The Living Will Declaration Form serves as a crucial legal and medical document in Nigeria, despite the absence of specific living will legislation. It is primarily used when individuals wish to make their healthcare preferences known in advance of potential incapacity or end-of-life situations. The document draws its legal foundation from the Nigerian Constitution's provisions on personal rights, the National Health Act 2014, and medical ethics guidelines. It typically includes detailed instructions about life-sustaining treatments, appointment of healthcare proxies, and specific medical care preferences. While not explicitly recognized by statute, the document carries weight in medical decision-making processes and helps healthcare providers and family members understand and respect the declarant's wishes. It is particularly relevant in situations involving terminal illness, persistent vegetative states, or other conditions where the individual may become unable to communicate their healthcare preferences.
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.
Upload your Doc
1. Declaration and Personal Details: Opening section identifying the declarant with full name, address, date of birth, and statement of being of sound mind
2. Statement of Intent: Clear statement that this document represents the declarant's wishes regarding future medical treatment and care
3. Definitions: Definitions of key terms used in the document such as 'life-sustaining treatment', 'terminal condition', 'permanent unconsciousness', etc.
4. Healthcare Decisions: Specific instructions regarding medical treatments, life-sustaining procedures, and pain relief preferences
5. Appointment of Healthcare Proxy: Designation of a person to make healthcare decisions if the declarant becomes incapacitated
6. Revocation Clause: Statement explaining how the living will can be revoked or modified
7. Execution: Signature section including date and declarant's signature
8. Witness Attestation: Section for witnesses to sign and attest to the declarant's signature and apparent mental capacity
1. Specific Medical Conditions: Additional section for specific instructions regarding known medical conditions the declarant may have
2. Organ Donation: Optional section specifying wishes regarding organ and tissue donation
3. Religious or Cultural Preferences: Section detailing any religious or cultural considerations that should be respected in medical treatment
4. Alternate Healthcare Proxy: Designation of an alternate healthcare proxy in case the primary proxy is unavailable
5. Personal Message: Optional personal message or statement to family members and healthcare providers
1. Schedule A - Medical Treatments Checklist: Detailed checklist of specific medical treatments and procedures, indicating which are accepted or refused
2. Schedule B - Healthcare Proxy Details: Complete contact information and authority scope for designated healthcare proxy and alternates
3. Schedule C - Physician Statement: Optional form for physician's statement confirming declarant's mental capacity at time of execution
4. Appendix 1 - Glossary of Medical Terms: Detailed explanations of medical and technical terms used in the document
Relevant legal definitions
Declarant
Healthcare Proxy
Alternate Healthcare Proxy
Advance Directive
Life-Sustaining Treatment
Terminal Condition
Permanent Unconsciousness
Persistent Vegetative State
Artificial Nutrition and Hydration
Cardiopulmonary Resuscitation (CPR)
Palliative Care
Mental Capacity
Healthcare Provider
Attending Physician
Medical Treatment
Mechanical Ventilation
End-Stage Condition
Dialysis
Comfort Care
Pain Relief Measures
Quality of Life
Revocation
Sound Mind
Terminal Illness
Witness
Healthcare Institution
Medical Intervention
Organ Donation
Tissue Donation
Best Interest
Healthcare Proxy
Alternate Healthcare Proxy
Advance Directive
Life-Sustaining Treatment
Terminal Condition
Permanent Unconsciousness
Persistent Vegetative State
Artificial Nutrition and Hydration
Cardiopulmonary Resuscitation (CPR)
Palliative Care
Mental Capacity
Healthcare Provider
Attending Physician
Medical Treatment
Mechanical Ventilation
End-Stage Condition
Dialysis
Comfort Care
Pain Relief Measures
Quality of Life
Revocation
Sound Mind
Terminal Illness
Witness
Healthcare Institution
Medical Intervention
Organ Donation
Tissue Donation
Best Interest
Clauses
Declaration of Intent
Medical Decision-Making
Life-Sustaining Treatment
Pain Management
Proxy Appointment
Mental Capacity
Execution Requirements
Witness Attestation
Revocation Rights
Religious Preferences
Organ Donation
Medical Records Access
Liability Protection
Severability
Governing Law
Healthcare Instructions
Terminal Illness
Permanent Incapacity
Emergency Care
Family Notification
Physician Compliance
Document Storage
Personal Care
Quality of Life
Medical Decision-Making
Life-Sustaining Treatment
Pain Management
Proxy Appointment
Mental Capacity
Execution Requirements
Witness Attestation
Revocation Rights
Religious Preferences
Organ Donation
Medical Records Access
Liability Protection
Severability
Governing Law
Healthcare Instructions
Terminal Illness
Permanent Incapacity
Emergency Care
Family Notification
Physician Compliance
Document Storage
Personal Care
Quality of Life
Relevant Industries
Healthcare
Legal Services
Insurance
Elder Care
Medical Education
Healthcare Administration
Social Services
Religious Organizations
Funeral Services
Relevant Teams
Legal
Healthcare Administration
Patient Services
Compliance
Ethics
Risk Management
Medical Records
Social Services
Pastoral Care
Insurance Processing
Relevant Roles
Medical Doctor
Healthcare Administrator
Legal Counsel
Estate Planning Attorney
Social Worker
Hospital Ethics Committee Member
Palliative Care Specialist
Geriatric Care Manager
Medical Ethics Consultant
Healthcare Compliance Officer
Patient Advocate
Hospital Administrator
Religious Minister/Chaplain
Insurance Claims Manager
Elder Law Attorney
Find the exact document you need
Self Declaration Of Minority Community Certificate By The Students
A formal self-declaration document under Nigerian law where students certify their minority community status for educational institutional purposes.
find out more
Self Declaration Letter For Documents
A legally binding written statement under Nigerian law where an individual formally declares and attests to the authenticity of specific documents.
find out more
Self Declaration Form For Job Application
A legally binding declaration form used in Nigerian job applications where candidates confirm their personal information and make statutory disclosures required by Nigerian employment law.
find out more
Declaration Letter To Bank For Foreign Remittance
A formal declaration document required under Nigerian law for making international fund transfers, containing details about the remittance and compliance statements.
find out more
Declaration Letter For Student
A formal student declaration document under Nigerian law used to officially attest to specific facts, commitments, or intentions within educational institutions.
find out more
Declaration Letter For Missing Documents
A formal legal declaration under Nigerian law stating the loss of important documents, circumstances of loss, and verification by appropriate authorities.
find out more
Declaration Letter For Employee
A formal employee declaration document under Nigerian law used to make legally binding statements regarding employment-related matters.
find out more
Declaration Form For Scholarship
A Nigerian legal declaration form for scholarship applications, establishing binding commitments between scholarship providers and applicants under Nigerian law.
find out more
Bank Declaration Letter
A formal banking document issued under Nigerian banking laws that officially confirms customer account details or banking relationships for various institutional purposes.
find out more
Uniform Support Declaration
A legal document used in Nigerian courts for declaring financial information to determine child support or maintenance obligations, governed by federal and state family laws.
find out more
Living Will Declaration Form
A Nigerian healthcare directive document allowing individuals to specify advance medical treatment preferences and appoint healthcare proxies under Nigerian constitutional rights and health regulations.
find out more
Declaration Letter For Passport
A formal sworn statement used in Nigeria for passport-related matters, executed before authorized officials in compliance with Nigerian Immigration laws.
find out more
Payment Declaration Letter
A formal document used under Nigerian law to officially declare and document payment details, sources of funds, and payment commitments.
find out more
Airport Declaration Form
A mandatory declaration form required for all air travelers entering or leaving Nigeria, complying with Nigerian immigration, customs, and aviation laws.
find out more
Statutory Declaration Letter
A formal sworn statement made under Nigerian law, declared before a Commissioner for Oaths or Notary Public, serving as legal verification of stated facts.
find out more
Self Declaration Form For Vehicle Ownership Transfer
A legal self-declaration document for vehicle ownership transfer under Nigerian law, facilitating the formal transfer of vehicle ownership between parties.
find out more
Salary Declaration Letter
An official Nigerian employment document that declares and verifies an employee's salary and compensation details, compliant with Nigerian Labour Act requirements.
find out more
Parents Declaration Form For Scholarship
A Nigerian legal document for parents/guardians to declare information for student scholarship applications, compliant with Nigerian education and declaration laws.
find out more
Declaration Of Undertaking
A legally binding document under Nigerian law where a party formally declares specific commitments or promises regarding future actions or conduct.
find out more
Custodian Of Records Affidavit
A sworn statement under Nigerian law certifying the authenticity and proper maintenance of specific records by their designated custodian.
find out more
Arrival Health Declaration
A mandatory health declaration form required under Nigerian law for all incoming travelers, used for public health screening and disease prevention at points of entry.
find out more
Age Declaration Form
A legally binding document used in Nigeria for official declaration of an individual's age, executed before a Commissioner for Oaths or legal authority.
find out more
Sworn Declaration
A formal legal document containing statements sworn under oath, executed before authorized officials in Nigeria and admissible as evidence under Nigerian law.
find out more
Statutory Declaration Form
A formal written statement declared to be true under Nigerian law, witnessed by authorized officials and carrying legal consequences for false declarations.
find out more
Sponsorship Declaration Form
A Nigerian legal document formalizing sponsorship commitments and obligations, compliant with local immigration and financial regulations.
find out more
Salary Declaration Form
A Nigerian legal document that formally declares and details an employee's salary structure, benefits, and statutory deductions for compliance with local employment and tax laws.
find out more
Referee Declaration Form
A legally binding declaration form under Nigerian law for sports referees, capturing qualifications, commitments, and responsibilities as required by the Nigeria Football Federation.
find out more
Medical Fitness Declaration Form
A Nigerian-compliant legal document certifying an individual's medical fitness status, used for employment and official purposes requiring health verification.
find out more
Declaration Letter For Job Application
A formal declaration document used in Nigerian job applications to legally attest to the truthfulness of application materials and credentials under Nigerian employment law.
find out more
Affidavit Of Custodian Of Records Form
A legally sworn statement under Nigerian law that authenticates business records and certifies their accuracy and proper maintenance for use as evidence in legal proceedings.
find out more
Supplier Declaration Form
A mandatory self-declaration document for supplier registration and compliance verification under Nigerian law, used for vendor pre-qualification and due diligence processes.
find out more
Self Declaration Form For Birth Certificate
A legal declaration form used in Nigeria to formally declare birth details when an original birth certificate is unavailable, requiring official verification and sworn statements.
find out more
Residency Declaration Form
A legal document used in Nigeria to formally declare and establish an individual's residential status for tax and immigration purposes under Nigerian law.
find out more
Police Declaration Form
An official Nigerian police document recording declarations, incidents, or statements, issued under Nigerian federal law and police regulations.
find out more
New Declaration Form
A legally binding formal statement made under Nigerian law, authenticated by authorized officials and used for official or legal purposes.
find out more
Medical Declaration Form
A Nigerian law-compliant medical declaration form capturing comprehensive health information and consent for various institutional purposes.
find out more
International Declaration Form
A mandatory customs declaration form under Nigerian law for international trade transactions, ensuring compliance with national and international trade regulations.
find out more
Immigration Declaration Form
A mandatory declaration form required by Nigerian immigration authorities for foreign nationals entering Nigeria, governed by Nigerian immigration law.
find out more
Declaration Of Goods Form
A mandatory customs document required under Nigerian law for declaring the nature, quantity, and value of imported or exported goods to the Nigeria Customs Service.
find out more
Declaration Letter To Whom It May Concern
A formal written declaration under Nigerian law serving as an official statement of facts or circumstances, typically requiring proper authentication and potentially notarization.
find out more
Genie’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; Genie’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)
.png)