New York Advance Directive Form (Medical POA + Living Will)

A New York advance directive is a document on which individuals may write out their health care wishes and assign a trusted friend or family member to act as their healthcare proxy. The “living will” form guides physicians on how to handle a person’s end-of-life care. Living wills aren’t recognized in New York, but they may be attached to a health care proxy document to further direct medical staff and assist the patient’s medical agent.

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What’s Included?


Signing Requirements (NY Pub Health L § 2981) – Two (2) witnesses.

State Definitions

  • Health Care Agent (NY Pub Health L § 2980(5)) – “Health care agent” or “agent” means an adult to whom authority to make health care decisions is delegated under a health care proxy.

Versions (5)

Caring Info

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Montefiore Medical Center

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blankNYU Langone Medical Center

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blankArchdiocese of New York

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