New York Advance Directive Form

Last updated September 29th, 2021

  1. Home »
  2. Power of Attorney »
  3. New York »
  4. Advance Directive

New York advance directive allows a principal to establish health care provisions pertaining to end-of-life medical treatments. This form contains a living will that states the principal’s preferences for life-sustaining procedures such as CPR and artificially administered nutrition. Also included in this package is a medical power of attorney that designates a health care agent to represent the principal and ensure that their medical wishes are adhered to by the attending physicians.

Agent’s Duties PBH § 2982

Laws PBH Article 29-C (Health Care Agents and Proxies) & PBH Article 29-CC (Family Health Care Decisions Act)

Signing Requirements (PBH § 2981(2)) – Two (2) Witnesses

Related Forms

Living Will – Outlines the principal’s health care decisions for end-of-life treatment including medication and organ donation.

Download: PDF


Medical Power of Attorney – Appoints a health care agent to make medical decisions for the principal when they are unable to communicate.

Download: PDF