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New York Health Care Proxy - eForms
this 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. ...
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Texas Durable Power of Attorney Form for Health Care
eforms.comMEDICAL POWER OF ATTORNEY DESIGNATION OF HEALTH CARE AGENT . Advance Directives Act (see §166.164, Health and Safety Code) I, (insert your name) appoint: Name: Address: Phone: as my agent to make any and all health care decisions for me, except to the extent I state otherwise in this document.
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The Health Care Proxy Law
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MASSACHUSETTS HEALTH CARE PROXY FORM
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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 ...
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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