You have the right to make decisions about your body...and your health care. The Senior Health Program helps you do just that.

We help you make good decisions about your medical care now. We also help you plan for a possible time when you can no longer make medical decisions for yourself. This is often referred to as Advanced Directives.

Documents

To make sure your wishes are expressed clearly and followed, we help you put your wishes in writing. We also help you appoint a trusted person who will make sure health care providers follow your wishes.

It’s important to discuss your intentions with your health care provider and with the person you appoint as your Health Care Proxy. If you’re scheduled for a visit at Senior Health, consider making an appointment with our social worker for more information and guidance.

You may also use the forms below to document your wishes. Or simply bring it with you when you come to see us.


Health Care Proxy (also called Durable Power of Attorney for Health Care)
This document lets you designate a surrogate decision-maker, often a friend or relative, to make medical decisions for you if you lose the ability to make them yourself. It’s a good idea to discuss with your surrogate ahead of time the types of treatment you would or would not want in specific situations, so this person has guidelines if the need arises.

What happens if you don’t designate a health care proxy? The Family Health Care Decisions Act offers some guidance to health care providers faced with this situation. You can find out more about the Family Health Care Decisions Act by clicking here.


Health Care Directive (Living Will)
This form expresses your wishes now about the medical care you will receive at a possible time when you can't make decisions for yourself. It’s important to know that in New York State and some other states, the Living Will is used as convincing evidence in support of a person’s wishes, but that it is not binding in itself.


Medical Orders for Life-Sustaining Treatment (MOLST)
This form makes your wishes known regarding resuscitation by various methods under certain circumstances. It is binding for all health care providers in all settings.

Make an Appointment
We are open Monday through Friday from 8:30 am to 5 pm.

Senior Health
212.463.0101

House Calls
212.206.1299

Our patients can reach a doctor after 5 pm or on the weekends by calling
212.463.0101.