MA Department of Public Health (MA DPH)
Health Care Proxy Campaign
MA DPH partners with Honoring Choices MA and MA Health & Hospital Association to ensure every adult 18 and older can complete a Health Care Proxy.
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Download a free Health Care Proxy and Consumer Handout
The MA Department of Public Health's Health Care Proxy Campaign helps to ensure equal access to care planning information and documents for everyone in the Commonwealth.
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The MA Department of Public Health (MA DPH) has partnered with Honoring Choices MA and Massachusetts Health and Hospital Association (MHA) to support a statewide Health Care Proxy Campaign, using the Honoring Choices Who's Your Agent? structured approach to health care planning with free, downloadable multilingual documents and tools. Read announcement from MA DPH Commissioner Goldstein.
Everyone can download a free Health Care Proxy.
The Honoring Choices QUICKSTART page makes it easy to:
1. Choose a trusted person to be your Health Care Agent. (See videos in 4 languages).
2. Complete a Health Care Proxy document (available in 16 languages).
3. Share your completed Health Care Proxy with your doctors and care teams and talk about care that's right for you. Download Consumer Conversation Guides.
Not able to choose a Health Care Agent? That's Okay.
Start with a Personal Directive or Living Will document. You can write down your care preferences in a Personal Directive (Living Will) and share with your doctors and care team. Download a Personal Directive (available in 4 languages)
Help Your Community: Share the Consumer Handout for Equal Access to a Health Care Proxy
- Download the Who Is Your Health Care Agent? Consumer Handout. (available in 9 languages).
- The consumer handout links to the Quick Start page to access a free multilingual Health Care Proxy and other tools.
- Co-brand the multilingual consumer handout with your organization’s logo and QR code to tailor to your community. For more information, contact Ellen, edipaola@honoringchoicesmass.com
MHA Simple Step Campaign: Cross Continuum Initiative
MA Health & Hospital Association (MHA) and Cross Continuum Partners use the Simple Step Campaign to encourage all patients and families to take a simple step and complete a Health Care Proxy. Read more below and join the campaign here.
Be a Trusted Source of Information in Your Community!
Join us- Be a trusted source of health care planning information and distribute the consumer handout and planning documents to adults in your community. Support your staff in engaging adults in simple care planning conversations to choose a Health Care Agent and complete a Health Care Proxy and/or Personal Directive (Living Will).
Here are some of the Honoring Choices Partners & Friends who tailored the tools for their community. We can co-brand the multilingual consumer handouts with your organization’s logo and QR code at no cost. Cost. For more information, contact Ellen, edipaola@honoringchoicesmass.com
MA Health & Hospital Association Simple Step Campaign
All MA Hospitals and Cross-Continuum Professionals
Helps adults to take a simple step to complete a Health Care Proxy & Personal Directive (Living Will).
South Shore Patients, Primary Care & Care Management Staff
Provides co-branded handouts & Health Care Proxy in English, Spanish, Arabic, Portuguese, Haitian-Creole.
Health Clinics, Flu Clinics, and Community Events in Lynn
Provides co-branded handouts in English, Spanish, Haitian-Creole, Khmer.
Dementia Friends MA Champions helping Adults & Families; Community Events
Provides handouts, planning tools; See Dementia Friends MA information flyer (10 languages)
MassNAELA Health Care Proxy Clinics
Brings Mobile Clinics to Community Health Centers
Provides documents & videos: English, Spanish, Portuguese, Haitian-Creole. Clarence Richardson, Clarence@MassNAELA.com
Life Care Managers provide holistic services to navigate the aging journey.
Provides handouts Health Care Proxy & Personal Directive (Living Will).
Greater Springfield Senior Services
Consumer Presentations: "Now's the Time. Make Your Own Care Plan"
Provides adults with the Getting Started Tool Kit, multilingual documents.
Nantucket Palliative & Supportive Care
Adults & families and Community Events
Provides handouts, Getting Started Tool Kit, multilingual documents
LifePath, Western & North Central MA
Berkshire Consumer Healthy Living Workshops; Honoring Choices Ambassadors
Provides handouts, Health Care Proxy, Getting Started Tool Kit.
Your Elder Experts, JF&CS, Jewish Family & Children's Services of Greater Boston
Aging Life Care Managers helping Adults & Families
Provides care planning information and Health Care Proxy.
AgeSpan, North Shore
North Shore Housing Program Residents; Honoring Choices Ambassadors
Provides handouts, Health Care Proxy, Getting Started Tool Kit.
Health Clinics, Flu Clinics, Community Events in Abington
Provides co-branded handouts in English, Portuguese, Haitian-Creole, Vietnamese.
MA Health & Hosptial Association Simple Step: A Cross-Continuum Initiative
Your organization can help adults take a simple step to complete a Health Care Proxy.
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Download Multilingual Documents and Tools. Watch Helpful Videos.
Health Care Proxy
Español - Spanish
Português - Portuguese
Tiếng Việt - Vietnamese
Kreyòl Ayisyen - Haitian Creole
Kiswahili - Swahili
नेपाली - Nepali
简体中文 - Simplified Chinese
Tagalog - Tagalog
Русский - Russian
繁體中文 - Traditional Chinese
عربي - Arabic
ភាសាខ្មែរ - Khmer
Shqip - Albanian
Polish- Polski
Kabuverdianu- Cape Verdean Creole
Accessibility
Screen reader accessible: Use screen reader and fill-able online documents. Learn more.
Watch Short Videos
Who is Your Health Care Agent?: Choosing a Health Care Agent
Choose a trusted person to be your Health Care Agent and talking about how you want to be cared for over your lifetime.
- English; Subtitles in Spanish, Portuguese, Chinese
How To Complete an Honoring Choices Health Care Proxy
Easy step by step guide to completing your own Honoring Choices Health Care Proxy, signed by two witnesses. (English).
"I Have a Health Care Proxy" Wallet Card
Medical staff can call your Health Care Agent in an emergency.
Español -Spanish
Português - Portuguese
繁體中文 -Traditional Chinese
Tiếng Việt - Vietnamese
Kreyòl Ayisyen - Haitian Creole
Kabuverdianu -Cape Verdean Creole