1. What step must you take to have a legally valid Massachusetts health care proxy?
A. All you need to do is sign the health care proxy form and then have any two persons sign as witnesses.
B. You must sign the health care proxy form in front of two witnesses, who cannot be the persons you appointed as your health care agents.
C. You need to sign the health care proxy form in front of a notary public and send a copy to an official state agency.
D. Your lawyer needs to draw up the health care proxy because it is a legal document.
2. True or false?: The health care agent named in your Massachusetts health care proxy takes over making health care decisions only when a physician certifies in writing that you have become unable to make health care decisions for yourself.
A. True
B. False
3. You can revoke your health care proxy in which circumstance?
A. A health care proxy is legally binding and you cannot revoke it.
B. A health care proxy can only be revoked if it is replaced immediately by a new health care proxy.
C. A health care proxy can be revoked verbally, by a written document or by tearing it up.
D. A health care proxy can only be revoked by executing a written document prepared by the lawyer who drafted your original health care proxy.
4. True or false?: Anyone who is admitted to a hospital or nursing home is required to fill out a new health care proxy form.
A. True
B. False
5. Which one of the following statements is correct?
A. In making each health care decision, the health care agent is required to look at the decision from the patient's point of view and determine what the patient would want.
B. Health care proxies are for end-of-life issues only, and are not needed until you have only six months or less to live.
C. Your attending physician can serve as your health care agent.
D. The health care agent cannot refuse medical treatment for an incompetent patient.
6. Which of the following statements is correct about what you should do after signing your Massachusetts health care proxy?
A. You should secretly place the original Massachusetts health care proxy and all copies of it in your safe deposit box.
B. You should notify all of your insurance agents about your Massachusetts health care proxy, because it could change your health or life insurance rates or coverage.
C. You should try to locate and sign 49 other state health care proxy forms, because your Massachusetts health care proxy will probably not be honored in other states.
D. You should have a conversation with your named health care agent about your current health, hopes, values, beliefs, fears, and what to do in case of serious illness.
This Web site is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship. Persons accessing this site are encouraged to seek independent counsel for advice regarding their individual legal issues.
This Web site is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship. Persons accessing this site are encouraged to seek independent counsel for advice regarding their individual legal issues.
