Form · Advance care · NY
New York advance directive form
The state's own form, from New York State Department of Health. Rivvi links it; we do not host or change it. Not legal advice.
Quick answer
New York's advance directive form is the Health Care Proxy: Appointing Your Health Care Agent in New York State, from New York State Department of Health. The same form includes the part that names a health care agent (medical power of attorney). Open the state form
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The state form
- Form
- Health Care Proxy: Appointing Your Health Care Agent in New York State
- Publisher
- New York State Department of Health
- Names a health care agent
- Yes, in the same form
- Signing (per the source)
- No lawyer or notary needed; two adult witnesses (agent cannot be a witness)
- Link checked
- October 23, 2026
Related pages
Questions
Where do I get New York's advance directive form?
New York State Department of Health publishes it: Health Care Proxy: Appointing Your Health Care Agent in New York State. The link on this page goes to the state's copy (checked October 23, 2026).
Does New York have a medical power of attorney form?
The same form includes the part that names a health care agent (medical power of attorney).
Does a New York advance directive need witnesses or a notary?
Per the state source: No lawyer or notary needed; two adult witnesses (agent cannot be a witness). Read the form's own signing instructions before you sign.