Skip to content
Free Healthcare ProxyWitness table · private preparation
No account · no stored answersSource & signing desk
Controlled working copyOpen access · no account

Decide who speaks for you,while it's still your call

Prepare names privately. Then use the state-published form and follow its signing instructions.

Enter the witness table
Access
Free, with no account or payment
Privacy
Typed answers stay in this browser tab
Boundary
Preparation evidence only, never legal completion
Witness table · controlled working copyPreparation evidence · not a legal form
Choose the official formStep 1 of 4
  1. Authority
  2. Signer
  3. Principal
  4. Advocate

Start with the governing form

Free, no account, no payment. We only continue when the official state form has passed source review.

Which state form do you need?

Each available path is tied to one reviewed government source record.

Unavailable states stay blocked until their official form and signing rules complete review.

The evidence stays attached to the boundary.

The packet keeps preparation, source evidence, and next steps together so the legal boundary stays visible at every stage.

  1. Pick a source-checked state

    See the official state document and a concise signing summary linked to the primary source.

  2. Prepare private notes

    Organize the identity and agent details the official form asks for. Nothing is stored by this door or put in a URL.

  3. Open the official form

    Print your preparation worksheet, then complete and sign the state government's form. No account or email required.

Jurisdiction evidence register

States appear only after the issuing authority, official form, and signing instructions have a current review record. Unsupported jurisdictions stay closed instead of receiving a guessed form.

NYNew York Health Care ProxyNew York State Department of HealthSource checked
August 11, 2026Inspect recordCACalifornia Advance Health Care DirectiveCalifornia Department of JusticeSource checked
August 11, 2026Inspect record

Always verify the current form and instructions on the issuing authority’s website before signing.

Signing guidance and source notes

What enters the record

Free, all the way through
The preparation worksheet and official-form link never hide behind an account or a paywall.
Your words stay on your device
This site has no database. What you type is used to build your document in your browser and nowhere else.
No invented legal rules
We show a state's form only after checking a primary source. Unsupported states receive no generic document or guessed signing instructions.

Advocate preparation brief

Plain-language guidance for the choices surrounding the official form.

Questions entered into the record

What is a healthcare proxy?

It is a state-law document that can name an agent to make healthcare decisions. When the authority begins and what it covers depend on the state and the choices on the official form. California's statutory form, for example, lets a signer choose immediate authority; follow the current state instructions.

Is this really free?

Yes — preparation worksheet and official-form link, with no account and no payment. If you later want your signed official document stored and reviewed over time, that is an option you can choose, never a toll you have to pay.

Does this replace a lawyer?

No. This creates a preparation worksheet and links to an official state form; the worksheet is not an advance directive. It is not legal advice and this is not a law firm. If your situation is complicated, a licensed attorney in your state is worth it.

Do I need a witness or a notary?

It depends on your state. For source-checked states, the builder summarizes the rule and links the official instructions you must follow. For every other state, it refuses to guess. An unsigned or improperly witnessed directive may not be honored.

When does a healthcare proxy take effect?

It depends on the state and the completed form. Many forms default to authority after incapacity, while California's statutory form also offers an immediate-authority choice. Read the exact official language before signing and seek state-specific legal advice if the timing matters to you.

How is this different from a living will?

A healthcare proxy names a person to decide for you. A living will writes down your treatment wishes — for example about life support — without naming a decision-maker. They work well together, and many states combine both into a single advance-directive form. This tool focuses on naming your proxy.

The official form is the finish line.

The worksheet is only a private preparation aid. Transfer the information, read every instruction, complete the official form, and share the signed document as the state source directs.

Return to the witness table

Keep the rest of the record clear

Focused MedicalRecords.com tools for records, coverage, costs, and care decisions.