Jewish Medical Directives for Health Care
The Committee on Jewish Law and Standards
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The Rabbinical Assembly
The enclosed forms of Health Care Directive and Proxy Directive have been prepared to conform to the
requirements of New York as to format and execution. We suggest that residents of other states check with
local counsel to be comfortable that any special requirements as to format, number of witnesses,
notarization and the like are satisfied. If the law of your state specifies a particular format or particular
language which is not embodied in the enclosed forms, then we suggest that you use the enclosed as a
guide for reflection and analysis in reaching the decisions that will be expressed in your state's form.