Medical Power of Attorney New York Form – PDF

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A New York medical power of attorney form, or ‘Health Care Proxy,’ is created for the purposes of appointing an attorney-in-fact to make important medical decisions should there come a time when the principal is unable to make said decisions for themselves. The appointed agent should be someone who will always keep the principal’s best interests at heart and who shares, or at least understands and respects, the principal’s values. There may come a time when life-sustaining treatment is suggested by the principal’s physician. Therefore, the principal will want a trusted individual discussing these health care options with their physician. While many people don’t like to imagine themselves in such a situation, it’s important to execute a health care proxy while healthy to ensure a trusted individual will be making tough judgment calls if necessary.

LawsPBH Article 29-C

Signing Requirements – Two (2) Witnesses (PBH § 2981)