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  • Advance Health Care Directive My Name Is My Address Is: (address) (city) (state) (zip Code) Part 1

Get Advance Health Care Directive My Name Is My Address Is: (address) (city) (state) (zip Code) Part 1

Wing individual as my agent to make health care decisions for me: (Name of individual you choose as agent) (Address) City) (State) (Zip code) (Home phone) (Work phone) (E-Mail or other means of contact) OPTIONAL: If I revoke my agent's authority or if my agent is not willing, able, or reasonably available to make a health care decision for me, I designate as my first alternate agent: (Name of individual you choose as first alternate agent) (Address) (Home phone) (City) (Work phone) (State).

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How to fill out the ADVANCE HEALTH CARE DIRECTIVE MY NAME IS MY ADDRESS IS: (Address) (City) (State) (Zip Code) PART 1 online

Filling out an advance health care directive is an important step in planning for your health care decisions. This guide provides clear, step-by-step instructions tailored to help you complete the ADVANCE HEALTH CARE DIRECTIVE MY NAME IS MY ADDRESS IS: (Address) (City) (State) (Zip Code) PART 1 online.

Follow the steps to fill out your advance health care directive.

  1. Click the ‘Get Form’ button to acquire the form and open it in your browser or designated editor.
  2. In the top section, clearly state your name and address. Ensure that all details are accurate, including your street address, city, state, and zip code, as this personal information is crucial for the validity of the document.
  3. Designate an agent by entering the name and contact information of the individual you choose to make health care decisions on your behalf. You may also provide details for first and second alternate agents in case the primary agent is unavailable.
  4. Specify the authority of your agent by reading through the list of health care decisions they are authorized to make. You can strike through any provisions that you do not wish to apply.
  5. Indicate when your agent's authority becomes effective. By marking the appropriate box, you can choose to have this authority activate immediately or only under certain conditions.
  6. Complete the section regarding your agent's obligation to make decisions that align with your wishes, or to act in your best interest if those wishes are unknown.
  7. If applicable, fill out the sections regarding end-of-life decisions, artificial nutrition and hydration, relief from pain, and other personal wishes, ensuring that you only check the boxes relevant to your preferences.
  8. Make optional designations regarding organ donation, primary physician, and any religious or spiritual information you wish to include. Each section allows you to clearly express your desires posthumously and regarding your overall health care.
  9. Finally, sign and date the document where indicated. Ensure that the document is witnessed by two qualified adults or notarized, as required to validate the power of attorney for health care decisions.

Complete your advance health care directive online today to ensure your health care choices are respected.

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Give copies to your primary care provider, local hospital, and designated healthcare agent. Keep a copy for yourself. Keep a copy of your advance directive in a safe but easy-to-find place. You may also want to put a note in your wallet explaining that you have an advance directive and where it can be found.

The two most common advance directives for health care are the living will and the durable power of attorney for health care.

Sign Your California Advance Directive in Front of Two Witnesses or a Notary Public. After you create your advance directive, you must sign and date your document and have it either signed by two witnesses or notarized.

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. Advance Health Care Directive Registry - California Secretary of State California Secretary of State https://.sos.ca.gov › registries › advance-health-care... California Secretary of State https://.sos.ca.gov › registries › advance-health-care...

The AHCD allows you to make specific written instructions for your future health care in the event of any situation in which you can no longer speak for yourself. The AHCD replaces the Natural Death Act and is now recognized as the legal format for a living will in the state of California.

Advance directives are legally valid throughout the United States, but the laws governing advance directives vary from state to state, so it is important to complete and sign advance directives that comply with your state's law. What are Advance Directives? - CaringInfo CaringInfo https://.caringinfo.org › what-is-an-advance-directive CaringInfo https://.caringinfo.org › what-is-an-advance-directive

Sign Your California Advance Directive in Front of Two Witnesses or a Notary Public. After you create your advance directive, you must sign and date your document and have it either signed by two witnesses or notarized. Do I Need to Have My California Living Will Witnessed or Notarized? Nolo https://.nolo.com › legal-encyclopedia › finalizing-a... Nolo https://.nolo.com › legal-encyclopedia › finalizing-a...

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. This form lets you do either or both of these things. It also lets you express your wishes regarding donation of organs and the designation of your primary physician. Advanced Health Care Directive Form - California Courts California Courts (.gov) https://.courts.ca.gov › documents › Advance... California Courts (.gov) https://.courts.ca.gov › documents › Advance... PDF

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232