Form 1430 Health Care Proxy - New York

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Form 1430 Health Care Proxy - New York

What Is Form 1430?

This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a Health Care Proxy?A: A Health Care Proxy is a legal document that allows you to appoint someone to make medical decisions on your behalf if you are unable to do so.

Q: Who can create a Health Care Proxy?A: Any person who is 18 years of age or older and is capable of making their own medical decisions can create a Health Care Proxy.

Q: How do I complete Form 1430?A: You need to fill in your personal information, choose your agent, and sign the form in the presence of two adult witnesses.

Q: Can I revoke my Health Care Proxy?A: Yes, you can revoke your Health Care Proxy at any time as long as you are mentally competent.

Q: Can my agent override my wishes?A: No, your agent can only make decisions that are consistent with your wishes or your best interests, if your wishes are not known.

Q: When does a Health Care Proxy go into effect?A: A Health Care Proxy goes into effect when your primary physician determines that you lack the capacity to make your own medical decisions.

Q: Can my agent refuse treatment for me?A: No, your agent cannot refuse treatment for you. They can only make medical decisions on your behalf.

Q: Is a Health Care Proxy legally binding?A: Yes, a Health Care Proxy is legally binding as long as it is properly completed and signed in the presence of two adult witnesses.

Q: Can I have multiple Health Care Proxies?A: No, you can only have one Health Care Proxy at a time. If you create a new one, it will automatically revoke any previous proxies.

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Form Details:

  • Released on November 1, 2017;
  • The latest edition provided by the New York State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1430 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Department of Health.

Download Form 1430 Health Care Proxy - New York

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