New York Healthcare Proxy Form Instructions

State:
New York
Control #:
NY-AG-16
Format:
PDF
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Description

Healthcare Proxy Form Instructions

New York Healthcare Proxy Form Instructions are the legal documents that allow a person to designate another individual to make healthcare decisions on their behalf in the event of incapacity. This is also referred to as a Durable Power of Attorney for Healthcare. There are three types of New York Healthcare Proxy Forms: the General Healthcare Proxy Form, the Designation of a Natural Healthcare Proxy Form, and the Designation of Healthcare Agent Form. The General Healthcare Proxy Form allows the person creating the document to appoint another person to make medical decisions for them in the event of incapacity. The Designation of a Natural Healthcare Proxy Form allows the person creating the document to designate a natural person, such as a family member or a close friend, to make medical decisions for them if they are unable to do so. The Designation of Healthcare Agent Form allows the person creating the document to appoint an attorney-in-fact to make medical decisions for them if they are unable to do so. The New York Healthcare Proxy Form Instructions include information on how to complete the forms, including whom the person creating the document must appoint as the healthcare proxy and what type of decisions the appointed individual can make. The instructions also outline the rights of the appointed individual, including the right to receive information about the healthcare of the person creating the document and the right to make medical decisions.

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FAQ

In New York, the Health Care Proxy Form is different from the Power of Attorney Form. Here, the Health Care Proxy Form enables you to appoint someone to make medical decisions for you, while the Power of Attorney Form enables you to appoint someone to make financial decisions for you.

The Health Care Proxy Law lets you appoint a competent adult to make decisions about your medical treatment in the event you lose the ability to decide for yourself ? including decisions to remove or provide life-sustaining treatment. You can appoint a family member, a close friend, or anyone you choose.

Two witnesses must watch you sign your Health Care Proxy form and say that you appeared to sign willingly. Neither your agent nor your alternate agent can serve as a witness. You do not need to have the form notarized.

term partner, a friend, or another loved one ? you can name anyone you like to be your health care proxy. This document overrides all other relationships when it comes to making health care decisions for you.

The Health Care Proxy Law lets you voluntarily appoint a competent adult to make decisions about your medical treatment in the event you lose the ability to decide for yourself ? including decisions to remove or provide life-sustaining treatment.

Can you appoint more than one person to act as agent at the same time? No. The New York State Department of Health has stated that each person can appoint only one agent.

In most circumstances, a spouse is not automatically designated as the medical or healthcare power of attorney (POA) for their incapacitated partner. The lack of a formal designation can lead to conflict and confusion during a medical emergency.

New York law does provide for certain individuals in order of priority to consent to an organ, eye and/or tissue donation on your behalf: your designated health care agent/ proxy; your designated agent to control the disposition of your remains; your spouse, if you are not legally separated, or your domestic partner; a

More info

To create your Health Care Proxy, print this two page form and place the instructions page and the blank document in front of you. Instructions for completing the Health Care Proxy form.In this video, we'll guide you on how to fill out, a Healthcare Proxy Form! All you need to do is complete a health care proxy form as directed and sign it along with two other witnesses. The witnesses must be over the age of 18. Your agent must follow your instructions when making decisions for you. 5. You do not need a lawyer to fill out this form. How Will My Health Care Agent Make Decisions? You can write instructions on the proxy form. We created this guide to help you be the best possible health care proxy.

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New York Healthcare Proxy Form Instructions