Massachusetts Advance Directive Form

Create Document

A Massachusetts advance directive is a two-part document that appoints a health care agent and relays a person’s wishes for their end-of-life health care treatment. The “health care proxy” portion of the form appoints the representative, and the “personal directive” portion allows the person to set out their beliefs, preferences, and instructions for the agent to follow.

Massachusetts Advance Directive Form

A Massachusetts advance directive is a two-part document that appoints a health care agent and relays a person’s wishes for their end-of-life health care treatment. The “health care proxy” portion of the form appoints the representative, and the “personal directive” portion allows the person to set out their beliefs, preferences, and instructions for the agent to follow.

Create Document
PDF
PDF

Last updated April 18th, 2024

Document Preview

A Massachusetts advance directive is a two-part document that appoints a health care agent and relays a person’s wishes for their end-of-life health care treatment. The “health care proxy” portion of the form appoints the representative, and the “personal directive” portion allows the person to set out their beliefs, preferences, and instructions for the agent to follow.

Downloads: 273
  1. Home »
  2. Power of Attorney »
  3. Massachusetts »
  4. Advance Directive

Signing Requirements

When appointing a representative by executing a health care proxy, the principal must do so in the presence of two adult witnesses who must also sign.[1]

A health care agent named in the document cannot also serve as a witness.

Advance Directive (Preview)

Massachusetts Advance Directive

Revocation

A health care proxy can be revoked by any of the following methods[2]:

  • Giving the health care provider or agent oral or written notice of the revocation.
  • Signing a subsequent health care proxy form.
  • The divorce or separation from a spouse who was named health care agent.

Sources