a health care proxy is a document that names someone you trust as your proxy, or agent, to express your wishes and make health care decisions for you if you are unable to speak for yourself. you do not have to be terminally ill to designate a health care proxy or for the proxy to make decisions on your behalf. a doctor may have to certify that you are incapacitated before your proxy starts making decisions for you.
if you want to place restrictions on what your proxy can do or see, you should include these in your health care proxy document. it is important to appoint a proxy you trust who will be assertive and honor your wishes. make sure to update these documents as needed and/or to tell your proxy if your feelings or attitudes change so they are able to make the most appropriate choices for you. to do so, create a new health care proxy document.
the health care proxy is a simple document, legally valid in massachusetts, which allows you to name someone (an “agent”) to make health care decisions on your behalf if you are unable to make or communicate those decisions. this health care proxy document, provided free of charge, gives a clear explanation of the responsibilities of a health care agent, and simple directions on how fill out and sign the form. there are also instructions on how to revoke or cancel the document at a later date, if you choose to do so. massachusetts health care proxy information, instructions and form â information, instructions, and form for naming someone you know and trust to make health care decisions for you if, for any reason and at any time, you become unable to make or communicate those decisions. copyright â© 2022. massachusetts medical society, 860 winter street, waltham woods corporate center, waltham, maâ 02451-1411
this form gives the person you choose as your agent the authority to make all health care decisions for you, including the decision to remove or provide life- attached is a health care proxy form that you can complete for your records. once you complete a health care proxy, hospitals, doctors and other complete and sign the form ask two other people to sign the form as witnesses put the form where it is easy to find give a copy of your health care proxy, health care proxy form pdf, health care proxy form pdf, new york state health care proxy form 2021, free health care proxy form, new york health care proxy form.
this proxy shall take effect only when and if i become unable to make my own health care decisions. (2) optional: alternate. if the person i appoint is unable, i understand that as a competent adult, i have the right to make decisions about my health care. there may come a time when i am unable, due to physical or a health care proxy is a document that names someone you trust as your proxy, or agent, to express your wishes and make health care decisions for you if you, health care proxy form new york pdf, nys health care proxy form 2020, can you have 2 health care proxies, health care proxy questions, nys health care proxy form in spanish, health care proxy form florida, new york state health care proxy form 2022, can a health care proxy override the patient, health care proxy spanish, health care proxy vs power of attorney.
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