For Delaware Valley High School Seniors

A Free Healthcare Proxy for Your Graduate

Once your child turns 18, you no longer have automatic legal authority to make medical decisions on their behalf — even in an emergency. Before they head to college, give your family peace of mind.

Call (570) 904-2098

Why this matters before college

The day your child turns 18, federal privacy law (HIPAA) prevents doctors and hospitals from sharing medical information with you — even if you're paying the tuition and the insurance. A healthcare proxy fixes that.

As a service to our community, Jacobs, Wilson & Onofry is providing a free Pennsylvania Healthcare Power of Attorney to every graduating senior at Delaware Valley High School.

  • Names a parent (or other trusted adult) as healthcare agent
  • Authorizes access to medical records under HIPAA
  • Stays in effect at college, on study abroad, and beyond
  • No cost — and the signing takes about 15 minutes at our Milford office

Get Started

Fill out the form below. We'll prepare the document and contact you to schedule a brief signing appointment in our Milford office.

What happens next?

Within 1–2 business days, we'll prepare the document and call to schedule a brief signing appointment at our Milford office. The student must be 18 or older to sign. We provide the witnesses and notary — no charge.

Questions? Call us at (570) 904-2098 or email Info@JWOLawyers.com.

The information you submit is used solely to prepare your healthcare proxy document. Submitting this form does not create an attorney-client relationship. An attorney-client relationship is formed only upon signing of an engagement letter and the proxy itself. Jacobs, Wilson & Onofry, 515 Broad Street, Milford, PA 18337.