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The New York Living Will is a documented summary of one’s wishes concerning health care options should a situation arise when they can no longer communicate preference. The paperwork creates designations for a medical professional to use as a potential guide for navigating a course of treatment if the patient becomes incapacitated. Within the form are posed scenarios where the declarant can select their desired choices for an official record, should an unforeseen event occur. The principal can choose their requested elections regarding how to handle CPR, cardiac resuscitation, pain medication administration, and life-support.
Laws
Definition – “Living will” means a document that contains specific instructions concerning an adult’s wishes about the type of health care choices and treatments that an adult does or does not want to receive (10 CRR-NY § 400.21(3)).
Signing Requirements – Execution of the agreement will necessitate the corroboration of two (2) sufficient witnessing parties (§ 29C-2981.2).
Other Versions (6)
- Compassion and Support NY
- End of Life Choices NY
- Everplans
- NY State Senate Version
- United Health Services NY
- University of Rochester Med. Center
Compassion and Support New York Version (also available in Spanish/en Español)
Download: Adobe PDF
End of Life Choices New York Version
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
United Health Services New York Version
Download: Adobe PDF
University of Rochester Medical Center Verison
Download: Adobe PDF
Instructions: Adobe PDF
Additional Resources
- Law Help NY – Health Care Proxies and Living Wills
- New York Attorney General – Planning Your Health Care in Advance
- New York Department of Health – Advance Care Planning
- New York Department of Health – DNR and MOLST
- New York State Bar Association – Living Wills and Health Care Proxies Brochure
- New York State Donate Life – Registry Enrollment Form
- Rochester Regional Health – Advance Directives (Living Will) and Health Care Proxy
- SeniorLaw.com – FAQs Concerning Living Wills and Health Care Proxies
Related Forms (5)
- Advance Directive
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- MOLST Form
- Nonhospital Order Not to Resuscitate (DNR Order)
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Medical Orders for Life-Sustaining Treatment (MOLST)
Download: Adobe PDF
Instructions: Adobe PDF
Nonhospital Order Not to Resuscitate (DNR Order) (also available in Spanish/en Español)
Download: Adobe PDF
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