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Revocation of Health Care Proxy - New York 2026

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The document is a formal revocation of a previously executed Health Care Proxy by the Declarant. It outlines the legal provision allowing a competent adult to revoke such a proxy and serves as written notice to all parties who received the original proxy.

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Click ‘Get Form’ to open the Revocation of Health Care Proxy in the editor.
Begin by entering your name as the Declarant in the designated field. This identifies you as the individual revoking the proxy.
Next, fill in the date on which you executed your original Health Care Proxy. This provides context for your revocation.
In the section that states 'DATED this the', enter today's date to indicate when you are formally revoking the proxy.
Sign in the 'Signature of Declarant' field to authenticate your decision. Ensure that your signature matches any previous documents for consistency.
Print your name clearly in the 'Printed Name of Declarant' field to avoid any confusion regarding your identity.
Finally, provide your address in the 'Address of Declarant' section, ensuring all information is accurate and up-to-date.

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Can a family member override a healthcare proxy?

The agent is obligated to act in the best interests of the principal, following the instructions outlined in the document. This authority is not subject to direct override by other family members, even if they believe they have the principals best interests at heart.

What are the rules for a health care proxy?

The health care proxy becomes effective only when you become unable to make decisions, as determined by a physician. Until then, you continue to be in charge of making your own health care decisions. It can be revoked orally, and you always have the right while competent to sign a new health care proxy.

What is the NYS law regarding health care proxies?

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.

What is the healthcare proxy law in NY?

You may appoint an alternate agent to decide for you if your health care agent is unavailable, unable or unwilling to act when decisions must be made. Otherwise, health care providers will make health care decisions for you that follow instructions you gave while you were still able to do so.

Who makes decisions if you have no health care proxy in NY?

If a patient does not have a health care proxy, a legal guardian (or the person highest in priority from the surrogate list, known as the surrogate) makes decisions.

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How do I remove someone as a health care proxy?

Notify the Health Care Proxy Agent: It is crucial to notify the person who was designated as your health care proxy (the agent) that their authority has been revoked. Providing them with a copy of the written revocation ensures they are aware of the change.

Revocation of Health Care Proxy - New York 2026

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Can a family member override a healthcare proxy?

What are the rules for a health care proxy?

What is the NYS law regarding health care proxies?

What is the healthcare proxy law in NY?

Who makes decisions if you have no health care proxy in NY?

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