This document is an Advance Decision to Refuse Medical Treatment, which allows an individual to outline their healthcare preferences and refuse specific treatments in the future if they lack the capacity to make decisions themselves. It is intended for use by someone who wishes to state their refusal of life-sustaining treatments or other medical interventions under circumstances like vegetative state or terminal illness. The document confirms the individual's capacity at the time of creation and highlights that their wishes should be respected. It is legally binding unless revoked.