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Massachusetts Health Care Proxy

In Massachusetts, the document that names someone to make medical decisions for you when you cannot speak for yourself is called a health care proxy. Elsewhere it goes by medical power of attorney or advance directive agent designation: same role, local name. In Massachusetts, a health care proxy generally must be signed by two witnesses; notarization is not required (Mass. Gen. Laws ch. 201D, 2).

This template walks you through naming your agent and an alternate, describing the authority you grant, and signing it the way Massachusetts expects. Download the finished document in Word and PDF.

Create your Massachusetts medical power of attorneyRead the full Medical Power of Attorney guide

Massachusetts signing requirements

Massachusetts health care proxy signing requirements at a glance
NotarizationNot required by statute
WitnessesTwo witnesses
StatuteMass. Gen. Laws ch. 201D, 2

Verify before you rely on it

Power of attorney statutes change, and banks, hospitals, and county recorders can have their own acceptance practices. Confirm the current Massachusetts requirement in the statute cited above (or with your state's self-help resources) before signing your health care proxy.

How this template works in Massachusetts

Answer guided questions about the principal, the agent, and the powers you grant, and the document writes itself in front of you. Then sign it following the Massachusetts requirements above and download it in Word and PDF.

The form, the live preview, and the full guide live on the main Medical Power of Attorney page.

Other power of attorney forms for Massachusetts

Not sure this is the right variant? Each one solves a different problem: general authority, authority that survives incapacity, medical decisions, or a single defined task.

Medical Power of Attorney in other states