New York Health Care Proxy
The agent makes health care decisions after the legally required incapacity determination; the principal retains decision-making rights while capable.
Explore resources by purpose. Check the publisher and full instructions before using a form.
The agent makes health care decisions after the legally required incapacity determination; the principal retains decision-making rights while capable.
Durable financial authority; does not automatically revoke older appointments. Agent authority begins after required acknowledgment and any stated conditions.
Sources checked: 2026-11-13. General information, not individual legal advice.
Use New York’s financial statutory short form to appoint an agent for money and property. Medical decisions require the separate health care proxy. The financial form uses both principal and agent acknowledgments; the medical proxy uses two witnesses.
| Purpose | Form and guide | Document |
|---|---|---|
| Financial and property matters | New York Statutory Short Form Power of Attorney | Publisher PDF · read complete instructions |
| Health care decisions | New York Health Care Proxy | Publisher PDF · read complete instructions |
Use each form page for the complete document, the named publisher and its instructions. A financial appointment and a health care appointment serve different purposes.
Financial and property matters: Principal dates, signs or directs a signature, acknowledges it before an authorized officer, and uses two qualified witnesses. Each acting agent separately signs and acknowledges the appointment..
Health care decisions: Sign and date before two adult witnesses; the agent and alternate cannot witness. Ordinary execution does not require a notary..
These summaries identify the arrangements described by the cited law or selected form. Read the detail page for witness eligibility, exceptions and any differences between a publisher’s instructions and current law.
Discuss the role with your proposed agent and any successor. Read every page before signing, including notices, special powers, treatment choices and agent acknowledgments. Keep the instructions with the form, and give complete copies to the people or institutions that will rely on it.
The directory identifies the publisher and edition instead of implying that all documents come from government. Agency transactions, real estate recording and unusual arrangements can require additional steps.
The date above records a source check. It does not certify that a form is suitable for your circumstances or that an attorney has reviewed your document. Read the publisher’s current instructions before use.