New york health care proxy: Fill out & sign online

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Click ‘Get Form’ to open the living will ny document in the editor.
Begin by filling in your name and address at the top of the form. This identifies you as the individual making the health care decisions.
Appoint your health care agent by entering their name and address in the designated fields. This person will make decisions on your behalf if you are unable to do so.
In section A, clearly express your wishes regarding health care decisions. Ensure that you understand how these directives will guide your agent.
For section B, choose one of the two statements regarding life-sustaining measures by initialing next to your choice. If you select statement 2, be sure to initial each sub-statement (a, b, c) that applies.
In section C, indicate your preferences for artificially provided fluids and nutrition based on your previous choices.
Complete sections D through H by providing any additional information required, including organ donation preferences and witness signatures.

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