration Of Trust Form
An Irish law Declaration of Trust Form establishing a trust arrangement and defining the rights and obligations of trustees, settlors, and beneficiaries.
find out more
Declaration Of Income Form
An Irish legal document for declaring comprehensive income details from all sources, compliant with Irish revenue requirements.
find out more
Conflict Of Interest Declaration Form For Employees
An Irish law-compliant declaration form for employees to disclose any actual or potential conflicts of interest in accordance with Irish corporate governance requirements.
find out more
Self Declaration Of Income
An Irish legal document where individuals formally declare their income from all sources for official purposes, compliant with Revenue requirements.
find out more
Gap Declaration Letter
An Irish-law governed formal letter explaining employment history gaps and periods of unemployment, used in recruitment and employment processes.
find out more
Land Tax Declaration
An Irish tax document for declaring property value and calculating Local Property Tax (LPT) liability under Irish Revenue requirements.
find out more
Criminal Conviction Declaration
An Irish law-compliant declaration document for disclosing criminal conviction status, used for employment screening and regulatory compliance.
find out more
Self Declaration Form For Name Change
An Irish legal document for formally declaring a change of name under Irish common law, including personal details and witnessed declarations.
find out more
Residency Declaration
An Irish legal document declaring an individual's residency status for tax, immigration, or other official purposes under Irish law.
find out more
Guarantor Declaration
An Irish law-governed declaration where a guarantor formally commits to fulfilling another party's obligations in case of default, including statutory requirements and legal acknowledgments.
find out more
ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)