Printable Health Care Proxy Form - Every adult should have an advance directive as to help explain the type of health care you wish to receive in case of emergency or simply planning ahead for future care. You can use these forms and keep them accessible with other important papers. Health care proxy (1) i, hereby appoint (name, home address and telephone number) as my health care agent to make any and all health care decisions for me, except to the extent that i state otherwise. The following pages explain the health care proxy and living will, and present you with examples of each. You can use the form printed here, but you don’t have to use this form. You don’t need a lawyer or a notary, just two adult witnesses. Once you have a health care agent, complete the new york health care proxy form. When would my health care agent begin to. States have specific forms these documents so health care professionals can easily recognize the. You may also want to share them with your doctor and family. This proxy shall take effect only when and if i become unable to make my own health care decisions. 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 health care providers must follow your agent’s decisions as if they are your own. Your agent cannot sign as a witness. All competent adults, 18 years of age or older, can appoint a health care agent by signing a form called a health care proxy.
You Can Use These Forms And Keep Them Accessible With Other Important Papers.
When would my health care agent begin to. Health care proxy (1) i, hereby appoint (name, home address and telephone number) as my health care agent to make any and all health care decisions for me, except to the extent that i state otherwise. This proxy shall take effect only when and if i become unable to make my own health care decisions. Health care proxy fillable pdf with instructions (pdf)
Every Adult Should Have An Advance Directive As To Help Explain The Type Of Health Care You Wish To Receive In Case Of Emergency Or Simply Planning Ahead For Future Care.
Once you complete a health care proxy, hospitals, doctors and other health care providers must follow your agent’s decisions as if they are your own. Attached is a health care proxy form that you can complete for your records. Once you have a health care agent, complete the new york health care proxy form. The following pages explain the health care proxy and living will, and present you with examples of each.
You Can Use The Form Printed Here, But You Don’t Have To Use This Form.
You don’t need a lawyer or a notary, just two adult witnesses. Your agent cannot sign as a witness. You may also want to share them with your doctor and family. Instructions are available in several languages:
All Competent Adults, 18 Years Of Age Or Older, Can Appoint A Health Care Agent By Signing A Form Called A Health Care Proxy.
States have specific forms these documents so health care professionals can easily recognize the.