Massachusetts Statutes
§ 4 — Contents of proxy
Massachusetts·Part II REAL AND PERSONAL PROPERTY AND DOMESTIC RELATIONS·Title II DESCENT AND DISTRIBUTION, WILLS, ESTATES OF DECEASED PERSONS AND ABSENTEES, GUARDIANSHIP, CONSERVATORSHIP AND TRUSTS·Ch. 201D HEALTH CARE PROXIES
Section 4. The health care proxy shall:
(i)identify the principal and the health care agent;
(ii)indicate that the principal intends the agent to have authority to make health care decisions on the principal's behalf;
(iii)describe the limitation, if any, that the principal intends to impose upon the agent's authority; and(iv) indicate that the agent's authority shall become effective if it is determined pursuant to section six that the principal lacks capacity to make health care decisions.
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