Health Care Proxy Form - New York

Health Care Proxy Form - New York

Health Care Proxy Form is a legal document that was released by the New York State Department of Health - a government authority operating within New York.

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: Why do I need a Health Care Proxy?A: Having a Health Care Proxy ensures that your medical wishes are respected if you become incapacitated and are unable to communicate your decisions.

Q: Who can be my Health Care Proxy?A: Your Health Care Proxy can be any adult who is willing to accept the responsibility.

Q: Can I have more than one Health Care Proxy?A: In New York, you can appoint alternate proxies to serve if your primary proxy is unable or unwilling to fulfill the role.

Q: How do I create a Health Care Proxy?A: To create a Health Care Proxy, you need to fill out a form provided by the New York State Department of Health or consult with an attorney.

Q: Do I need a lawyer to create a Health Care Proxy?A: No, you can fill out the form on your own, but it's recommended to consult with an attorney to ensure it is properly drafted and executed.

Q: When does a Health Care Proxy go into effect?A: A Health Care Proxy goes into effect when your attending physician determines that you are unable to make or communicate your own medical decisions.

Q: Can I revoke a Health Care Proxy?A: Yes, you can revoke a Health Care Proxy at any time by notifying your health care provider or proxy in writing, or by executing a new Health Care Proxy form.

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Form Details:

  • Released on July 1, 2012;
  • The latest edition currently provided by the New York State Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Health Care Proxy Form - New York

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