Form 1409 Health Care Proxy Designation Form - New York (Italian)

Form 1409 Health Care Proxy Designation Form - New York (Italian)

This is a legal form that was released by the New York State Department of Health - a government authority operating within New York.

The document is provided in Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form 1409 Health Care Proxy Designation Form?
A: Form 1409 is a document used in New York to designate a health care proxy.

Q: What is a health care proxy?
A: A health care proxy is a person who can make medical decisions on your behalf if you are unable to do so.

Q: Who can fill out the Form 1409?
A: Any adult who is mentally capable can fill out the Form 1409.

Q: Is the Form 1409 specific to the Italian language?
A: Yes, the Form 1409 is available in Italian.

Q: Is the Form 1409 specific to New York?
A: Yes, the Form 1409 is specific to New York.

Q: Is there a fee to submit the Form 1409?
A: No, there is no fee to submit the Form 1409.

Q: How long is the Form 1409 valid?
A: The Form 1409 is valid until you revoke it or create a new one.

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Form Details:

  • Released on August 1, 2022;
  • 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;

Download a printable version of Form 1409 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form 1409 Health Care Proxy Designation Form - New York (Italian)

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