Massachusetts Health Care Proxy Living Will

State:
Massachusetts
Control #:
MA-P020
Format:
Word; 
Rich Text
Instant download

Description Massachusetts Health Care Proxy

This form is a Health Care Proxy, commonly known as a Living Will. You have the right to give instructions about your own health care. You also have the right to name someone else to make health-care decisions for you. This form lets you do either or both of these things. It also lets you express your wishes regarding anatomical gifts and the designation of your primary physician. If you use this form, you may complete or modify all or any part of it.
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Power of Attorney and Living Will / Health Care Directive

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Health Proxy Form Other Form Names

Health Proxy Form Document   Massachusetts Care Proxy Agreement   Health Care Proxy Living Will   Health Proxy Form Statement   Health Proxy Will   Ma Health Care Proxy   Ma Health Care Proxy Template  

Massachusetts Health Care Proxy Pdf FAQ

Health Care Directive Must be signed by two witnesses or notarized. Neither of your witnesses nor the notary may be your health care agent. If you choose to have the document witnessed, at least one of the witnesses may not be a health care provider or an employee of a provider directly attending to you.

Under the Health Care Proxy Law (Massachusetts General Laws, Chapter 201D), any competent adult 18 years of age or over may use this form to appoint a Health Care Agent.

The person you appoint as your proxy cannot serve as a witness. You do not need to notarize your Massachusetts healthcare proxy.

Unlike a living will, where a person dictates their own wishes, a healthcare proxy gives authority to make medical decisions to another individual.Also unlike living wills, medical doctors are bound to follow a healthcare proxy's decisions as if they were coming from the actual patient.

The forms vary from state to state, so in order to legally name a Health Care Proxy you'll need to print out your state's forms from our State-by-State Advance Health Care Directive Forms tool. Be aware that you must name your Health Care Proxy yourself; that is, no one can name a Proxy on behalf of another person.

Health Care Directive Must be signed by two witnesses or notarized. Neither of your witnesses nor the notary may be your health care agent. If you choose to have the document witnessed, at least one of the witnesses may not be a health care provider or an employee of a provider directly attending to you.

Two witnesses must watch you sign your health care proxy and say that you appeared to sign it willingly. The witnesses may be members of your family or medical professionals. The witnesses must also sign and date the document. You must sign and date your health care proxy with the witnesses present.

Yes, an individual that has been given a health care power of attorney will have the right to access the medical records of the individual related to such representation to the extent permitted by the HIPAA Privacy Rule at 45 CFR 164.524.

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Massachusetts Health Care Proxy Living Will