Official - California Health Care Directive

Your Health Care Wishes What kind of care do you want to receive if you cannot speak for yourself? The person you name can also make other necessary health care decisions for you if you are too ill or injured to direct your own care. Do you want to limit the medicines you receive to relieve pain? This form is intended for use by people who expect to receive medical care in California. Your Agent's Authority Do you want to limit the scope of your agent's authority? As you make this form, you will be asked about: Your Agent Who should be your health care agent? Specifically, should your agent not have the authority to direct: the withdrawal or withholding of life-prolonging procedures the withdrawal or withholding of artifically administered food and water the donation of your organs, parts, or tissues the plans for your burial or cremation, or anything else? For more about this form, read the California Health Care Directive FAQ For more about health care directives (including living wills, powers of attorney for health care, DNRs, and POLST forms), see Living Wills amp; Medical Powers of Attorney on Nolo.com. Who should be your alternate agent and second alternate agent? You can use this California Advance Health Care Directive to describe your health care wishes and name a trusted person to oversee them. It complies with California law and will be familiar to health care practitioners in California. Do not use this form unless you expect to receive health care in California. It aligns with California rsquo;s statutory advance health care directive ndash; the form in Cal. Make your health care wishes known! When should your agent rsquo;s authority to speak for you begin -- when you sign the document or when you become unable to make your own health care decisions? Prob. In addition to the advance directive, this form provides a document for revoking your health care directive and a letter for your agent, which describes the agent rsquo;s duties. Code sect;4701. It rsquo;s vitally important that those close to you understand the kind of medical treatment you would mdash;or would not mdash;want if you were unable to speak for yourself. Do you want to state anything else about the location of your care, palliative care, your personal or religious values, or anything else? Specifically, In certain dire situations, do you want your life to be prolonged?

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Official - California Health Care Directive