Durable Power of Attorney for Health Care(Download)Declaration of a Durable Power of Attorney for Health Care Only1. Declaration.A. Life Sustaining Procedures. Declaration made on this date, _________, I, ________ (“Declarant”), being of sound mind, willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, and do hereby declare:If at any time I should have an incurable injury, disease, or illness certified to be a terminal condition or a permanently unconscious condition by two (2) physicians who have personally examined me, one of whom shall be my attending physician, and the physicians have determined that my death will occur whether or not life-sustaining procedures are utilized, or that I will remain in a p