practices
Our experts in various fields find solutions for customers. We provide customized solutions based on a thoroughly analyzed litigation database.

Health Care Proxy
Legal Planning for Medical Decision-Making
When medical emergencies arise, having a health care proxy can mean the difference between timely, appropriate care and delayed or undesired treatment. A health care proxy is a legal document that authorizes another person (the “agent”) to make medical decisions on your behalf if you become incapacitated or unable to communicate. This essential planning tool ensures that your medical preferences and values are honored—even when you cannot express them yourself.
At SJKP LLP, our Health Care Proxy Practice helps individuals and families prepare for life’s most critical moments. We provide compassionate, precise legal guidance to ensure that your medical choices are clear, your proxy is valid, and your loved ones are protected from confusion and conflict during times of crisis.
contents
1. Understanding the Health Care Proxy
Empowering Trusted Decision-Makers When You Cannot Speak
A health care proxy—sometimes called a medical power of attorney—is part of a broader set of advance directives that guide healthcare providers when a person cannot communicate their wishes.
How a Health Care Proxy Works
Through this document, you appoint an agent to make medical decisions in situations where you are unconscious, mentally incapacitated, or otherwise unable to communicate. The agent’s authority begins only when a physician certifies that you are incapable of decision-making.
Your proxy can:
- - Consent to or refuse specific treatments or surgeries
- Access medical records and consult with healthcare professionals
- Decide on life-sustaining measures in accordance with your expressed wishes
Our attorneys ensure that each proxy clearly defines your agent’s powers, scope of authority, and ethical limits under state law.
Health Care Proxy vs. Living Will
A living will specifies what medical treatments you do or do not want, while a health care proxy appoints someone to make decisions on your behalf.
Together, they create a complete framework for medical autonomy and legal certainty.
SJKP LLP helps clients integrate both documents into a unified estate and health planning strategy.
Who Can Serve as Your Agent
Most states allow you to name any competent adult, except your attending physician or facility operator, as your health care proxy. Many individuals choose a spouse, adult child, or trusted friend.
We guide clients in selecting agents who understand their values, can handle medical stress, and are willing to advocate assertively on their behalf.
2. Legal Requirements and State Variations
Complying with Formalities to Ensure Enforceability
Each U.S. state has its own laws governing execution, witnessing, and recognition of health care proxies.
A document valid in one jurisdiction may not automatically be enforceable in another.
Execution and Witnessing Standards
In most states, a health care proxy must be:
- - Signed by the principal (the person creating it)
- Witnessed by two adults who are not the designated agent
- Executed voluntarily without coercion
SJKP LLP ensures that every proxy we prepare satisfies statutory formalities and can withstand legal scrutiny in hospital, court, or cross-state contexts.
Durability and Revocatio
A health care proxy remains effective until revoked. You can revoke or amend it at any time by creating a new document or communicating your intent to revoke in writing.
Our attorneys assist clients in updating proxies after life changes such as marriage, divorce, relocation, or diagnosis of serious illness.
Multi-State and Cross-Border Recognition
For clients with multiple residences or international ties, we prepare multi-jurisdictional health care directives that meet the requirements of several states or countries, ensuring continuity of authority wherever care is provided.
3. Healthcare Institutions and Proxy Enforcement
Ensuring Your Wishes Are Respected in Real Time
A health care proxy’s effectiveness depends not only on legal validity but also on hospital compliance and communication.
Presenting the Proxy to Healthcare Providers
We advise clients to share copies of their proxy with primary care physicians, hospitals, and family members.
SJKP LLP also assists in registering proxies with healthcare systems to ensure they are available during emergencies.
Disputes Over Proxy Authority
Occasionally, family members or medical providers may challenge an agent’s authority—especially in emotionally charged end-of-life scenarios.
Our attorneys intervene swiftly to validate the proxy, enforce the principal’s wishes, and prevent unauthorized medical interventions.
Institutional Obligations Under Federal Law
Hospitals and nursing facilities must comply with the Patient Self-Determination Act (PSDA), which requires informing patients of their rights to create advance directives.
We counsel healthcare institutions on their legal duties, disclosure requirements, and staff training to avoid regulatory violations and ethical conflicts.
4. Integration with Broader Estate and Care Planning
Coordinating Your Health, Financial, and Legal Protections
A health care proxy functions best when integrated into a comprehensive personal plan that includes financial, legal, and family considerations.
Health Care Proxy and Power of Attorney
While a health care proxy governs medical decisions, a durable power of attorney manages financial and legal affairs.
SJKP LLP ensures both documents complement each other—avoiding overlap and ensuring continuity in the event of incapacity.
End-of-Life Planning and Ethical Directives
Our attorneys assist clients in drafting advance directives, DNR (Do Not Resuscitate) orders, and ethical wills to clarify their preferences regarding life support, organ donation, and palliative care.
This transparency relieves families from uncertainty and emotional burden during critical decisions.
Incorporating the Proxy into Family Discussions
Legal planning is most effective when supported by communication. We guide clients in discussing their proxy choices with loved ones, ensuring everyone understands their wishes and avoids future conflict.
5. Disputes, Guardianship, and Court Intervention
Protecting the Integrity of Your Medical Decisions
In some cases, disagreements among family members or challenges to a proxy’s authority lead to court involvement.
Guardianship Proceedings
If no proxy exists, or if the proxy is contested, courts may appoint a guardian to make healthcare decisions.
SJKP LLP represents families and individuals in guardianship petitions, ensuring that the appointed decision-maker reflects the patient’s best interests and prior expressed wishes.
Challenging or Defending Proxy Validity
We litigate disputes over forged, revoked, or improperly executed proxies, and defend agents acting in good faith under lawful authority.
Our attorneys also help institutions interpret conflicting directives or unclear documentation.
Emergency Judicial Relief
When life-saving decisions must be made urgently, our firm can obtain expedited court orders validating proxy authority or compelling healthcare providers to honor patient directives.
6. Why Choose SJKP LLP for Health Care Proxy Planning
Empathy. Experience. Legal Precision.
At SJKP LLP, we believe that healthcare decisions should always reflect your voice—even when you cannot speak.
Our Health Care Proxy Practice combines compassionate client service with legal mastery, guiding individuals and families through the complex process of medical decision planning.
We have drafted, reviewed, and enforced health care proxies for clients across multiple jurisdictions, including high-net-worth individuals, seniors, and cross-border families.
Our multidisciplinary approach integrates estate planning, healthcare law, and family governance to protect both autonomy and dignity.
Whether you are creating your first proxy or updating your plan to reflect new life circumstances, SJKP LLP provides the guidance you can trust.
We don’t just prepare documents—we protect your right to choose how care is given when it matters most.
The information provided in this article is for general informational purposes only and does not constitute legal advice. Reading or relying on the contents of this article does not create an attorney-client relationship with our firm. For advice regarding your specific situation, please consult a qualified attorney licensed in your jurisdiction.
Certain informational content on this website may utilize technology-assisted drafting tools and is subject to attorney review.

