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New York Health Care Proxy Health Care Decisions Statutory Form including Living Will Provisions

State:
New York
Control #:
NY-P020
Format:
Word; 
Rich Text
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About this form

The Health Care Proxy Health Care Decisions Statutory Form, including Living Will provisions, is a legal document that allows you to appoint an agent to make health care decisions on your behalf when you are unable to express your wishes yourself. Unlike other types of advance directives, this form includes specific instructions regarding your medical treatment preferences, making it a comprehensive tool for ensuring your health care choices are respected in times of incapacity.


Form components explained

  • Designation of a health care agent (proxy) to make decisions in your stead.
  • Specific health care preferences and instructions that your proxy must follow.
  • Conditions under which the form becomes effective, typically upon incapacitation.
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  • Preview Health Care Proxy Health Care Decisions Statutory Form including Living Will Provisions
  • Preview Health Care Proxy Health Care Decisions Statutory Form including Living Will Provisions

When to use this form

This form should be used when you want to ensure that your medical wishes are honored in the event you become unable to communicate due to illness or incapacity. It is particularly important for individuals who want to specify treatment options or refuse certain types of care ahead of time, ensuring that their health care agent has clear guidance to follow.

Who can use this document

  • Adults who are of sound mind and wish to plan ahead for potential health care decisions.
  • Individuals with specific health care preferences or complex medical conditions.
  • Anyone who wants to relieve their loved ones from the burden of making difficult health care decisions during a crisis.

Steps to complete this form

  • Clearly identify yourself as the principal along with your contact information.
  • Select an agent who you trust to make health care decisions for you.
  • Detail any specific health care preferences or instructions you want your agent to follow.
  • Sign and date the form in the presence of witnesses, as required by law.

Does this document require notarization?

In most cases, this form does not require notarization. However, some jurisdictions or signing circumstances might. US Legal Forms offers online notarization powered by Notarize, accessible 24/7 for a quick, remote process.

Common mistakes to avoid

  • Failing to discuss your preferences with the appointed agent.
  • Not signing the document in front of required witnesses.
  • Neglecting to update the form after significant life changes or health status updates.

Benefits of completing this form online

  • Accessible and convenient, allowing you to download and fill it out at your own pace.
  • Easy to edit and personalize according to your specific health care wishes.
  • Reliably drafted to meet legal standards, reducing potential errors.

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FAQ

You can now make an appointment for a free rapid COVID-19 virus test at the Health Department's COVID Express sites throughout the city.

If you get a call from NYS Contact Tracing (518-387-9993), PLEASE answer the phone. Answering the phone will keep your loved ones and community safe.

Once you are eligible you will be able to make a vaccine appointment at many locations throughout the city using the NYC Vaccine Finder or by calling 1-877-VAX-4NYC.

Call the new COVID-19 hotline: 212-COVID19 (268-4319) to get information about testing sites, advice from medical staff, information about quarantining, mental health support, and more.

If you go to a test site run by New York State, there is never any charge for your test.

Free antibody testing is available on a walk-in basis at the 11 acute care facilities of NYC Health + Hospitals and at the following Gotham Community Health Center sites.

You can now make an appointment for a free rapid COVID-19 virus test at the Health Department's COVID Express sites throughout the city.

For any traveler who has traveled outside of New York for more than 24 hours, such traveler must seek testing prior to departure from that state, within 72 hours of departure, prior to arrival in New York.

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New York Health Care Proxy Health Care Decisions Statutory Form including Living Will Provisions