Advance Healthcare Documents for Israel
Hebrew/English healthcare power of attorney forms and a conversation guide for use in Israel
שני טופסי ייפוי כוח רפואי ומדריך שיחה על העדפות לגבי טיפול בסוף החיים
These documents have been reviewed by the relevant government ministries and are legally binding in Israel.
Legal Documents
Continuous Medical Power of Attorney - Form D
ייפוי כוח רפואי מתמשך - טופס ד
Appoint one or more agents (Powers of Attorney) to make medical decisions on your behalf if you are lacking the mental capacity to do so.
Submit the document to the Ministry of Justice’s Guardian General (האפוטרופוס הכללי). The document is activated after your POAs notify the Guardian General that you lack mental capacity, based on an assessment by a doctor or a psychologist with the relevant certification.
This is not relevant for end of life decisions. For those cases, complete a Medical Power of Attorney Abridged Form of the Dying Patient Act, available below.
Medical Power of Attorney - Abridged Dying Patient Act
ייפוי כח נוסח מקוצר
Appoint a representative to make treatment decisions on your behalf if, in the future, you are both:
1. Diagnosed as a dying patient (prognosis of six months or less to live).
2. Lacking the mental capacity to make your own healthcare decisions.
This form also provides the option to issue advance healthcare directives regarding certain interventions when you are terminally ill.
For situations where you lack mental capacity but are not considered a dying patient, complete a Continuous Medical Power of Attorney (Form D) found above.
Download the Power of Attorney - Abridged Version -
Dying Patient Act with an explanatory guide
ייפוי כוח לפי חוק החולה הנוטה למות - נוסח מקוצר
Once completed, you must mail the original copy of this Power of Attorney – Abridged Version to:
Center for Advance Healthcare Directives
MINISTRY OF HEALTH
39 Yirmiyahu Street
Jerusalem 9446724
המרכז להנחיות רפואיות מקדימות
משרד הבריאות
רח’ ירמיהו 39
ירושלים 9446729
Important: Along with the document, you must include a full photocopy of your Teudat Zehut including the sefach (appendix on blue paper).
Once completed, you must mail the original copy of this Power of Attorney – Abridged Version to:
Center for Advance Healthcare Directives
MINISTRY OF HEALTH
39 Yirmiyahu Street
Jerusalem 9446724
משרד הבריאות
רח’ ירמיהו 39
ירושלים 9446724
Important: Along with the document, you must include a full photocopy of your Teudat Zehut including the sefach (appendix on blue paper).
The Conversation Guide
Family members may need to choose a plan of care in the face of medical uncertainties. Given the individualized nature of each case, end-of-life decision making requires a thoughtful and personalized approach.
By completing this guide, you will help those that care for you – your proxy, family, rabbi, and healthcare providers – to better understand your goals and preferences so they can apply them to each unique situation. The Conversation Guide will help you navigate the conversations which are difficult to start but essential to have. It is a gift to your loved ones to provide them with greater clarity and avoid tensions or guilt caused by speculating about your values and preferences. Meaningful conversations bring families together.
The Netivot conversation guide is not a formal legal directive. It does not need to be signed or witnessed and may be used anywhere in the world. The ultimate goal is to generate healthy communication and ongoing conversations about these topics in an open and loving manner.
A legal proxy or power of attorney form is only valid in the country where it was created. To ensure your wishes are respected, you must complete an advance directive specific to each country where you reside.
Ematai has created advance directives in the United States, Ontario, Quebec, and the UK. You can download the documents here >
Netivot is a free service to the community. Please support this initiative with a donation.
You are encouraged to consult with your own attorney for any questions about your specific needs or local requirements. Nothing on this website or within any element of the Netivot healthcare directive or conversation guide constitutes the offer of legal advice from Ematai.
