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The document is a formal revocation of a previously executed Health Care Proxy by the Declarant, in accordance with Massachusetts law. It allows the Declarant to revoke all or specific parts of their Health Care Proxy, including designations for health care agents, instructions for health care, anatomical gifts, and primary physician details. The revocation is documented in writing and is intended to inform all parties who received the original Health Care Proxy.

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What is the healthcare proxy law in Massachusetts?

This means that your Agent can act for you if you are temporarily unconscious, in a coma, or have some other condition in which you cannot make or communicate health care decisions. Your Agent cannot act for you until your doctor determines, in writing, that you lack the ability to make health care decisions.

How much power does a health care proxy have?

A health care proxy, on the other hand, can be used to appoint someone to make decisions about your medical care, such as choosing your doctors, consenting to or refusing treatment, and making end-of-life decisions. In the case of a power of attorney, it can be either general or limited.

How do you remove yourself as a health care proxy?

Steps to Revoke a Health Care Proxy Create a Written Statement: The first and most critical step is to write a formal statement clearly stating your intention to revoke the current health care proxy. This document should include your full name, the date, and a clear declaration of revocation.

How do you resign as a medical power of attorney?

To resign, an agent must compose a formal letter notifying the principal, any co-agents and all parties with which the original POA has been filed, such as banks, elder care providers, etc.

How do I revoke a health care proxy in Massachusetts?

You notify your agent, your doctor, or other health care provider, orally or in writing that you want to revoke your Health Care proxy. You do anything else that clearly shows you want to revoke the Proxy, for example, tearing up or destroying the Proxy, crossing it out, telling other people, etc.

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Can a health care proxy be revoked?

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.

How do I remove myself as a health care proxy?

You may cancel the authority given to your agent by telling him or her or your health care provider orally or in writing.

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