Get Advance Directives - Nyu Langone Medical Center

This guide provides clear and detailed instructions for completing the Advance Directives form from NYU Langone Medical Center online. Understanding how to fill out this form is essential for making informed healthcare decisions in advance, ensuring your wishes are respected when you may not be able to communicate them.

Follow the steps to complete the Advance Directives form.

1. Press the ‘Get Form’ button to access and download the Advance Directives form.
2. In the first section, provide your full name, home address, and telephone number. This identifies you as the individual completing the form.
3. Next, if you wish to appoint an alternate agent to make healthcare decisions if your primary choice is unavailable, write their name, address, and telephone number in the designated space.
4. You can choose to set an expiration date for your Health Care Proxy. If you wish to do so, provide the specific date or conditions here; otherwise, leave this section blank for it to remain valid indefinitely.
5. If you have any special instructions for your health care agent, state them clearly in the provided field. You may also outline any limitations you want to impose on your agent's authority regarding healthcare decisions.
6. In your identification section, print your name, and ensure you sign and date the form. If you cannot sign, you may instruct someone else to sign in your presence, ensuring they include their information as well.
7. State your wishes regarding organ and/or tissue donation in the related section. Specify any organs or tissues you wish to donate, or you can indicate that you wish to donate all needed organs and tissues.
8. Lastly, two witnesses over the age of 18 must sign the document, confirming your identity and the integrity of your signature. Ensure that the witnesses are not your appointed agents or alternate agents.

Take control of your healthcare decisions by completing your Advance Directives online today.