Skip to content
  • Who's Your Agent?®
  • Support Us
Honoring Choices Massachusetts
  • Home
  • About
    • Our Story
    • Our Team
    • Contact Us
    • Terms of Use
  • Make a Plan
    • Make Your Own Plan
      • The Who’s Your Agent? Program
        A structured approach to care planning
      • Getting Started Tool Kit
      • Multilingual Planning Documents
      • Screen Reader Accessible Documents
      • Next Steps Tool Kit
      • Webinars for Consumers
      • Lifetime Care Planning Roadmap
    • Tools for Everyone
      • Health Care Proxy
      • Personal Directive
      • Durable Power of Attorney
      • MOLST
      • CC/DNR
      • Conversation Guides:
        Consumers and Care Providers
      • Serious Illness Care
      • Palliative Care
      • Ways to Complete & Store Documents
    • Tools for Care Providers
      • Who’s Your Agent Program for Care Providers
        (Get all information and tools here).
      • Webinars for Health Care Providers
      • Join the Honoring Choices Partner Network
  • 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 Advisory Group
      • Consumer Health Equity Advisory 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
  • Resources
    • Health Care Planning Resources
      • All Planning Resources
      • Lifetime Care Planning Roadmap
        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
      • EMS & MOLST: 5 Best Practices
      • Supported Decision-Making
      • Health Care Planning Terms & Tips
    • Talk: Have a Conversation
      • Conversation Guides:
        Consumers and Care Providers
    • 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
      • Multilingual Planning Documents
      • “I Have a Health Care Proxy” Wallet Card, in 4 languages
      • Next Steps Tool Kit
      • Multilingual Videos
  • Blog & Events
    • Blog Posts
    • Newsletters
  • Webinars
    • Webinars for Health Care Providers
    • Webinars for Consumers
  • Quick Start

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

Quick Links

  • Home
  • Our Story
  • Who’s Your Agent?® Program
  • Resources
  • Blog Posts
  • Webinars – Consumers
  • Webinars – Care Providers
  • Meet the Community Partners
  • Meet the Alliance Partners

©2023 Honoring Choices Massachusetts

Scroll To Top