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Under the Health Care Proxy Law (Massachusetts General Laws, Chapter 201D), any competent adult 18 years of age or over may use this form to appoint a Health Care Agent.
The law requires that you sign your document, or direct another to sign it, in the presence of two adult witnesses, who must also sign the document to show that they believe you to be at least 18 years of age, of sound mind, and under no constraint or undue influence.
Witness Statement and Signature (Required) Any competent adult can be a witness except your Health Care Agent and Alternate Agent. Two adults must be present as witnesses when this document is signed.
A corporation may change its registered office or registered agent by filing a statement of change of registered agent or registered office. The registered office may, but need not be, the same as the corporation's place of business. The registered agent's written consent to their appointment must be included.
All fifty states permit you to express your wishes as to medical treatment in terminal illness or injury situations, and to appoint someone to communicate for you in the event you cannot communicate for yourself.
The Health Care Proxy is a simple document, legally valid in Massachusetts, which allows you to name someone (an "agent") to make health care decisions on your behalf if you are unable to make or communicate those decisions.
The usual guidelines for creating a health care proxy are as follows:Your primary agent's name and address.Your alternate agent's name and address.The duration of the proxy without a specified duration your proxy will be invalid.Any advance directives that widen or restrict the scope of your agent's authority.More items...
A health care proxy, or durable power of attorney for health care, allows you to designate another person as your agent to make health care decisions on your behalf.
No, a lawyer or notary is not required and you do not need to file your completed Proxy with any state or government agency. The Proxy was designed to be completed by any competent adult and two witnesses.
The person you appoint as your proxy cannot serve as a witness. You do not need to notarize your Massachusetts healthcare proxy.