A Massachusetts Advance Health Care Directive allows you to specify the type of care that you do or do not want if you are unable to verbalize your requests, such as in the event of you being hospitalized with a tube in your mouth. It's important that you try to prearrange these matters, but hospitals typically do offer these types of forms.
PART 1
POWER OF ATTORNEY FOR HEALTH CARE
(1.1) DESIGNATION OF AGENT: I designate the following individual as my agent to make health care decisions for me:
________________________________________________________
(name of individual you choose as agent)
________________________________________________________
(address) (city) (state) (zip code)
________________________________________________________
(home phone) (work phone)
OPTIONAL: If I revoke my agent's authority or if my agent is not willing, able, or reasonably available to make a health care decision for me, I designate as my first alternate agent:
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