Form 1430 Health Care Proxy - New York

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Form 1430 Health Care Proxy - New York

What Is Form 1430?

This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a Health Care Proxy?
A: A Health Care Proxy is a legal document that allows you to appoint someone to make medical decisions on your behalf if you are unable to do so.

Q: Who can create a Health Care Proxy?
A: Any person who is 18 years of age or older and is capable of making their own medical decisions can create a Health Care Proxy.

Q: How do I complete Form 1430?
A: You need to fill in your personal information, choose your agent, and sign the form in the presence of two adult witnesses.

Q: Can I revoke my Health Care Proxy?
A: Yes, you can revoke your Health Care Proxy at any time as long as you are mentally competent.

Q: Can my agent override my wishes?
A: No, your agent can only make decisions that are consistent with your wishes or your best interests, if your wishes are not known.

Q: When does a Health Care Proxy go into effect?
A: A Health Care Proxy goes into effect when your primary physician determines that you lack the capacity to make your own medical decisions.

Q: Can my agent refuse treatment for me?
A: No, your agent cannot refuse treatment for you. They can only make medical decisions on your behalf.

Q: Is a Health Care Proxy legally binding?
A: Yes, a Health Care Proxy is legally binding as long as it is properly completed and signed in the presence of two adult witnesses.

Q: Can I have multiple Health Care Proxies?
A: No, you can only have one Health Care Proxy at a time. If you create a new one, it will automatically revoke any previous proxies.

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Form Details:

  • Released on November 1, 2017;
  • The latest edition provided by the New York State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1430 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form 1430 Health Care Proxy - New York

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