The California Advance Directive has combined the subject matter of the health care power of attorney and living will into one document; therefore, replacing both singular forms. Within this instrument, principal parties can call the shots on what will occur should they ever end up mentally incapacitated regarding feeding tubes, resuscitation efforts, pain management, etc. Also, they may nominate an individual to act as their health care proxy and make medical decisions on their behalf. The principal should confirm that all the fields are filled out accordingly and that the instrument is supplied with the necessary endorsements to instate the agreement.
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