Printable health care proxy 2025

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Key Takeaways. A health care proxy appoints someone to make health care decisions on your behalf if you are unable to do so. A power of attorney appoints someone to handle your financial matters and make decisions on your behalf if you are unable to do so.
Some states require two witnesses and require you to have the healthcare proxy notarized. Give a copy of your healthcare proxy to your doctor, your agent, your hospital, and anyone else you believe should have it. A healthcare proxy is necessary for a comprehensive estate plan.
To make your decision official, you will need to complete the durable power of attorney for health care form for your state. You can find, download, and print free advance directive forms for your state. You may need to have your form witnessed or notarized, so be sure to read the directions closely.
Obtain a copy of the Health Care Proxy Form from a reliable source, such as a hospital or state health department website. Read the instructions provided with the form carefully to understand its purpose and requirements.
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.
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As the National Institute on Aging (NIA) explains, a healthcare proxy is a legal document people use for advance care planning. Another name for this document is a durable power of attorney for healthcare. Its purpose is to nominate someone to make a persons healthcare decisions in the event of an illness or injury.
Two witnesses 18 years of age or older must sign this Health Care Proxy form. The person who is appointed your agent or alternate agent cannot sign as a witness.

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