Massachusetts Health Care Proxy

We the undersigned each witnessed the signing of the Health Care Proxy by the Principal or at the direction of the Principal and state that the Principal appears to be at least 18 years of age of sound mind and under no constraint or undue influence. The Massachusetts Health Care Proxy is a simple legal form that allows you to name someone you trust to make health care decisions for you according to your wishes iffor any reason and at any timeyou become unable to make or communicate those decisions yourself.

Massachusetts Medical Society Health Care Proxies And End Of Life Care

You can do-it-yourself or complete with an attorney.

Massachusetts health care proxy. Health Care Proxy developed by Massachusetts Health Decisions in association with the following member organizations of the Massachusetts Health Care Proxy Task Force. Every competent adult 18 years old and older has the right to appoint a Health Care Agent in a Health Care Proxy. I have read this document carefully and have personally discussed with the Principal hisher health care wishes at a time of possible incapacity.

Theo Luật Health Care Proxy Massachusetts General Laws Chương 201 D mọi người lớn có đủ khả năng tuổi từ 18 trở lên có thể dùng mẫu đơn này để chỉ định đại điện chăm sóc sức khỏe cho mình. To create your Health Care Proxy print this two page form and place the instructions page and the blank document in front of you. Medical Society Includes information on health care proxies living wills hospice and more.

A serious illness or accident however could prevent you from making or. In Massachusetts if a person becomes incapable of making medical decisions eg due to unconsciousness dementia or other mental limitations it is their health care agent who is authorized to make medical decisions for them. Planning in advance You have the right to make decisions about your own medical care.

The Partnership grants permission to reproduce this document in its entirety so long as the source including this statement is shown. The health care decisions made by my HCA on my behalf shall have the same priority as my decisions would were I competent over decisions by any other person including a person acting pursuant to a durable power of attorney except for any limitation that I state below or a specific court order overriding this health care proxy. Follow the step-by-step instructions and sign and date the Health Care.

Create Your Own Health Care Proxy. MOLST is a medical order form similar to a prescription that. The Health Care Proxy is a simple legal document that allows you to name someone you know and trust to make health care decisions for you if for any reason and at any time you become unable to make or commu-nicate those decisions.

For prices and information on quantity orders or for licensing digital versions please contact non-profit Massachusetts Health Decisions Email. Everything you need to know about the law for patients families and health care providers. The person you choose as your Health Care Proxy should be someone who knows what decisions you would make for yourself if you were able to do so.

Why is there a Health Care Proxy. To plan for the future possibility of accidents or illness all adults aged 18 and older should use a health care proxy form to appoint their health care agent. Health care proxies and end of life care Mass.

Take a minute to review the informational fact sheets in the blue boxes below. Statements of Health Care Agent and Alternate Agent OPTIONAL Health Care Agent. MASSACHUSETTS HEALTH CARE PROXY Information Instructions and Form What does the Health Care Proxy Law allow.

This Health Care Proxy Form was prepared by The Central Massachusetts Partnership to Improve Care at the End of Life. Massachusetts Medical Orders for Life-Sustaining Treatment MOLST Dept. The Health Care Proxy is a simple legal document that allows you to name someone you know and trust to make health care decisions for you if for any reason and at any time you become unable to make or communicate those decisions.

A Massachusetts health care proxy or medical power of attorney allows a principal to appoint a proxy to make health care decisions on their behalf. MASSACHUSETTS HEALTH CARE PROXY Expressing your wishes regarding your care and treatment Health care decisions. MASSACHUSETTS HEALTH CARE PROXY Information Instructions and Form What does the Health Care Proxy Law allow.

I have been named by the Principal as the Principals Health Care Agent by this Health Care Proxy. In Massachusetts the Living Will is not a replacement for a Health Care Proxy as in other states. The proxy will be instructed to follow in the wishes and desires of the principal.

Neither of us is named as the Health Care Agent or Alternate in this document. Most people choose a relative or close friend. In Massachusetts a spouse family or friend does not automatically have the legal authority to make health decisions on your behalf unless appointed in a Health Care Proxy.

Under the Massachusetts General Laws pertaining to Health Care Proxies a person must be a competent. The Massachusetts Health Care Proxy is a basic and essential legal document that allows you to name someone you know and trust to make health care decisions for you if for any reason and at any time you become unable to make or communicate those decisions for yourself.

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