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California Advance Directive Form

A California advance health care directive allows an individual to choose an agent to make medical decisions on their behalf and communicate end-of-life treatment preferences. It combines a medical power of attorney and a living will.
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Versions (5)

1. AARP

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2. California Attorney General

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3. California Hospital Association

Download: English, Spanish (español)

 

 


4. UCLA Health

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5. UCSF Medical Center

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Registration

An individual can register an advance directive[3] 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

Revocation

A principal that has executed an advance directive may revoke its designation by:

  • Signing a written revocation form by the principal;[4]
  • If a spouse is an agent, and the marriage is dissolved or annulled;[5] or
  • By authorizing a new advance directive.[6]

State Definition

“Advance health care directive” or “advance directive” means either an individual health care instruction or a power of attorney for health care.”[7]

Statutory Form

The State of California requires a statutory form to be used by residents.[8]