Living Will

In Case of Emergency: 

• My Name:    D#o#u#g#l#a#s # #  #H#u#g#h# # # H#e#a#t#w#o#l#e

• DOB:    3/25/1975

• Address:    1#1#1#3 # # # E # # 9#t#h # # S#t,# # #M#e#s#a,# # #A#Z # # # 8#5#2#0#3

• Known Allergies:    Penicillin 

• Known Sicknesses:   Allergies to Pollen, Severe Sleep Apnea

• Current Medications:    Afrin Daily, Seldom use of Albuterol

• Weight:    200 lbs

• Height:    6' 0"

• Blood Type:    ???

• Organ Doner:    YES