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Health care proxy 2026

The document is a New York Health Care Proxy form that allows an individual to appoint a health care agent to make medical decisions on their behalf if they become unable to do so. It includes sections for appointing an alternate agent, specifying the duration of the proxy, providing optional instructions regarding health care preferences, and indicating organ or tissue donation wishes. The document also requires signatures from witnesses to validate the appointment.

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Click ‘Get Form’ to open the health care proxy document in the editor.
Begin by filling in your name at the top of the form, followed by appointing your health care agent. Provide their name, home address, and telephone numbers in the designated fields.
If desired, appoint an alternate agent by filling out their details in the optional section provided.
Specify any expiration date or conditions for this proxy in the relevant section if you wish it to be temporary.
In the optional instructions section, articulate any specific wishes regarding your health care decisions that you want your agent to follow.
Complete your identification by printing your name, signing, and providing your address at the bottom of the form.
If applicable, indicate your preferences for organ or tissue donation and sign accordingly.
Finally, ensure that two witnesses complete their information and signatures as required by law.

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