California Advance Health Care Directive/Medical Durable Power of Attorney Form: Free Blank Template Downloads

A California health care power of attorney form lets you choose an individual that can make medical decisions if you can’t. This person can make most medical choices, not just those about life support. You can also give them the power to decide earlier.

Last updated July 24th, 2024

A California health care power of attorney form lets you choose an individual that can make medical decisions if you can’t. This person can make most medical choices, not just those about life support. You can also give them the power to decide earlier.

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A California advance health care directive, which combines a medical power of attorney and a living will, enables an individual to designate an agent to make medical decisions and convey end-of-life treatment preferences. A statutory form is required by California residents.

Standard Durable Power of Attorney Forms

Registering Advance Directive

An individual can register an advance directive by completing the registration form (SFL-461) and attaching a $10 check payable to the Secretary of State.

Source: § 4800

Three Options Available for Form Revocation

  1. Fill and sign the revocation form
  2. When the Agent is a spouse, the form will be revoked if the marriage dissolves due to death or legal divorce.
  3. A new form replaces the current one.

Source: § 4695

What happens if you do not have a Health Care Advance Directive Form and you are unable to make decisions for yourself in California?

In California, if you do not have an Advance Directive and cannot communicate your wishes, there is no standard procedure for someone else to decide for you. The rules can also apply to minors, certain types of treatment, or pregnant women. While some states allow for a verbal appointment of a decision-maker, this information is focused on planning for situations where you cannot make decisions for yourself and does not cover verbal appointments.

Source: CDSS – Your Right To Make Decisions About Medical Treatment

California Advanced Directive/Medical Durable Power of Attorney Form: Preview Example

CALIFORNIA ADVANCE DIRECTIVE MEDICAL DURABLE POWER OF ATTORNEY FORM

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