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  • Advance Health Care Directive Form - State of California
    Advance Health Care Directive Forms [4700 - 4701] ( Chapter 2 added by Stats 1999, Ch 658, Sec 39 ) 4701 The statutory advance health care directive form is as follows: You have the right to give instructions about your own health care You also have the right to name someone else to make health care decisions for you
  • Advance Health Care Directive Registry - California Secretary of State
    To obtain or create an advance health care directive form: Contact your health care provider Consult with private legal counsel Refer to the Office of the Attorney General's website Refer to Probate Code section 4701 For more information regarding end of life care or estate planning, please contact the Office of the Attorney General
  • California Advance Directive Form (Medical POA + Living Will)
    A California advance directive allows a person to make their own pre-written health care decisions and select an agent to make decisions on their behalf After completing, this form should be held by close family members in the event of an emergency
  • Download Advance Directive Forms - Advance Care Planning - UCLA Health
    The standard advance directive form in California allows a person to do either or both: Appoint power of attorney for health care (health care agent) Give written instructions to your health care agent and health care providers
  • Your Right To Make Decisions About Medical Treatment
    MAKING AN ADVANCE DIRECTIVE? Ask your doctor, nurse, social worker, or healthcare provider to get more information for you You can have a lawyer write an advance directive for you, or you can complete an advance directive by filling in the blanks on a form STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY DEPARTMENT OF SOCIAL SERVICES
  • Advance Health Care Directive - Kaiser Permanente
    Your Life Care Plan can be made legally binding in the State of California Although there are a number of documents and processes legally approved by your state to complete this task, ideally we would like you to complete an AHCD (Advance Health Care Directive)
  • California Advance Directive Forms - CaringInfo
    Create your advance healthcare directive for California using our free PDF template and instructions Learn about surrogate decision-makers in California
  • Free California Advance Directive Form Template - Word – eForms
    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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