No. You do not have to have a durable power or living will and you do not have to tell anyone your wishes. You can still make treatment choices while you are competent. If you are no longer competent, but you have made sure your family and caregivers know what you would want, it will be easier to follow your wishes. If you have not made your wishes known to family and caregivers, a court may have to name a guardian to make decisions for you.
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