New York · Attorney-Style Template
New York Living Will & Health Care Proxy Template
Fill-in-the-Blank · State-Specific · Instant Download
(New)
What's Included
Attorney-style New York Living Will & Health Care Proxy template. Instructs healthcare providers on life-sustaining treatment, CPR preferences, artificial nutrition/hydration, and comfort care under N.Y. Pub. Health Law § 2981 et seq. Includes two-witness execution and optional MOLST/DNR coordination guidance.
Declarant information and legal capacity statement
Life-sustaining treatment directives (CPR, ventilator, dialysis)
Artificial nutrition and hydration election
Pain management and palliative/comfort care preferences
Specific medical treatment elections (surgery, chemotherapy, blood transfusion)
Mental health treatment instructions
Organ, tissue, and whole-body donation options
Disposition of remains preferences (burial vs. cremation)
Personal statement / additional instructions section
Revocation clause with instructions
State-specific advance directive statute reference
Two-witness attestation block
Optional notary acknowledgment block
Attorney execution instructions included
Who This Is For
- Adults who want to direct their own end-of-life medical care
- Anyone with a serious or chronic illness
- Individuals who already have a Healthcare Power of Attorney and want written directives as backup
- People who have strong feelings about CPR, ventilators, or feeding tubes
- Those completing a full estate plan (pairs with Healthcare POA and Durable POA)
NOT Appropriate For
- Anyone who needs a Healthcare Agent designated (use Healthcare POA instead)
- Minors under 18
- People seeking legal advice — consult a licensed attorney for complex situations
Legal Disclaimer
This template is for informational purposes only and does not constitute legal advice. No attorney-client relationship is formed by purchase. Consult a licensed New York attorney for advice specific to your situation.
$1
One-time · Instant download
Microsoft Word (.docx) — fully editable
Instant download after purchase
Secured by Stripe
No subscription · Instant download