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      • Download Free Documents:
        • Health Care Proxy, in 15 Languages
        • Personal Directive, in 5 Languages
      • “I Have a Health Care Proxy” Wallet Card, in 4 Languages
      • Next Steps Tool Kit
      • Multilingual Videos
      • Health Care Planning Road Map
      • Webinars for Consumers
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      • Health Care Planning Ambassador Certificate
      • Seamless Conversations from Simple to Serious Illness
    • Create & Store
      • Options to Create, Update & Store
      • Cake: Create, Share, Store Online
      • Screen Reader Accessible & Print
      • Fill & Print PDF for Health Care Proxy & Personal Directive
  • Our Partners
    • Who’s Your Agent?® Partners
      • Meet the Community Partners
      • Meet the Alliance Partners
      • Ambassador Program
        Everyone can start a person-to-person discussion
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      • Consumer Health Equity Advisory Group
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      • New England Healthy Living Collective
      • Age- and Dementia Friendly Massachusetts
    • Come Partner With Us
      • Partner With Us
  • Our Impact
    • Data & Feedback
    • Support Us
  • Resources
    • Health Care Planning Road Map
      Create a personal road map. See how to use these resources to get good care over your lifetime.
      • Who’s Your Agent® Quick Start
    • Explore: Information & fact sheets
      • Legal & Patient Rights
      • Medical & Health Care
      • Reflect Values & Beliefs
      • Role of Agents, Guardians & Caregivers
      • Palliative Care
      • Serious Illness Care and MOLST Challenge
      • EMS & MOLST: 5 Best Practices
      • Supported Decision-Making
      • Glossary
    • Plan: Write down your care choices
      • Health Care Proxy
      • Personal Directive
      • Durable Power of Attorney
      • MOLST
      • CC/DNR
      • How to Make a Plan
      • Getting Started Tool Kit
      • Download Free Documents:
        • Health Care Proxy, in 13 Languages
        • Personal Directive, in 5 Languages
      • “I Have a Health Care Proxy” Wallet Card, in 4 languages
      • Next Steps Tool Kit
      • Multilingual Videos
    • Talk: Match care to your goals & choices
      • “5 Things to Talk About” Discussion Guides For Consumers and Care Providers
      • Get Help: Community Partners in 6 Regions
  • Blog & Events
    • Blog Posts
    • April 2022 NHDD
    • Newsletters
  • Webinars
    • Webinars for Health Care Providers
    • Webinars for Consumers
  • Quick Start

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

Our Team

Contact Us

Terms of Use

Make A Plan

Who's Your Agent Program

How to Make a Plan

Getting Started Tool Kit

Download Free Documents:

  • Health Care Proxy, in 13 Languages
  • Personal Directive, in 5 Languages

“I Have a Health Care Proxy” Wallet Card, in 4 Languages

Next Steps Tool Kit

Multilingual Videos

Health Care Planning Road Map

Webinars for Consumers

Health Care Provider Education & Training

Health Care Planning Ambassador Certificate

Seamless Conversations from Simple to Serious Illness

Create and Store

Options to Create, Update & Store

Cake: Create, Share, Store Online

Screen Reader Accessible & Print

Fill & Print PDF for Health Care Proxy & Personal Directive

Our Partners

Who's Your Agent?® Partners

Meet the Community Partners

Meet the Alliance Partners

Ambassador Program
Everyone can start a person-to-person discussion

Consumer Health Equity Group

Consumer Health Equity Group

New England Partners

New England Healthy Living Collective

Age- and Dementia Friendly Massachusetts

Come Partner With Us

Partner With Us

Our Impact

Data & Feedback

Support Us

Blog & Events

Blog Posts

Newsletters

Resources

Health Care Planning Road Map

Explore: Information & fact sheets

Legal & Patient Rights

Medical & Health Care

Reflect Values & Beliefs

Role of Agents, Guardians & Caregivers

Palliative Care

Serious Illness Care and MOLST Challenge

EMS & MOLST: 5 Best Practices

Supported Decision-Making

Glossary

Plan: Write down your care choices

Health Care Proxy

Personal Directive

Durable Power of Attorney

MOLST

CC/DNR

How to Make a Plan

Getting Started Tool Kit

Download Free Documents:

  • Health Care Proxy, in 13 Languages
  • Personal Directive, in 5 Languages

“I Have a Health Care Proxy” Wallet Card, in 4 Languages

Next Steps Tool Kit

Talk: Match care to your goals & choices

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

Get Help: Community Partners in 6 Regions

©2022 Honoring Choices Massachusetts

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