The Living Will Declaration Form serves as a crucial advance healthcare directive document in Qatar, allowing individuals to express their medical treatment preferences and designate healthcare decision-makers while they are still capable of making such decisions. While Qatar's legal system, based on Islamic Shariah law, approaches end-of-life decisions differently from Western jurisdictions, this document provides a structured way to communicate healthcare preferences within the bounds of local laws and cultural norms. The form becomes particularly important in situations where medical decisions need to be made for an incapacitated person, providing guidance to healthcare providers and family members while respecting both legal requirements and Islamic principles. It typically includes specific medical directives, appointment of a healthcare agent, and considerations for religious and cultural practices.
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1. Personal Information: Declarant's full legal name, date of birth, Qatar ID number, and current address
2. Declaration of Sound Mind: Statement confirming the declarant is of sound mind and making this declaration voluntarily
3. General Directive: Overall statement of wishes regarding life-sustaining treatment in terminal conditions
4. Specific Medical Directives: Detailed instructions regarding specific medical treatments and interventions
5. Pain Relief and Comfort Care: Preferences regarding pain management and palliative care
6. Healthcare Agent Designation: Appointment of a healthcare proxy to make decisions when declarant is incapacitated
7. Religious and Cultural Considerations: Specific wishes related to Islamic principles and cultural practices
8. Execution and Witnesses: Formal signing requirements including witness statements and signatures
1. Organ Donation: Optional section for expressing wishes regarding organ donation, if permitted under applicable laws and Islamic principles
2. Alternate Healthcare Agent: Designation of backup healthcare proxy if primary agent is unavailable
3. Specific Prohibited Treatments: List of specific treatments or interventions the declarant refuses
4. Personal Messages: Optional messages or instructions to family members and healthcare providers
5. Living Arrangements: Preferences for place of care during terminal illness
1. Schedule A - Medical Conditions Glossary: Definitions of medical terms used in the document
2. Schedule B - Healthcare Agent Authorization Form: Detailed authorization form for the appointed healthcare agent
3. Schedule C - Witness Attestation Forms: Required forms for witness signatures and attestations
4. Schedule D - Physician Acknowledgment: Form for physician's acknowledgment of the living will
5. Schedule E - Arabic Translation: Certified Arabic translation of the living will declaration
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