California Uniform Healthcare Act Form

State:
Multi-State
Control #:
US-01613
Format:
Word; 
Rich Text
Instant download

Description

This form is a model example of an Advance Health Care Directive. It may not comply with the law of your state on health care directives, medical power of attorney and/or living wills - and must be adapted to the law of your state.
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FAQ

Hear this out loud PauseIf you don't have a directive and become unable to speak in a medical situation, physicians will generally try to locate your family members, friends or clergy to make decisions about your care.

Hear this out loud PauseYou may hear a durable power of attorney for healthcare also called a durable medical power of attorney or a healthcare proxy. There are a few terms that are important in your DPOA-HC: Principal: You, or the person relinquishing legal power through the DPOA-HC.

Yes, you must sign and date the document. If you are unable to sign, you can have someone sign the directive in your presence and at your direction. Then it must be notarized or witnessed by two qualified adults.

Hear this out loud PauseThe person you choose as your agent must also be 18 or older and have mental capacity. Your power of attorney document must be signed in front of a notary public or by two competent witnesses.

Hear this out loud PauseIn California, you're able to create your power of attorney without the help of an estate attorney. As long as you follow California's requirements, any POA you create is just as valid as one drafted by a lawyer.

You should follow the following procedure to establish a DPOA-HC: Fill out the California durable power of attorney for healthcare form. ... Figure out who you intend to be your patient advocate. Decide who will serve as your two witnesses. Sign the document along with your agent and your two witnesses.

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.

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.

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California Uniform Healthcare Act Form