This Document Contains:
- Power of Attorney for Health Care
- Instructions for Health Care
- Organ Donation Preferences
Laws
Statutes – California Probate Code, Division 4.7. Health Care Decisions (§ 4600 – 4806)
Definitions – “Advance health care directive” or “advance directive” means either an individual health care instruction or a power of attorney for health care. (§ 4605).
Signing Requirements – Must be signed either in the presence of a notary public or two (2) qualifying witnesses (§ 4673(3)).
Revocation – § 4695 – 4698
Other Versions (9)
- AARP (Caring Connections)
- Archdiocese of LA
- California Hospital Assoc.
- Five Wishes (Aging with Dignity)
- Kaiser Permanente
- Sharp Health
- Stanford Medicine
- UCLA Health
- UCSF Medical Center
Download: Adobe PDF
Archdiocese of Los Angeles Version
Download: Adobe PDF
California Hospital Association Version (also available in Spanish/en Español).
Download: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
UCLA Health Version (also available in Spanish/en Español)
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- California Health and Wellness – Advance Directive
- California Attorney General – End of Life Care Planning
- Cedars Sinai – Advance Directives
- Coalition for Compassionate Care of California – Thinking Ahead Booklet (also available in Spanish/en Español)
- Donate Life California – FAQs
- Sutter Health – Make Your Wishes Known
- Sutter Health – Writing an Advance Directive
- UCI Health – FAQs
Related Forms (6)
- Advance Directive for Mental Health Care
- Advance Directive Registration Form
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- DNR Form
- POLST Form
Advance Directive for Mental Health Care
Download: Adobe PDF
Information: Adobe PDF
Advance Directive Registration Form
Download: Adobe PDF
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
DNR (Do-Not-Resuscitate) Order
Download: Adobe PDF, MS Word (.docx)
Physician Orders for Life-Sustaining Treatment (POLST)
Download: Adobe PDF
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