• "Everyone. Everyday." Campaign
  • Who's Your Agent?®
  • Support Us
Honoring Choices Massachusetts
  • Home
  • About
    • Our Story
    • Who We Are
    • “Everyone. Everyday.” Campaign
    • Contact Us
    • Terms of Use
  • Make a Plan
    • 3 Step Planning Guide
      • Health Care Planning Road Map
      • “5 Things to Talk About” Discussion Guides
    • Who’s Your Agent?® Program Tool Kits
      • Getting Started Tool Kit
      • Next Steps Tool Kit
    • Translated MA Planning Documents
    • Create, Share, Update & Store Options
      • CAKE: Create, Share, Store Online
      • Screen Reader Accessible & Print
      • Fillable PDF Documents & Print
  • Community Help
    • Community Partners
      • Meet the Community Partners
      • Become a Community Partner
    • Alliance Partners
      • Meet the Alliance Partners
      • Become an Alliance Partner
    • Ambassador Program
  • Resources
    • Explore Information
      • Legal & Patient Rights
      • Medical & Health Care
      • Reflect Values & Beliefs
      • Role of Agents, Guardians & Caregivers
      • Palliative Care
      • Glossary
    • Plan with the 5 MA Planning Documents
      • Getting Started Tool Kit
      • Next Steps Tool Kit
      • Translated MA Planning Documents
      • Health Care Proxy
      • Personal Directive
      • Durable Power of Attorney
      • MOLST
      • CC/DNR
    • Connect to Quality Care
      • “5 Things to Talk About” Discussion Guides
    • 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
  • News & Events
    • News
    • MOLST Challenge
      • MOLST Workshops
      • MOLST Information and Tools
      • MOLST Event Timeline
    • “Everyone. Everyday.” Campaign
    • Workshops
      • Facilitator Course
  • Impact

Screen Reader Accessible & Print

hispanic-black-grandma-g-daughter-e1413497492216

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 and are Screen Reader Accessible. 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

© Honoring Choices Massachusetts 2017