Get Ca Cha Form 3-1 2016

The CA CHA Form 3-1, known as the Advance Health Care Directive, is a crucial document that allows individuals to designate an agent for making health care decisions when they can no longer do so. This guide will provide clear instructions on how to efficiently fill out this form online.

Follow the steps to complete the CA CHA Form 3-1 online.

1. Click ‘Get Form’ button to access the form for completion.
2. Fill in your name and date of birth at the top of the form to identify yourself clearly.
3. In Part 1, designate an agent by entering their name, address, and contact information. This person will make health care decisions on your behalf if needed.
4. If desired, designate a first alternate and a second alternate agent, providing their contact information as well.
5. Specify the authority of your agent in making health care decisions by initializing either to make decisions when you are incapacitated or to make them immediately.
6. In Part 2, outline your specific health care instructions regarding life-prolonging treatment and pain relief. You can mark your choice and add any additional wishes in the provided spaces.
7. If you choose to donate organs, complete Part 3 by indicating your wishes regarding organ donation and initialing where required.
8. Optionally, designate your primary physician in Part 4, completing their contact details.
9. Sign the form in Part 5, indicating the date, and ensure you have two witnesses sign the document as required, or notarize it.
10. Once completed, save the changes, download the form, and print or share copies with relevant health care providers and agents.

Complete the CA CHA Form 3-1 online today to ensure your health care preferences are clearly documented.