Put your treatment preferences in writing for situations covered by this New York living will. Discuss the instructions with your clinician and chosen health care agent; this is not a property-distribution will. Record wishes about life-sustaining treatment.
Serving New York. New York appointments require New York-commissioned notaries.
Put your treatment preferences in writing for situations covered by this New York living will. Discuss the instructions with your clinician and chosen health care agent; this is not a property-distribution will.
What you'll need
The original Living Will packet and its instructions.
The names, dates and supporting records needed to record wishes about life-sustaining treatment.
The recipient's requirements and acceptable photo ID if arranging a notarial act.
How to complete it
Download the New York Living Will PDF and read its instruction page.
Enter the requested information to record wishes about life-sustaining treatment; confirm any choices you do not understand with a New York attorney.
Follow this packet's signature, witness and notarization directions. Do not pre-sign a statement that must be signed before the notary.
Save and print your completed copy, then follow the packet's delivery or recording instructions and keep a copy for your records.
Name the agent who will carry out your directions for burial, cremation or other disposition under the New York packet. Review successor agents, special directions and the witness requirements.
Choose a health care agent to act when you cannot make your own medical decisions. New York does not allow a health care proxy to be combined with a power of attorney; financial authority uses a separate form.
Identify who may disclose and receive your medical records, what information is covered and when permission ends. A HIPAA authorization releases information; it does not appoint a medical decision-maker.
Document the New York health care proxy you are revoking. Follow the packet's notice instructions and inform the health care providers and agent who hold the earlier document.
These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.