The California Advance Directive has combined the subject matter of the health care power of attorney and living will into one document; therefore, replacing both singular forms. Within this instrument, principal parties can call the shots on what will occur should they ever end up mentally incapacitated regarding feeding tubes, resuscitation efforts, pain management, etc. Also, they may nominate an individual to act as their health care proxy and make medical decisions on their behalf. The principal should confirm that all the fields are filled out accordingly and that the instrument is supplied with the necessary endorsements to instate the agreement.

Other Versions (9)

• AARP (Caring Connections)
• Archdiocese of LA
• California Hospital Assoc.
• Five Wishes (Aging with Dignity)
• Kaiser Permanente
• Sharp Health
• Stanford Medicine
• UCLA Health
• UCSF Medical Center

AARP Version

Download: Adobe PDF

 

 

 

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Archdiocese of Los Angeles Version

Download: Adobe PDF

 

 

 

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California Hospital Association Version (also available in Spanish/en Español).

Download: Adobe PDF

 

 

 

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Five Wishes (Aging with Dignity) Version

Download: Adobe PDF
Information: Adobe PDF

 

 

 

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Kaiser Permanente Version

Download: Adobe PDF

 

 

 

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Sharp Health Version

Download: Adobe PDF

 

 

 

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Stanford Medicine Version

Download: Adobe PDF

 

 

 

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UCLA Health Version (also available in Spanish/en Español)

Download: Adobe PDF

 

 

 

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UCSF Medical Center Version

Download: Adobe PDF

 

 

Additional Resources

• California Health and Wellness – Advance Directive
• California Attorney General – End of Life Care Planning
• Cedars Sinai – Advance Directives
• Coalition for Compassionate Care of California – Thinking Ahead Booklet (also available in Spanish/en Español)
• Donate Life California – FAQs
• Sutter Health – Make Your Wishes Known
• Sutter Health – Writing an Advance Directive
• UCI Health – FAQs

Related Forms (6)

• Advance Directive for Mental Health Care
• Advance Directive Registration Form
• Advance Directive Wallet Card
• Durable (Financial) Power of Attorney Form
• DNR Form
• POLST Form

Advance Directive for Mental Health Care

Download: Adobe PDF
Information: Adobe PDF

 

 

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Advance Directive Registration Form

Download: Adobe PDF

 

 

 

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Advance Directive Wallet Card

Download: Adobe PDF

 

 

 

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Durable (Financial) Power of Attorney

Download: Adobe PDF

 

 

 

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DNR (Do-Not-Resuscitate) Order

Download: Adobe PDF, MS Word (.docx)

 

 

 

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Physician Orders for Life-Sustaining Treatment (POLST)

Download: Adobe PDF