New York Healthcare Documents Trio (3 Templates)

New York Healthcare Documents Trio (3 Templates)

Three New York health care documents that work together: the statutory Health Care Proxy, a Living Will, and a HIPAA authorization.

What's included

• Health Care Proxy (7 pages): the statutory health care proxy form in Public Health Law §2981(5)(d), reproduced verbatim, with space for instructions on artificial nutrition and hydration (§2982(2)) and an optional organ donation page (§2981(5)(f)).
• Living Will (7 pages): written treatment instructions for end-of-life care. New York has no living will statute or statutory form; its courts accept clear and convincing written evidence of a person's wishes (Matter of Westchester County Medical Center (O'Connor), 72 N.Y.2d 517 (1988)), and the template is built to that standard.
• HIPAA Authorization / Release (10 pages): lets the people named receive protected health information from doctors, hospitals and health plans. Built on the federal core elements (45 C.F.R. §164.508), with an optional HIV-related information release meeting Public Health Law §§2780(9) and 2782, an optional psychotherapy-notes exhibit, and a revocation form.

Each document starts on its own page with plain-English completion notes, followed by the blank form. Where New York law supplies a form, the statutory wording is reproduced verbatim.

Signing requirements (New York)

• Health Care Proxy: sign and date in front of two adult witnesses, who also sign; the agent may not be a witness (Public Health Law §2981(2)). No notary is required.
• Living Will: no statutory formalities; the template uses two adult witnesses, with an optional notary acknowledgment.
• HIPAA Authorization / Release: signature and date only; no witnesses or notary are required. The optional HIV release must be dated and name the recipients, purpose and time period (Public Health Law §2780(9)).

File formats

Editable Word (.docx) and print-ready PDF (US Letter) for every document, delivered as a ZIP digital download. Nothing is shipped.

Legal research last verified September 29, 2026.

This is a fill-in template, not legal advice. Laws change; check your state's current requirements before signing.

Licensed to the original purchaser for personal use only; not for resale or redistribution.

Some content in this template was drafted with the help of AI tools and reviewed before listing.