Living Wills and Health Care Proxy Forms

On this page you will find PDF files of New York Health Care Proxy and  Living Will Forms. These forms are also known as advance directives. These forms are free and provided as a service to all New Yorkers.

New York Health Care Proxy Forms (provided by the NYS Department of Health). 

English (PDF)
English (Fillable PDF)
Chinese (PDF)
French (PDF)
Haitian Creole (PDF)
Italian (PDF)
Korean (PDF)
Russian (PDF)
Spanish (PDF)

New York Living Will Forms - You can open these PDFs (download them) and print them out and fill them in at your convenience.

English version (PDF)
Spanish version (PDF)

Visit the New York State Department of Health Web site for information on patient rights and advance care planning resources.