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California Advance Directive Form

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California Advance Directive Form

Updated October 22, 2023

A California advance health care directive allows an individual to choose an agent to make medical decisions on their behalf and select end-of-life treatment options. An advance directive combines a medical power of attorney and a living will. It is recommended to be completed by elderly individuals and those seeking high-risk medical procedures.

The main purpose is to allow loved ones to make medical decisions on a person’s behalf and to outline their preferred life-saving treatment options. It is a combination of a medical power of attorney and a living will.

Table of Contents

Laws

  • Statute – PROB § 4701
  • Signing Requirements (PROB § 4701) – Two (2) witnesses or a notary public.
  • State Definition (PROB § 4605) – “Advance health care directive” or “advance directive” means either an individual health care instruction or a power of attorney for health care.”

Registering

An individual can register an advance directive by completing the Registration Form (SFL-461), attaching a check for $10 (payable to the “Secretary of State”), and sending to:

Secretary of State
Special Filings Unit
P.O. Box 942870
Sacramento, CA
94277-2870

Versions (5)

  1. AARP
  2. California Attorney General
  3. California Hospital Assoc.
  4. UCLA
  5. UCSF Medical Center

 

1. AARP

Download: PDF

 

 

 


2. California Attorney General

Download: PDF

 

 

 


3. California Hospital Association

Download: English, Spanish (español)

 

 

 


 

4. UCLA

Download: PDF

 

 

 


 

5. UCSF Medical Center

Download: PDF

 

 

Related Forms


Durable (Financial) Power of Attorney

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Last Will and Testament

Download: PDF, MS Word, OpenDocument