Health Care Proxy Campaign, MA Department of Public Health (MA DPH)
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.

Download a free Health Care Proxy and Consumer Handout
The MA DPH Health Care Proxy Campaign helps to ensure equal access to care planning information and documents for everyone in the Commonwealth. Everyone is welcome to participate!

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 structured approach to health care planning with free, downloadable multilingual documents and tools.
MA DPH Comissioner Robert Goldstein states that adults, 18 years old and older, can choose a Health Care Agent and complete a Health Care Proxy. Read more here.
The Honoring Choices QUICK START page makes it easy to:
- Choose a trusted person to be your Health Care Agent. (See videos in 4 languages).
- Download and complete a free Health Care Proxy document (available in 16 languages).
- Share your completed Health Care Proxy with your doctors and care teams to place in your medical record
- Talk about care that's right for you. Download Consumer Conversation Guides.
Not able to choose a Health Care Agent? That's Okay.
- Download a Personal Directive or Living Will document (available in 5 languages). You can write down your care preferences and share with your doctors and care team.
Join the MHA Simple Step Campaign: Cross Continuum Initiative
- Health care and community organizations can join the MA Health & Hospital Association (MHA) and Cross Continuum Partners Simple Step Campaign, to encourage all adults and families to take a simple step and complete a Health Care Proxy.
- Read more below and join the campaign here.
Be a Trusted Messenger. Share the Consumer Handout.
Download and distribute the free, multilingual "Who is Your Health Care Agent?" Consumer Handout and care planning documents in your community Help promote equal access to reliable, accurate care planning information.
Every health care and community organization, faith-based group and school can be a trusted source of health care planning information in your community. Download and distribute the Who Is Your Health Care Agent? Consumer Handout (available in 9 languages), to help adults choose a Health Care Agent and complete a Health Care Proxy. You choose which multilingual handouts are best for your community. We can co-brand the handouts with your organization’s logo and add a QR code if you like at no cost. Cost. We'll post your organization below. For more information, contact Ellen, edipaola@honoringchoicesmass.com
Here are some of the Honoring Choices Partners & Friends who have tailored the consumer handouts and care planning tools for adults in their community.
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.
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.









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