The FREE Chautauqua Cares Health Care Proxy Registry is a 24-hour, 7 days a week access system for medical care providers. Hospitals, physicians, and EMS responders will have immediate access to a copy of your Health Care Proxy should you be unable to communicate. Physicians, rescue workers, or emergency staff can locate and immediately download the form wherever they have access to the Internet.

5 Step Process

1. This is about what is important to you and what health care wishes you want carried out if you are unable to communicate for yourself.
2. Appoint a health care agent, a person to speak for you should you be unable to speak for yourself.
3. Talk to your agent and family about your wishes.
4. Put your wishes in writing using the NYS Health Care Proxy Form. To download forms from other states, please click here.
5. If you receive health care services in Chautauqua County, mail a completed copy of your proxy to : CCHN, 200 Harrison Street, 2nd Floor, Jamestown, NY 14701 or fax for FREE entry in the Chautauqua Cares Health Care Proxy Registry.

The FREE Chautauqua Cares Health Care Proxy Registry is a 24-hour, 7 days a week access system for medical care providers. Hospitals, physicians, and EMS responders will have immediate access to a copy of your Health Care Proxy should you be unable to communicate. Physicians, rescue workers, or emergency staff can locate and immediately download the form wherever they have access to the Internet.

5 Step Process

1. This is about what is important to you and what health care wishes you want carried out if you are unable to communicate for yourself.
2. Appoint a health care agent, a person to speak for you should you be unable to speak for yourself.
3. Talk to your agent and family about your wishes.
4. Put your wishes in writing using the NYS Health Care Proxy Form. To download forms from other states, please click here.
5. If you receive health care services in Chautauqua County, mail a completed copy of your proxy to : CCHN, 200 Harrison Street, 2nd Floor, Jamestown, NY 14701 or fax for FREE entry in the Chautauqua Cares Health Care Proxy Registry.

Along the Way is a booklet developed by CCHN in partnership with Office for Aging and Hospice for use in physician offices. Patients receiving a life limiting diagnosis will find the booklet helpful as a discussion tool that helps them outline treatment and personal goals. It also contains contact information for local resources helpful at end of life. Click here to view Along the Way.

Along the Way is a booklet developed by CCHN in partnership with Office for Aging and Hospice for use in physician offices. Patients receiving a life limiting diagnosis will find the booklet helpful as a discussion tool that helps them outline treatment and personal goals. It also contains contact information for local resources helpful at end of life. Click here to view Along the Way.