Search results with tag "Health care proxy"
The Health Care Proxy Law
www.health.ny.govCreating a Health Care Proxy 5 A health care agent is appointed by a written document called a health care proxy. The Proxy Law calls the person who creates a proxy the “principal.” Any competent adult can appoint an agent. Adults are presumed competent to create a health care proxy unless they have been found otherwise by a court.
MASSACHUSETTS HEALTH CARE PROXY - Boston Medical …
www.bmc.org5. Statements of Health Care Agent and Alternate Agent (OPTIONAL) Health Care Agent: I have been named by the Principal as the Principal's Health Care Agent by this Health Care Proxy. I have read this document carefully, and have personally discussed with the Principal his/her health care wishes at a time of possible incapacity.
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 ...
MASSACHUSETTS HEALTH CARE PROXY FORM
www.molst-ma.orgHealth Care Agent: I have been named by _____ (the “principal”) as the principal’s Health Care Agent by his or her Health Care Proxy and I hereby accept this appointment. The principal has communicated to me his/her health care wishes at a time of possible incapacity, and I will try to give effect to the principal’s wishes. ...
New York Health Care Proxy - eForms
eforms.comNew York Health Care Proxy Item (1) Write the name, home address and telephone number of the person you are selecting as your agent. Item (2) (nourishment If you want to appoint an alternate agent, write the name, home address and telephone number of the person you are selecting as your alternate agent. Item (3) Your Health Care Proxy will ...
Georgia Advance Directive for Health Care
www.piedmont.orgdirective for health care, durable power of attorney for health care, health care proxy, or living will that you have completed before completing this form. 36725P Rev. 09/18 Page 2 of 9
ADVANCE DIRECTIVE FORMS and MY RIGHTS TO GUIDE MY …
www.mercy.netDurable Power of Attorney for Health Care; however my Agent/Proxy may receive reimbursement for reasonable out-of-pocket expenses. SIGNATURE FOR PART A IN WITNESS WHEREOF, I signed this Durable Power of Attorney for Health Care (Health Care Proxy) on this _____ day of _____, in the year _____.
Advanced Directives
ag.ny.govHealth Care Proxy Law: Your Health Care Agent can make decisions related to artificial nutrition and hydration (for example, use of a tube to give you food and water). You may either specifically tell your wishes to your agent or write your wishes in your Health Care Proxy form.
Health Care Proxy - Appointing Your Health Care Agent in ...
ag.ny.govhealth care decisions for you or to give specific instructions, you may state your wishes or limitations here.) I direct my health care agent to make health care decisions in accordance with the following limitations and/or instructions (attach additional pages as necessary): _____ In order for your agent to make health care decisions for you ...
HEALTH CARE PROXY & LIVING WILL INFORMATION
www.nysenate.govhealth care proxy are important decisions we all should make related to how we wish to be treated as our life ends. Th ese decisions are not just consider-ations for the frail and elderly, but choices to be made when we are alert and willing to evaluate our views on end- of- life care. Discussions with close family