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NY

New York Advance Directives & Legal Forms

2 official forms available

Advance Directives

New York

Health Care Proxy

Medical Power of Attorney / Healthcare Decision-Maker

Current

Appoints a health care agent to make medical decisions if you lose the ability to decide for yourself.

Witness: YesNotarization: NoClinician signature: NoLanguage: English

Official source: New York State Department of Health

Last verified: 7/28/2026

Medical Orders for Serious Illness

These documents are medical orders and may require completion or signature by a physician or another authorized healthcare professional. They are not a replacement for a standard advance directive.
New York

MOLST — Medical Orders for Life-Sustaining Treatment (DOH-5003)

Portable Medical Order (POLST/MOLST/MOST/POST/TPOPP)

Current

A medical order form for patients with serious illness; must be signed by a NYS licensed physician. Not a replacement for a Health Care Proxy or Living Will.

Witness: NoNotarization: NoClinician signature: YesLanguage: English

Official source: New York State Department of Health

Last verified: 7/28/2026

Advance-directive laws, terminology, forms, and requirements vary by state. This database is provided for educational and resource purposes only and is not legal advice. Users should verify current requirements with the appropriate state agency, healthcare provider, or attorney.