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HEALTH CARE PROXY (New York Public Health Law, Article 29C, Section 2981) I, (name of principal) hereby appoint (name, home address and telephone number of agent) as my health care agent to make any

How to fill out health care proxy

How to fill out a health care proxy:

1. Start by selecting the person you trust to make medical decisions on your behalf if you are unable to do so. This person is known as your healthcare agent or proxy.
2. Obtain the necessary health care proxy form from your state or healthcare provider. This form may also be available online.
3. Carefully read and understand the instructions provided on the form. Familiarize yourself with the key terms and definitions mentioned, such as "incompetent," "life-sustaining treatment," and "end-stage condition."
4. Fill out the personal information section of the form, including your full legal name, date of birth, and contact details. Be sure to provide accurate information to avoid any confusion or complications.
5. Choose an alternate proxy or healthcare agent in case your primary proxy is unavailable or unable to fulfill their responsibilities. This ensures that there is always someone available to represent your best interests.
6. Consider including specific instructions regarding your medical preferences. For example, you may state your preferences regarding organ donation, pain management, or religious beliefs that may influence your healthcare decisions.
7. Sign and date the health care proxy form in the presence of witnesses as required by your state's laws. The number of witnesses required may vary depending on your location. Make sure the witnesses also sign and provide their contact information.
8. Store the completed and signed health care proxy form in a safe and easily accessible place. Inform your healthcare agent, family members, and close friends about your health care proxy and its location so that it can be quickly accessed when needed.

Who needs a health care proxy:

1. Everyone who is over the legal age of consent should consider having a health care proxy. Accidents, illnesses, or unforeseen circumstances can occur at any age, making it essential to have someone trusted to make medical decisions on your behalf.
2. People with chronic illnesses or medical conditions that may render them incapable of making informed medical decisions may especially benefit from having a health care proxy. This ensures that their wishes and preferences are known and respected.
3. Individuals who would like to have a say in their medical care, even if they are able to make their own decisions currently, may opt to complete a health care proxy. This allows them to have control over their medical treatment in case they become unable to communicate or make decisions in the future.

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