The document meets legal requirements for most californians but might not be appropriate in special circumstances.
Medical power of attorney forms california.
The principal must be in a clear mental state before selecting their agent.
If you might have special needs consult an attorney.
Forms state of california department of justice office of the attorney general.
It also lets you express your wishes regarding donation of organs and the designation of your primary physician.
This california medical power of attorney form can be used to appoint someone else to make medical decisions on your behalf in the event that you are unable to make the decisions for yourself.
If you have decided to grant a specific party with the power to make health care decisions on your behalf then locate the title part 1 power of attorney for health care the first section 1 1 designation of agent will require the full name of individual you choose as agent presented on the first blank line after the words to make health care decisions for me.
You are free to use a different form.
California advance health care directive including power of attorney for health care imprint mrn note.
Part 1 of this form is a power of attorney for health care.
The california medical power of attorney also known as an advance directive is used to represent another s health care decisions in a situation where a person may not be able to represent themselves.
This document is very common before risky surgery or for elderly family members.
Home california power of attorney forms and templates power of attorney gives one person the right to conduct business medical guardianship or tax related matters on behalf of another.
Each document can be completed in its entirety to clearly define the relationship between the principal the individual requiring representation and the agent the representative.
Health care decisions for you.
Forms can be found in many of the specific program areas of the attorney general s office listed below please use the link provided for your convenience.
In addition there is a portion called a living will that allows the principal to choose life ending procedure options such as withholding mechanical respirators or the intake of food and liquids.
The person acting on behalf of the principal otherwise known as the agent is expected to make all decisions in the best interest of the principal.
California power of attorney forms can be used to grant certain powers to a trusted friend or relative in the event the person granting the powers or principal is unable or unavailable to act when required.
Part 1 lets you name another individual as agent to make health care.
California power of attorney forms make it possible for a resident to assign an agent to represent them in matters concerning finances healthcare guardianship and vehicle registration.
Medical power of attorney california form adobe pdf most commonly used to represent another s health care decisions in situation where a person may not be able to represent themselves.
The person who gives this power is known as the principal and the person who accepts it and exercises it is called the attorney in fact or the agent.
If you use this form you may complete or modify all or any part of it.
