As a default, the document will set the Powers defined here in action at the time of signing for an indefinite period of time (though a Principal can issue a written revocation at any time). The next option allows the Principal to define how or when the Principal Authority to make decisions and take actions regarding the Principal’s Health will Terminate. If the Principal has determined a specific entity for this purpose, then record the Name, Address, and Telephone Number of the Alternate Agent on the blank lines in “(2) Optional: Alternate Agent.” This is the only method by which an Alternate Agent will be granted Principal Power. This entity will automatically be granted the Principal Power to represent the Principal if the Agent declared above cannot or will not. The first will be that of the Alternate Agent. Record the Health Care Agent’s Legal Name, Complete Address, and Telephone Number on the blank line labeled “Name, Home Address, And Telephone Number after the words “Hereby Appoint”ģ – Address The Options Provided Through This DirectiveĪ few options are available through this document.
#Medical and financial power of attorney full#
The first blank line on the second page will require the Principal’s Full Name. This page supplies the documentation required to detail a Principal’s Health Preferences and Directives with Medical Care through the buttons under the image.Ģ – A Formal Appointment Of The Health Care Agent Must Be Provided Statute – Article 29-C (Health Care Agents and Proxies)ĭownload: Adobe PDF, MS Word, OpenDocumentġ – Acquire The New York Health Directive Through This Page.Signing Requirements – Two (2) witnesses ( PBH § 2981(2)).
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