Choose a Spokesperson
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You indicate your Spokesperson (“Agent”) and Alternate using a legal document called the New York Health Care Proxy form. This form identifies your Spokesperson (“Agent”) – the individual you have designated to make decisions about your medical care – including decisions about life support – if you are unable to make health care decisions and can no longer speak for yourself, in accordance with your wishes.
This person must:
- Meet legal criteria (competent adult, at least 18 years old)
- Be willing to speak on your behalf
- Be willing to act on your wishes
- Be able to separate his/her own feelings from yours
- Live close by or be willing to come
- Know you well
- Understand what is important to you
- Be willing to talk with you now about sensitive wishes
- Be willing to listen to your wishes
- Be able to work with those providing your care to carry out your wishes
- Be available in the future
- Be able to handle potential conflicts between your family, friends
- Be able to handle responsibility


