Plan Ahead For Health Care
What is an advance directive?
Understanding Your Choices
FAQs
NYS Health Care Proxy Form
Where to keep your Advance Directive?
A safe and confidential place to store your advance directive documents.
They can be seen when needed to assure your wishes are known and honored.
Forms & Documents
Living Will Form, NYS (PDF)

Healthcare Proxy Form, NYS (PDF)

Do Not Resuscitate Order, NYS (PDF)

AssuringYourWishes.org Authorization Form by county
Authorization Form, Erie (PDF)

Authorization Form, Genesee (PDF)

Authorization Form, Niagara (PDF)

Authorization Form, Onondaga (PDF)

Please Note: Authorization forms for other counties will be placed on the web site as they become available.
Important Information
Downloadable Forms
Use the links at left to download forms and documents.
Planning Guide
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