Get the free Health Care Proxy Form and Instructions. Massachusetts legal health care planning do...
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Jun 22, 2018 ... A compilation of laws, regulations, and web sources on health care proxies and living wills ... Massachusetts laws. Federal laws. Federal regulations. Forms ... Tool Kit for Health
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How to fill out health care proxy form
How to fill out health care proxy form
01
Read the instructions and gather all necessary information
02
Fill in the personal information section with your name, address, and contact information
03
Choose a health care agent and fill in their information
04
Discuss your medical preferences and treatment options with your health care agent
05
Specify any specific medical treatments or procedures that you do or do not want
06
Sign and date the form in the presence of two witnesses
07
Have the two witnesses sign and provide their contact information
08
Make copies of the completed form for yourself, your health care agent, and your medical providers
09
Keep the original form in a safe and easily accessible place
10
Review and update the form periodically to ensure it reflects your current wishes
Who needs health care proxy form?
01
Adults who want to ensure their medical wishes are followed in case they become unable to make decisions
02
Individuals with chronic or serious medical conditions
03
Seniors who want to designate a trusted individual to make medical decisions on their behalf
04
Anyone undergoing major surgery or medical treatment
05
People with specific medical preferences or religious beliefs
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