Health care proxy form
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The Health Care Proxy Law
www.health.ny.govLaw, a proxy form and instructions about filling out the form. Health care facilities must give this information to patients or their families at or prior to admission, or in a reasonable time thereafter. Completing a Health Care Proxy Form Individuals can use the proxy form prepared by the Department of Health, but are not required to do so ...
New York Health Care Proxy - eForms
eforms.comthis Health Care Proxy form. The person who is appointed your agent or alternate agent cannot sign as a witness. (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. ...
MASSACHUSETTS HEALTH CARE PROXY FORM
www.molst-ma.orgThis Health Care Proxy Form was prepared by The Central Massachusetts Partnership to Improve Care at the End of Life. The Partnership grants permission to reproduce this document in its entirety, so long as the source, including this statement, is shown. 12/03 2. Created Date:
Health Care Proxy - Appointing Your Health Care Agent in ...
ag.ny.govAbout the Health Care Proxy Form This is an important legal document. Before signing, you should understand the following facts: 1. This form gives the person you choose as your agent the authority to make all health care decisions for you, including the decision to
HEALTH CARE PROXY & LIVING WILL INFORMATION
www.nysenate.govHealth Care Proxy Form any needed tissues or organs. This Living Will has been prepared to conform to the law in the State of New York, as set forth in the case of In re West-chester County Medical Center, 72 N.Y.2d 517 (1988). In that case the Court approved of the use of a …
Advance Directive for Health Care
www.okdhs.orgMy health care proxy is authorized to make whatever health care decisions I could make if I were able, except that decisions regarding life-sustaining treatment and artificially administered nutrition and hydration can be made by my health care proxy or alternate health care proxy only as I have indicated in the foregoing sections. If I fail to ...
Advanced Health Care Directive Form - California
oag.ca.govThe statutory advance health care directive form is as follows: ADVANCE HEALTH CARE DIRECTIVE (California Probate Code Section 4701) Explanation You have the right to give instructions about your own health care. You also have the right to name someone else to make health care decisions for you. This form lets you do either or both of these things.
Advance Directives for Health Care
www.nj.govThe New Jersey Commission on Legal and Ethical Problems in the Delivery of Health Care Page 1 of 2 PROXY DIRECTIVE--(Durable Power of Attorney for Health Care) Designation of Health Care Representative I understand that as a competent adult, I have the right to make decisions about my health care. There may