"I, ____, fill out this order as my official will. The instructions contained therein reflect my firm and conscious decision.

I instruct that under no circumstances - even if doctors consider it vital to save my life or health - do not give me a blood transfusion (whole blood, red blood cell, white blood cell, platelet mass or plasma). I agree to the use of blood volume enticants (such as dextran, saline solutions such as Ringer's solution, hydroxyethyl starch), as well as the use of other bloodless treatments.

With this legal regulation, I express my right to accept or refuse medical treatment in accordance with my life principles and beliefs. I am one of Jehovah's Witnesses, and I make this command in obedience to such commands as recorded in the Bible, such as: "Abstain . . . of blood" (Acts 15:28,29). I have been holding this firm religious position for __ years. My age is __ years.

In addition, I know that blood transfusions are fraught with various dangers. Therefore, I have decided to avoid such dangers, and instead I am willing to take any risk that may involve my choice of bloodless alternative treatment.

I release doctors, anesthesiologists, hospitals and their medical staff from liability for any consequences of my refusal of blood if I have been provided with full other qualified care.

I authorize the person(s) named on the reverse to follow up on my instructions set forth herein and to answer all questions about my total refusal of blood."

Here is the text that contains the "ID card" that Jehovah's Witness parents fill out for their children:

"As parents, we have a deep interest in the well-being of our child, ____. We are Jehovah's Witnesses and have religious beliefs. Therefore, we refuse blood transfusions. It is widely known that donor blood treainsfusions carry the risk of contracting hepatitis, AIDS and other dangerous infectious diseases. Our informed choices make it possible to avoid these diseases. But we agree to blood-free substitutes that increase blood volume, and drugs that affect blood clotting and stimulate the formation of red blood cells. If our child has an accident or becomes seriously ill, please contact us immediately. We will be able to provide information about doctors who respect our religious beliefs and who can advise on the use of modern, acceptable alternative therapies.120

Especially in [3] it is reminded of the elders of the congregations.

"Help everyone understand that cards can only be useful if they are filled out correctly and always have them with them."

In the insert, the OSB follower is warned.

"Think about what will happen to you if you are brought to the intensive care unit in critical condition; You're unconscious and can't speak for yourself. If you do not have a document with you, and no relatives or elders have arrived at the hospital yet, and the doctors think you "need" blood,121 they will likely give you a transfusion. Unfortunately, this happened to some. But when we have a document with us, it speaks for us, expressing our will... Always carry the Medical Document with you.

Two other important recommendations are given.

"Since our medical document is mainly for accidents, if you are scheduled for surgery, it is reasonable to personally draw up a more detailed document (based on our document), in which you indicate what kind of surgery is to be performed, the names of the doctors, and the name of the hospital. ... Even if neither you nor the doctor expect serious problems, explain that in the event of any unexpected turn of events, it is necessary to follow the document you wrote."