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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.
The person you appoint as your proxy cannot serve as a witness. You do not need to docHub your Massachusetts healthcare proxy.
The Health Care Proxy is a simple legal document that allows you to name someone you know and trust to make health care decisions for you if, for any reason and at any time, you become unable to make or communicate those decisions.
Write your name and the name, home address and telephone number of the person youre selecting as your agent. Write the name, home address and telephone number of an alternative agent. If you wish to set an expiration date for your health care proxy form, you should write that date on this line.
Durable power of attorney for health care: a legal document that allows an individual to name a particular personknown as an agent, surrogate or proxyto make health care decisions on his or her behalf should he or she no longer be able to make such decisions; also known as medical power of attorney.
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Anyone 18 years of age or older may serve as a witness; however, your health care agent cannot be a witness. Even if you dont live in Massachusetts, you can use this form if you are receiving your care here.
The person you appoint as your proxy cannot serve as a witness. You do not need to docHub your Massachusetts healthcare proxy.
spouse may automatically become your legal proxy. If you think your spouse might find it too difficult to make decisions such as starting or ending treatments if you were seriously ill, its probably a good idea to choose someone else as your proxy.
How do I appoint a health care agent? All competent adults, 18 years of age or older, can appoint a health care agent by signing a form called a Health Care Proxy. You dont need a lawyer or a notary, just two adult witnesses. Your agent cannot sign as a witness.
The Health Care Proxy is a simple legal document that allows you to name someone you know and trust to make health care decisions for you if, for any reason and at any time, you become unable to make or communicate those decisions.

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