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      • Options to Create, Update & Store
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      • Screen Reader Accessible & Print
      • Fill & Print PDF for Health Care Proxy & Personal Directive
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      Create a personal road map. See how to use these resources to get good care over your lifetime.
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    • Plan: Write down your care choices
      • Health Care Proxy
      • Personal Directive
      • Durable Power of Attorney
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      • Translated Documents
      • Getting Started Tool Kit
      • Next Steps Tool Kit
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      • “5 Things to Talk About” Discussion Guides For Consumers and Care Providers
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Fillable PDF Documents & Print

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Health Care Proxy and Personal Directive

Here are the links to the Health Care Proxy and Personal Directive. These documents are fillable by typing in information. Just follow the step-by-step instructions and download and print when complete. 

Click on the documents below:

Health Care Proxy Instructions and Document

Personal Directive Instructions and Document

About

Our Story

Who We Are

Contact Us

Terms of Use

Make A Plan

Start Here to Make a Plan

How to Make A Plan

3 Step Planning Guide

Who's Your Agent Program

Who’s Your Agent® Program Tool Kits

Getting Started Tool Kit

Next Steps Tool Kit

Multilingual Tools

Translated Documents

Multilingual Videos

Create and Store

Options to Create, Share, Update & Store

CAKE: Create, Share, Store Online

Screen Reader Accessible & Print

Fillable PDF Documents & Print

Our Partners

Community Partners

Meet the Community Partners

Become a Community Partner

Alliance Partners

Meet the Alliance Partners

Become an Alliance Partner

Ambassadors

Ambassador Program: Everyone can start a person-person discussion

Age- and Dementia Friendly Massachusetts

Age- and Dementia Friendly Massachusetts

NE Healthy Living Collective

NE Healthy Living Collective

Our Impact

Data & Feedback

Support Us

Blog & Events

Blog

Read Blog Posts

Newsletters

Current Newsletter

Special Edition

Workshop & Events

Ambassador Workshops and Webinars

New Ventures

New England Healthy Living Collective

Age- and Dementia Friendly Massachusetts

Resources

Explore Information:

Legal and Patient Rights

Medical & Health Care

Reflect Values & Beliefs

Role of Agents, Guardians & Caregivers

Palliative Care

EMS & MOLST: 5 Best Practices

Supported Decision-Making

Glossary

Plan With the 5 MA Planning Documents:

Health Care Proxy

Personal Directive

Durable Power of Attorney

MOLST

CC/DNR

Translated MA Planning Documents

Getting Started Tool Kit

Next Steps Tool Kit

Connect: Discussion Guides & Help:

“5 Things to Talk About” Discussion Guides for Consumers and Care Providers

Get Help: Community Partners in Six Regions

Tools for All Care Providers:

Health Care Planning Road Map

Who’s Your Agent® Program for Care Providers

“5 Things to Talk About” Discussion Guides

Workshops

Become a Community Partner

Become an Alliance Partner

©2021 Honoring Choices Massachusetts

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