PLEASE NOTE: The agreement between the Massachusetts Medical Society and Massachusetts Health Decisions, the nonprofit publisher of the Health Care Proxy, allows individual patients to print one or two copies for their personal use only.Organizations wishing to make multiple copies, or to use this form in their organization or on their website, must first get written permission -- at no cost -- from Massachusetts Health Decisions. Contact: proxy@masshealthdecisions.org. A great deal of information about the Proxy for professionals and the public, in English and 15 other languages, is available at: masshealthdecisions.org. If you still wish to print a copy of the form, click here:
(.pdf, 4 pages)
