This form provides for partial or total revocation of the Health Care Proxy provided for in Form MA-P020. See General Laws of Massachusetts, Chapter 210D, Section 7.
Boston Massachusetts Revocation of Health Care Proxy
State:
Massachusetts
City:
Boston
Control #:
MA-P020B
Format:
Word;
Rich Text
Instant download
Description
How to fill out Massachusetts Revocation Of Health Care Proxy?
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FAQ
The person you appoint as your proxy cannot serve as a witness. You do not need to notarize your Massachusetts healthcare proxy.
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.
Anyone 18 years of age or older may serve as a witness; however, your health care agent cannot be a witness. Even if you don't live in Massachusetts, you can use this form if you are receiving your care here.
A health care proxy does not automatically go into effect but, rather, comes into effect as specified in the document. This condition varies from state to state but most often, the document states that the proxy will come into effect only when and if your doctor declares that you are incapacitated.
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.
A principal may revoke a health care proxy by notifying the agent or a health care provider orally or in writing or by any other act evidencing a specific intent to revoke the proxy.
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 person you appoint as your proxy cannot serve as a witness. You do not need to notarize your Massachusetts healthcare proxy.
How to appoint your health care agent: Choose someone you trust the most to:Print a Health Care Proxy form.Complete and sign the form. Ask two other people to sign the form as witnesses. Put the form where it is easy to find. Give a copy of your health care proxy form to your health care agent.
As the individual executing the health care proxy, also called ?the principal,? you have the option to set an expiration date for your named agent's ability to act. Whether your health proxy expires is a decision you must make at the time you sign it.
