Get the up-to-date health proxy form 2025 now

Show details

4.8 out of 5

59 votes

The document is a Massachusetts Health Care Proxy form that allows an individual (the Principal) to appoint a Health Care Agent to make medical decisions on their behalf if they become unable to do so. It includes sections for the Principal's information, the Agent's details, optional Alternate Agent designation, and witness statements. The Agent is tasked with making health care decisions based on the Principal's wishes or best interests.

Here's how it works

01. Edit your health proxy form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send regulation massachusetts via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Health proxy form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your paperwork requires just a few simple clicks. Make these fast steps to edit the PDF Health proxy form online free of charge:

Register and log in to your account. Log in to the editor using your credentials or click on Create free account to test the tool’s functionality.
Add the Health proxy form for editing. Click on the New Document button above, then drag and drop the document to the upload area, import it from the cloud, or via a link.
Adjust your file. Make any changes required: insert text and photos to your Health proxy form, underline details that matter, erase sections of content and substitute them with new ones, and insert icons, checkmarks, and areas for filling out.
Finish redacting the form. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super user-friendly and efficient. Give it a try now!

See more health proxy form versions

We've got more versions of the health proxy form form. Select the right health proxy form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (59 Votes)
2003	4.5 Satisfied (589 Votes)
1999	4 Satisfied (37 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Where can I get a health care proxy form?

Request a health care proxy form from your medical provider or download a health care proxy form online, which may also be called a health care or medical power of attorney designation form. These generally cost less than $20 and are sometimes free.

Is Next of Kin automatically a health care proxy?

Your agent can be a close relative or friend but should be someone who knows you well and someone you trust to speak on your behalf. In most states, your agent can make decisions any time you lose the ability to make a medical decision, not just decisions about the end of life.

Can a health care proxy be a family member?

In most states, a health care proxy must be age 18 or older. In Alabama and Nebraska, a proxy must be age 19 or older. In all cases, a proxy must be of sound mind. Some people choose a family member, but others may decide on a trusted friend or neighbor or a lawyer.

What is a health proxy form?

A health care proxy is a document that names someone you trust as your proxy, or agent, to express your wishes and make health care decisions for you if you are unable to speak for yourself.

Can a family member be a healthcare proxy?

You can choose any adult to be your agent. Its best to choose someone you trust, who knows you well, who knows your values, and who is willing to serve as your agent. Your healthcare agent should try to respect your wishes, but sometimes your agent may have to interpret your wishes.

massachusetts health care proxy form pdf

Health proxy form template Health proxy form pdf Free health proxy form Health care Proxy form New York PDF How do I get a health care Proxy form Health care Proxy limitations Health Proxy form NY Health care proxy Washington state

How to become a proxy for a family member?

Even though it seems logical for next-of-kin to automatically assume decision making for patients, not all states clearly confer this authority. As a result, the people who know the patient best may be hindered in guiding treatment plans.

What is the difference between a POA and a healthcare proxy?

A POA covers your financial and legal affairs, while a Health Care Proxy empowers someone you trust to make medical decisions on your behalf. Without these documents, your loved ones may face legal hurdles or be unsure of how to proceed.