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Health Care Proxy Form and Information

The City provides information about appointing a health care proxy in New York State.

The State provides copies of a Health Care Proxy Form in English, in Spanish, in Chinese or in Russian.


Get information about a health care proxy.


Download a copy of the New York State Health Care Proxy Form in English.


Download a copy of the New York State Health Care Proxy Form in Spanish.


Download a copy of the New York State Health Care Proxy Form in Chinese.


Download a copy of the New York State Health Care Proxy Form in Russian.

 
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