New York City provides information, legal forms, and instructions for appointing a health care proxy in New York State.

A health care proxy is someone you appoint to make medical decisions and give informed consent on your behalf in the event you lose the ability to do so.

You can get a copy of the New York State Health Care Proxy Form in multiple languages online or by phone. 

Online

Get free copies of materials.

By Phone

Call 311 for assistance.

Status

If you requested a Department of Health and Mental Hygiene publication over 2 weeks ago and have not received it, you can check the status. If you ordered it more recently, allow time for delivery and call back after 2 weeks if you still haven't received it.

Cancel Order

If your order has been placed, it likely already shipped. You can return unwanted copies at no cost to you by writing "Return to Sender" on the package and putting it in the mail.

Update Order

  • To order additional items, you must place another order.
  • To update a current order, be sure to include tracking order number.
  • To update address, email, and organizational information you can email your requests to dohmhliterature@health.nyc.gov.

Out of Stock

If the publication you are looking for is currently out of stock, you can get assistance by phone

Call 311 for assistance.