Health care proxy 2026

1. Click ‘Get Form’ to open the Health Care Proxy in the editor.
2. In Item (1), enter the name, home address, and telephone number of your chosen health care agent. This person will make decisions on your behalf if you are unable to do so.
3. If desired, appoint an alternate agent in Item (2) by providing their details. This ensures that another trusted individual can step in if your primary agent is unavailable.
4. In Item (3), specify if you want the proxy to have an expiration date or remain valid indefinitely. This is optional but important for clarity.
5. Use Item (4) to provide any special instructions or limitations for your agent regarding health care decisions. Clearly outline your wishes about treatments you do or do not want.
6. Sign and date the form in Item (5). If you cannot sign, direct someone else to sign in your presence.
7. Complete Item (6) if you wish to express wishes regarding organ and/or tissue donation. Ensure this section is witnessed as required.
8. Finally, have two witnesses sign the document in Item (7), ensuring they are not your appointed agents.

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