The downloadable PDFs below can be printed on-demand for conversations with patients or emailed directly to family members.
Resources
This collection of resources from Ariadne Labs provides guidance on choosing and designating a proxy, and talking about care preferences.
- Being Prepared in the Time of COVID-19
- How to Choose and Be a Health Care Proxy
- End-of-Life Conversation Kit
Healthcare Proxy Designation Forms
The following documents can be used for Massachusetts residents to designate healthcare proxies:
- Healthcare Proxy Designation Form – English
- Healthcare Proxy Designation Form – Spanish
- Healthcare Proxy Designation Form – Russian
- Healthcare Proxy Designation Form – Arabic
- Healthcare Proxy Designation Form – Haitian Creole
- Healthcare Proxy Designation Form – Vietnamese
- Healthcare Proxy Designation Form – Traditional Chinese
- Healthcare Proxy Designation Form – Portuguese