Quoting pathseeker:

Here is a sample one for you to get an idea...........

I, __________________________, being of sound mind and body, do
not wish to be kept alive indefinitely by artificial means.
Under no circumstances should my fate be put in the hands of
pinhead politicians who couldn't pass ninth-grade biology if their lives depended on it. Nor in the hands of lawyers/doctors who are interested simply in running up the bills.

If a reasonable amount of time passes and I fail to ask for at
least one of the following:
Bloody Mary,Margarita, Scotch and soda, Martini, Vodka and Tonic, steak, lobster or crab legs, the remote control, bowl of ice cream,
chocolate,and most importantly SEX ...it should be presumed that I won't ever get better.

When such a determination is reached, I hereby instruct my
appointed person and attending physicians to pull the plug, reel in the tubes and
call it a day.
At this point, it is time to call a New Orleans Jazz Funeral
Band to come do their thing at my funeral, and ask all of my friends to raise their glasses to toast the good times we have had.

Signature: ___________________________

Date: ___________________________

Here is a sample one for you to get an idea...........

I, __________________________, being of sound mind and body, do
not wish to be kept alive indefinitely by artificial means.
Under no circumstances should my fate be put in the hands of
pinhead politicians who couldn't pass ninth-grade biology if their lives depended on it. Nor in the hands of lawyers/doctors who are interested simply in running up the bills.

If a reasonable amount of time passes and I fail to ask for at
least one of the following:
Bloody Mary,Margarita, Scotch and soda, Martini, Vodka and Tonic, steak, lobster or crab legs, the remote control, bowl of ice cream,
chocolate,and most importantly SEX ...it should be presumed that I won't ever get better.

When such a determination is reached, I hereby instruct my
appointed person and attending physicians to pull the plug, reel in the tubes and
call it a day.
At this point, it is time to call a New Orleans Jazz Funeral
Band to come do their thing at my funeral, and ask all of my friends to raise their glasses to toast the good times we have had.

Signature: ___________________________

Date: ___________________________