No family available. Need to choose between three who are trusted friends who would not be considered close personal friends. What should I ask them to help me make my choice? Under the Health Care Proxy Law (Massachusetts General Laws, Chapter 201D), any competent adult 18 years of age or over may use this form to appoint a Health Care Agent. You (known as the “Principal”) can appoint any adult
EXCEPT the administrator, operator, or employee of a health care facility such as a hospital or nursing home where you are a patient or resident UNLESS that person is also related to you by blood, marriage, or adoption I intend to create a Health Care Proxy according to Chapter 201D of the General Laws of Massachusetts. In making this appointment, I am giving my Health Care Agents the authority to make any and all health care decisions on my behalf, subject to any limitations I state in this document, in the event that I should at some future time become incapable of making health care decisions for myself.
2. Powers Given to Health Care Agent
a. I give my Health Care Agents full authority to make any and all health care decisions for me including decisions about life-sustaining treatment, subject only to the limitations I state below.
b. My Health Care Agents shall have authority to act on my behalf only if, when and for so long as a determination has been made that I lack the capacity to make or to communicate health care decisions for myself This determination shall be made in writing by my attending physician according to accepted standards of medical judgment and the requirements of Chapter 201D of the General Laws of Massachusetts.
c. The authority of my Health Care Agents shall cease if my attending physician
determines that I have regained capacity. The authority of my Health Care Agents shall recommence if I subsequently lose capacity and consent for treatment is required.